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Home My WebLink AboutX2021-2682 - Permitsri r r,&r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM ELEC COMB Permit: X2021-2682 iiiiiiiiiii II Project No : 2321-2021 Issued Date : 1110912021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110912024 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 Sunda s or Holida s Job Address: SFR PORT FIREP L CIR NB I r . ^ ^T^ Description: SFR 6 HIGH FIREPLACE &RETAINING WALL 42 LF X 24" HIGH W/ GAS TO FIREPLACE/FIRE PIT �@�9� `ti'.i ii�J-. Ytl (V? Legal Desc.: N TR 6623 LOT 80 Owner: QUICK RICHARD KEVIN Address: 2618 SAN MIGUEL DR #265 NEWPORT BEACH, CA 92660 Phone: Applicant: SHEAR CONSTRUCTION Address: 31 BLAKEMORE DR LADERA RANCH CA 92694 Phone: 949-636-0195 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: Flood Zone: Building Permit Fee: $331.00 Plan Check Fee: $287.97 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: $672.93 PROCESSED BY: ZONING APPROVAL: Contractor: SHEAR CONSTRUCTION Address: 31 BLAKEMORE DR LADERA RANCH CA 92694 Phone: 714-615-6108 Con State Lic: 760853 Lie Expire: 0713112022 Bus Lie: BT30049686 Lie Exp Date: 01/3112022 Worker's Compensation Insurance Carrier: OHIO SECURITY Policy No: XWS61231341 Expire: 04/11/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical W Mechanical Plumbing %: Rear: 10 Front: 22 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $29.79 Architect: Address: Phone: State Lie: Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Designer: Address: Phone Special Conditions: Fire 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 : $672.93 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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) in 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 hc?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). o (_) all of or (� portions of the work, and the structure is not intended or offered for sale (Section 7044, ❑ I, as owner of the property, or my employees with wages as their sole compensation, will dimproves the intended Code:Business and Professions Contractors' not apply an owner of iopersonal ffill rproving property, provided tr improvements are not or offered fosale. If, however, the buildingorimprovement ssoldwithione year of completion, the Owner-Builderwilhave the of that it was not buito improved for the purpose of sale). ❑ I, as owner of theoroperty, 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 if property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ;i❑ I am exempt from ricensure under the Contractors' State License Law for the following reason: "FSy my,signatu-e Lcic,�: 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 Iegall 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 Cade, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi. Date I Signature of Prcpertv Owner or Authorized Agent ILI:CENSED CONTRACTOR'S DECLARATION ICI hereby affirm cMnr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businlfrsand Professio od eTl license is in full force r,d Effect. License Glass License No //__�J- o.� Contra Signature 6 IIWORKERS' COMPENSATION DECLARATION wARNINI;: FAILURE TO F�^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAft51$100,000), IN ADDITION TO THE 'COST OF COMPEI*SATIJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. !I hq,eh" affirm under penalty of perjury one of the following. declarations: ,L 1 cave and,xwWmaintain 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, performance of the work forwhich this permit is issued. Policy No. v> and vIi'! -rairtain 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 ins rice carrier and policy number are: flarriPr�" "' Policy Number Expiration Date .,.. Phone # rNlnme,af Agents orkers' compensation laws of California, and ogre l certify that, in, the performance of the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the w n tha:, J I s d hecc me subj o t)je}vo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tignature of ikant ate, II 9- (IEi:LA'iA N EGARG CONSTRUCTION LENDING AGENCY Fhereby'affirm I1ndeT p((nalty 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). Name Lender's Lender's Address U1, Ty slgnaturP olavL`� l 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 r cc ty to t: t ove-identified property for inspection purposes. /�,wGti.� ;1 S+�Y� Da yI —c�_ Z Slcr,aturP Of Prooertv Owner or Authorize pent Print Property Owner's or Authorized Agent's, ar _ _ 1.Je- 1 1 ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION PERMITEMENDED ,,�� L Uvlu PERMITRAIAL r 2 'y3 `��S ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: