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Home My WebLink AboutX2021-0349 - Permitsupi 1+rr+frr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0349 �4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 3 4 9 Project NO : 0943-2020 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date: 02/1 fi/2021 Combination Type - BLDG Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/17/2024 OR PERMIT WILL BE INVALID 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 or Holidays Job Address: 2169 ANDOVER LN NB Description: MFR PRIVACY WALLS 6' X 17' W/ STUCCO Legal Desc.: IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT Owner: SHEA HOMES LLC Contractor: SHSCSC INC Architect: Address: 2 ADA STE 200 Address: 655 BREA CANYON RD Address: IRVINE CA 92618 WALNUT CA 91789 Phone: Phone: 909-594-9500 Phone: State Lic: Applicant: SHEA HOMES LLC Con State Lic: 1012096 Engineer: WONG RAMON ROMAN II Address: 2 ADA STE 200 Lic Expire: 03/31/2022 Address: 1800 E 16TH ST IRVINE CA 92618 Bus Lic: BT30069571 SANTA ANA CA 92701 Phone: 949-526-8842 Lic Exp Date: 10131/2021 Phone: 714-835-2800 State Lic:S-002345 Code Edit: 2019 Type of Construction: V-B 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: Building Permit Fee: $127.00 Plan Check Fee: $110.49 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 : $1.00 TOTAL FEE: $238.49 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115040 Expire: 08101/2021 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: 6' Front: 20' Left: 6' Right: 6' 0 Parkinc Soaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: rn It ,' Fire HA-sard'Zbfie`: N Planning Department - Plan check Fee: Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $238.49 PUBLIC WORKS APPROVAL: i/ PLAN CHECK BY: ' GRADING APPROVAL: _ _. _ _ _ APPROVAL TO ISSUE: 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) 1 have placed next to the applicable item(s) 'Section 7031.5, Business and Professions Code: Any city or county that requires a permit toconstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires theapplicant 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) ofDMS'i0n 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 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 structureis not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors" Stam.Licease 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.yearof completion, the Owner -Builder will have the burden ofpmving that it vies not built or improved for the purpose of sale)_ ❑ 1, 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 forthe projects with alicensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am. exempt fmm licensure under the Contractors' State License Law for the following reason: By my signature below) 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 t have built as an owner -builder if it has. not been constructed In its entirety by licensed contractors. 1 understandthat acopy 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.'/A x.leginfo.ca.govlcataw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am:licensed under provisions ofChapter9 (commencing with Section.7000) of Division 3 of the Business and Professions Code, and my Fla mse. is in full force and effect. ,rr� License Class License No DafeX �✓ �L/ 112�1 Contractor Signature✓ WORKERS' COMPENSATION DECLARATION WARNING FAILURE TO SECURE WORRFRS' COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE. HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN 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 V ill 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 pe irnance of the work forwhich this permit is issued. Policy No. , 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' carrier and policy number are. Policy Number Expiration Date Agent Phone# certify that, in the performance of the work 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.Califomia, andagrei t, if I should become subjec to the wor mpens�mvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of nature Applicant mom- Dale \/ CLARATION REGARDING CONSTRUCTION LENDING AGENCY naby affirm under penalty of perjury that there is a construction lending agencyforthe perfomnance.of the workfor 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 action theproperty owners behalf. I have read this application and the information I have provided is correct. I agree to complywith-all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to�r the�aJove-identified arty for inspection purposes. nature ofProperty Owner or Authorized Aeeni✓21VI/R �-�ir� prim!-P.,,.erw —n,nh,A—A n.. P. nl., %S/ /UA-.{ro,r AC77ON I DATE I BY Ok TI.Ti L40ANL ❑ iSUBIATTEDASBESTOS .N071HG trwTOr ❑ EPA ❑ ARM& U1 ASSES7DSMC)TIFTCA N.DONIS nOTAPPLICABLE TO PROPO -r III I OCCUPANCYISSUED I I I' SiGNATFlRE: I ; I