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Home My WebLink AboutX2021-0380 - PermitsCity of Newport Beach - Building Division .• 100 Civic Center Drive, Newport Beach, CA 92660 H tt n Permit Counter Phone (949)644-3288 i` >.... Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllll COMB Permit: X2021-038 Project No : 1949-2020 Issued Date : 0610312021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/03/2024 OR PERMIT WILL BE Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays orHolic Job Address: 1 BAY ISLAND NB Description: SFR RETAINING WALLS 133 LF X 6' HIGH MAX (INSIDE P/L) Legal Desc.: S TWP 6 RGE 10 SEC 34 Owner: BAY ISLAND NO 1, LLC Address: 1095 EGREEN ST PASADENA CA 91106 Phone: 626-437-0653 Applicant: WILSON TYLER SCOTT Address: 24471 CHRISANTA DRIVE MISSION VIEJO, CA 92691 Phone: 714-754-4040 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $35 Building Permit Fee: $619.00 Plan Check Fee: $538.63 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,205.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PENINSULA HOME BLDRS INC Address: 101 SHIPYARD WAY #A NEWPORT BEACH CA 92663 Phone: 949-723-0147 Con State Lic: 842666 Lic Expire: 07131/2022 Bus Lic: BT30008665 Lic Exp Date: 0113112022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / � r Front: Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Architect: WILSON TYLER SCOTT Address: 24471 CHRISANTA DRIVE MISSION VIEJO, CA 92691 Phone: 714-754-4040 State Lic:C036519 Engineer: HAKIM FADY Address: 124 PEONY IRVINE CA 92618 Phone: 310-422-1536 State Lic:C-075736 Designer: Address: Phone: Special Conditions: Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,205.78 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL 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, priorto 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 lot 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 improved 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 Iicensure 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 Pvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Propertv Cwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION t hereby affirm Lndr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700O)pdf11Pivi5,ion 3 of the Business and Profess' s Co , a d y ice s i ull for e and effect. License Class License No Date Contractor Signature =KKERS' COMPENSATION DECLARATION NARNIN]: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA $100,0001, IN ADDITION TO THE COSr OF OOMPENsA DO,4,, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ' `love 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 the pe•fn•mpnce of the work for which this permit is issued. Policy No. have and will maintain 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' rerc3 carrier and policy number are: Policy Agent y that, in the performanc of the Ihould become subjegt'fo the wD of Applicant _ Date Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree of Section 3700 of thg Labor Code, I shall forthwith comply with those provisions. Datef CLARATION REGARDING CONSTRUCTION Z.ENDIW( .f Ujidl � Ireby affirm under penalty of perjury that there 1911COnstruc Ion 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: am the property owner or authorized to act on the pro e e a . I have read this application and the information I have pr id d is o r ct. I agree to comply with all applicable city and county ordi n a d s to aws relating to building construction. D (n 1 I authorize representatives of this city or county to wht the ov -Id led pnppr�y�or inspection purposes. ACTION DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED TO I__I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO _ PROPOSED DEMOLITION FOR OFFICE USE ONLY Date /JC F9 W