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Home My WebLink AboutX2021-2929 - PermitsCity of Newport Beach - Building Division Illlllllllllllllullllllllllllllllllllll II COMB Permit: X2021-292 'e 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 9 2 9 Project No : 0943-2020 i9 Permit Counter Phone(949)644-3288 r 2 Inspection Requests Phone (949)644-3255 Issued Date : 11/08/2021 Combination Type - BLDG Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110812024 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: 2153 ANDOVER LN NS Description: MFR BLOCK WALLS - 12'6" X T13", 4' X 5'6"'BLDG 25' Legal Desc.: Owner: SHEA HOMES LLC Contractor: SHSCSC INC Architect: GRAHAM VANCE D Address: 2 ADA STE 200 Address: 655 BREA CANYON RD Address: 17848 SKY PARK CIR STE D IRVINE CA 92618 WALNUT CA 91769 IRVINE CA 92614 Phone: 909-594-9500 Phone: 949-346-1962 State Lic:CO27836 Phone: 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 Lic Exp Date: 1013112021 Phone: 714-835-2800 State Lic:S-002345 Phone: 949-526-8842 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 : 2 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Pian 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: $206.70 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115031 Expire: 0810112022 Building Setbacks -6000 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' Parking Si $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: Address: Phone: Special Conditions: BLDG 25 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 Plan Check Fee : $0.00 Zone : N 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 Fee Due at Permit Issuance : $206.70 - 11� PUBLIC WORK5 APPROVAL: o PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSOF.: 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 L) all of or L) 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 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.html. 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 7000) of Division 3 of the Business and ProfessionF I/ e, and my -I' a is in full force and effect. License Class License No Date Il 21 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES I TO ONE HU DRED 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, he eby affirm under penalty of perjury one of the following declarations: 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 erfo ance of the work for which this permit is issued. Policy No. h ve 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' compensatior ns nce carrier and policy number are: Policy Number of Agent Date 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 California, and if I should become subjeS�tgthe wol.ers'�pen,5a n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _�� LL�3/� �-� Date L ( r6 2-1 IECLARATION REGANG CONSTRUCTION LEN AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). Ender's Name Lender's Address y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county tglepley the ab_% s ntified property for inspection purposes. signature of Property Owner or Authorized Agent V Y±t!nr_=� Print Property Owner's or Authorized Agent's Name XZ f'(a"TiY-w 411171y Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 11C3 PERMIT EXPIRED _ I SUBMITTED ASBLSTJS NOTI FIG,TION TO M EPA PERMIT CANCELLED PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF f' / �/.7}� �O v y PROPOSED DEIVIOLIFIbN - OCCUPANCYISSUED G SIGNATURE: