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Home My WebLink AboutX2020-2751 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2020-27 1 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 7 5 1 Project NO : 2188-2020 Permit Counter Phone (949)644-3288 si. -qC Inspection Requests Phone (949)644-3255 Issued Date: 11/25I2020 °•arsif4,P.� Combination Type - BLDG Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112612023 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 621 ROCKFORD RD NS /�.�� Description: SFR BLOCK WALL 6' X 35 LF (INSIDE PIL) CVY�� J " Legal Desc.: N TR 3519 LOT 138 Owner: COVEY/DANAE Contractor: VALLEY MASONRY Architect: Address: 54 BRIGMORE AISLE Address: 264 NORTH SHAFFER Address: IRVINE CA 92603 ORANGE CA 92866 Phone: Phone: 714-488-6393 Phone: State Lie: Applicant: WINE RICK Con State Lic: 390882 Engineer: Address: 264 N SHAFFER ST Lic Expire: 01/3112021 Address: ORANGE CA 92866 Bus Lic: BT30052400 Phone: 714-488-6393 Lic Exp Date: 09130/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: WINE RICK Type of Construction: VB Carrier: EMPLOYERS COMP Address: 264 N SHAFFER ST Occupancy Group: U Policy No: EIG157791608 ORANGE CA 92866 Added /New sq.ft. Bldg: 0 Expire: 10/01/2021 Phone: 714-488-6393 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: FUEL MOD/HAZARD REDUCT No of Units: 0 Front: 20' - SOME LANDSLIDE AREA Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' °*®�� DR Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : Y 1 S Construction Valuation: $3,045.00 Building Permit Fee: $144.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $126.28 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0m SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $315.28 G� PROCESSED BY:1V! ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $315.28 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: �*A PLAN CHECK BY: APPROVAL TO ISSUE: C�I�W OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 'Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or, improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). ; I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Pro s " Rs Cc an Bose is in full force and effect. License Class License No Date 4 .�^ Contractor Signatur I WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th verfbrmance of the work for which this permit is issued. Policy No. have and will intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol rance carrier 'icy nu re: a d ol Ier licy Number Expiration Date is of Agent Y Phone # certify that, in the performance o the w c for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should becomeysuplect to thew a compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `dC/ iature of Applicant Y I �'-'°�—��--S^^�G CLARATION REGAf DING CONSTRUCTION LENDING AGENCY :reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county or and state laws relating to building construction. I authorize representatives of this city or couito en ve= prrtlffed-property for inspection purposes. of DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL "'( I of - CERTIFICATE OF v OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 _ sr— _ — ISUBMITTEDASBESTOSNOTIF�j:A,I IONW - •.- EPA e QMD V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION o� n '+ate J� II% Date