HomeMy WebLinkAboutX2020-2751 - Permits3 ,gip City of Newport Beach - Building D' ' 'on IIIIIIII�IIIII�IIIIIIIIIIIIIIIIIIIIIIII
- 100 Civic Center Drive, Newport Beach, CA 926 X 2 0 2 0 2
Permit Counter Phone (949)644-3288
y. rp Inspection Requests Phone (949)644-3255
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7 5 1 II
COMB Permit: X2020-2751
Project No : 2188-2020
Issued Date .2-0
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUA OR LAST V INSPECT . PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 of Saturday from 8:00 a.m. to 6:00
p.m. No work on Sundays or Holidays
Job Address: 14 TURNBERRY DR NB
Description: SFR BLOCK WALL 6' X 35 LF (INSIDE P/L)
Legal Desc.: TRACT 15387 LOT 7 POR OF LOT AND POR OF LOT 8
Owner: COVEYIDANAE Contractor.
VALLEY MASONRY
Architect:
Address: 54 BRIGMORE AISLE Address:
264 NORTH SHAFFER
Address:
arm
IRVINE CA 92603
ORANGE CA 92866
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Phone: Phone:
714-488-6393
Phone:
State Lic:
.E
Applicant: WINE RICK Con State Lic:
390882
Engineer:
Address: 264 N SHAFFER ST Lic Expire:
01131/2021
Address:
1
ORANGE CA 92866 Bus Lic:
BT30052400
Phone: 714-488-6393 Lic Exp Date:
09/30/2021
Phone:
State Lic:
J
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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:
1010112021
Phone:
714-488-6393
Added /New sq. ft. Garage: 0
No of Stories: 0 Building Setbacks
Rear: 6'
Special Conditions: FUEL MODMAZARD REDUCT
No of Units : 0
Front: 20'
SOME LANDSLIDE AREA
Bldg Height: 0
Left: 6'
Bldg Sprinklers:
Right: 6'
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone : Y
Construction Valuation: $3 045.00
Building Permit Fee: $144.00 Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $125.28 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 :
$0.00 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
PAN Plan Check :
$43.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00 San Dist:
$0.00
$0.00
Building Green Fee : $1.00 Mechanical %:
$0.00 NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
II TOTAL FEE: $315.28 Plan Check Fee
`PROCESSEDBY:
ZONING APPROVAL:
GRADING APPROVAL: L r
$0.00 Fee Due at Permit Issuance : $315.28
PU3L:C WORKS APPROVAL:
PLAN CHECK BY:
t.rPFOVAL TO ISSUE:
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
the 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 (_) 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
roved for the purpose of sale).
LJ 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 legally
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 Profilillsiafls Cc an ense is in full force
and effect. License Class License No Date S,^ Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($10D,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
perr4brmance of the work for which this permit is issued. Policy No.
have and will intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier I d licv numbefare: ..
ne of Agent !!!rF$C..L_ 4
certify that, in the performance
, if I should become su Iect to I
lature of ADolicant )
Number
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \ /
)reby affirm under p6nalty 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).
lder's Name Lender's Address
3y 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 co to en v = Ted -property for inspection purposes.
31gnature of Property Owner or Authorized Agen Print Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIPCAt ION TJ
PERMITCANCELLED
EIEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
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PROPOSED DEMOLITION -
OCCUPANCY ISSUED
SIGNATURE: