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Home My WebLink AboutX2021-3158 - PermitsCity of Newport Beach - Building Division *X2021-3158* COMB Permit: X2021-3158 11 s G a fi 100 Civic Center Drive, Newport Beach, CA 92660 p Project No : 1130-2021 t In Permit Counter Phone (949)644-3288 -- Inspection Requests Phone (949)644-3255 li-� Issued Date : 1112212021 ' Combination Type - BLDG ! S t,.i C nx Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/22/2024 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: 1 HERMITAGE LN NB Description: SFR RETAINING WALL 115 LF X 6'6" HIGH INSIDE P/L "MARKERS ON SITE` Legal Desc.: N TR 7223 LOT 91 Owner: POLOS PETER & KRISTIE Address: 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Phone: Applicant: HEASTON JANELLE Address: 2279 EAGLE GLEN PKWY #112-421 CORONA, CA 92883 Phone: 909-795-4094 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: Building Permit Fee: $348.00 Plan Check Fee: $302.76 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: $703.76 Contractor: WALKER CONSTRUCTION HOMES Address: 418 112 ORCHID AVE CORONA DEL MAR CA 92625 Phone: 949-280-2633 Con State Lic: 681217 Lic Expire: 09/3012023 Bus Lic: BT30058987 Lic Exp Date: 0513112022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical % Plumbing %: PROCESSED BY: Y ZONING APPROVAL: GRADING APPROVAL: Rear: 15 Front: 10 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: TOBLESKY KENNETH Address: 1450 W 6TH ST CORONA CA 92882 Phone: 909-217-1866 State Lic:CO23571 - Engineer: FARAH MOHEB ' Address: 1787 POMONA RD ' CORONA CA 92880 Phone: 951-738-1215 State Lic:C-051477 Designer: Address: Phone: - Special Conditions: 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 Zone : N Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: I PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $703.76 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 :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 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 J 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). I 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, 1 cannot legall) sell a structure that I hdve 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 0,fps_'ons Codo, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hen:Ly affirm under oenalty of perjury that I am licensed under provisions Cfjq�t_ej 9,(pgm encing with Section 00Q) of Div sio 3 of the Business and Prq/�ssions Code, a lice se is in u force and effect. Liconsa Class License No D7il �-i� Dat G —2 — i Contractor Signaturl NOM',ERS' COMPENSATION DECLARATION .J;.6N.K3: FAILURL TO bECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 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. hereby affirm under penalty of perjury one of the following declarations: hare and �Nill 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 mence of the work for which this permit is issued. Policy No. 1 ;have and wdi' mainjain 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' urance carrier and policy number are: Policy Number Expiration Date of Agent �q. rtify 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 theworkers' compensation laws of California, and iat, if I should become su ' ct to the workers' com tion r & ' rtsvF3'700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant Date it— — 22 —Z I( )ECLARATION REGA DING CONSTRUCTION LENDING 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 3097, Civil Code). Ender's Name Lender's Address ly 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 reI tin building construction. JJ / / / I authorize representatives of this city or county to enter the a an roperty for inspection purposes. /j,{ // / / /J lionnture Of Prooertv Owner or Authorized ADen C Print Pronertv Owner's or Authorized Aoent's Nam ,_(,�4�j�' lll...��QJ (![ - Da& ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL IS NO PPLICAB O BESTOS OTIFICATIONCERTIFICATE OF OCCUPANCY SUED �[ T �� SpI 0`0S E:EUTION