HomeMy WebLinkAboutX2021-0351 - PermitsCity of Newport Beach
Building
Division II������II0I����II� III COMect D
B Permit:
X 021-0351
oCivic Drive,
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date: 02/1612021
Combination Type - BLDG Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST SE 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: 2165 ANDOVER LN NB
Description: MFR PRIVACY WALLS 6' X 16'5" WI STUCCO
Legal Desc.: IRVINE SUB LOT 164 BILK 53 6.83 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:
State Lic:
Phone:
Phone:
909-694.9500
Applicant: SHEA HOMES LLC
Con State Lic:
1012096
Engineer:
Address:
WONG RAMON ROMAN II
1800 E 16TH ST
Address: 2 ADA STE 200
Lic Expire:
Bus Lic:
0313112022
BT30069671
SANTA ANA CA 92701
IRVINE CA 92618
Lic Exp Date:
10/3112021
Phone:
714-835-2800 State Lic:S-002346
Phone: 949-526-8842
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
LIBERTY MUTUAL FIRE INS CO Address:
Occupancy Group: U
Policy No:
WA266DO66115040
Phone:
Added /New sq.ft. Bldg: 0
Expire:
08101/2021
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: 6'
Special Conditions:
P
No of Stories: 0
Front: 20'
No of Units : 0
0
Left: 6'
Bldg Height:
Right: 6'
Bldg Sprinklers:
Use Zone: R-1-6000
Parkin S aces:
0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $2,305.07
Building Permit Fee: $127.00
Excise Tax:
$0.00
Planning Department-
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $110.49
Additional Fee :
$0.00
$0.00
Plan check Fee:
Fair Share :
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
SJH Trans :
$0.00 Demolition Fee
Investigation Fee: $0.00
Grading PC Consultant :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Record Management: $0.00
$0.00
Grading PC Fee:
Public Works Department -
General Service
$0.00
Energy Compliance:
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
Grading Bond:
$0.00
$0.00
Disabled Access : $0.00
P/W Plan Check: $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL FEE : $238.49.
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$238.49
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
1
ZONING APPROVAL: _
_ _ _ _
_
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 nextto the applicable @em(s)
Section 70315, Business and Professions Code: Any city ur countythat requires a pennitto 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 pursuantto the provisions of the Contractors' State License Law (Chapter 9.(coml ructur , with Section issuance,
, Division 3afthe Business and
'roressions Code) or that he orshe is exempt from licensum and the basis for the alleged exemption. Any vlolallon of Section 7031.5 by anyap mean for it permit subjects the applicant too cBusiness 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 V all of or [J portions of the work, and the structure. is not intended or oifered for sale (Section 7044,
3usiness and Professions Code: The Contractors" State, License Law does not apply to an owner of property Who, through employees' or he
effort; builds or improves the property; provided {hat the
mproved for the purpose of sale)_ structure
mprovements are intended or offered for sale. If, however, the building or improvement is sold within.ona year of completion, the Owner -Builder will have the burden of -proving that it was not built or
3 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
Ipply to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to, the Contractors' State License Law).
1 amexempt from. licensure under the Contractors' State License Law for the following reason:
ly my signature below -I acknowledge that, exceptfor my personal residence in which 1. must have resided for at least one year pdorto completion ofthe improvements covered by this permit, I cannot legall,
ell a structure that I. have built as an owner -builder if it hasnot been constructed in Its entirety by licensed. contractors. I understandthat a copy of the applicable law, Section 7D44 ofthe Business and
'rofassions Code, is available upon request when this application is submitted or at.the following Web she:http:/Iwwrr.leginfo_ea.gov/calaw.hhnl.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION Date.
hereby affirm under penalty of perjury that I amaicensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license . is. in full Tome
nd effect
.i �,// Id,
ORK Class License No DaEe ��i/ ZoZI Contractor Signature, i'llZif7!"/�
VORI¢RS' COMPENSATION DECLARATION
'ARNING: MLURE.TO SECURE WORIO F COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE. HUNDRED'THOUSANO DOLLARS Isloo,000), IN AODRION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATrORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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,
"VI -mane of the work for which this permit is issued. Policy No.
a
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrier and policy number are: for the performance of the work for which this permit is issued.. My workers,
Policy Number
Date
I lul a is
certify that, in the performance of the workforwhich this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callromia, and agree
I, if I should become subje to the w,�od/rer s////copmpensation pmvisi
nature of Applicantons of Section 3700 of the labor Code, 1 shall forthwith comply with those provisions.
V CLARATIon R Li, K NG CONSTRUCTION Date
LENDING AGENCY x
Ireby affirm under penalty of perjurythat there is a construction lending agencyforthe performance at work forwhich this penmitis issued.(Section 3097. Civil Code)_
ider's Name Lenders Address
my signature below, 1 certify to each of the following:
I am the pmpety owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is cormuL
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 rthe a ove-idenoerly for inspection purposes.
nature of Property Owner or Authorized Ara: U%/»tified oro
AC77ON I DATE I BY
PERMITCANCELED
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OCCUPAN'CYMUED
SIGNATURE: