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X2020-1627 - Permits
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 1 6 2 7 F. Permit Counter Phone (949)644-3288 •".a Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-1627 Project No : 1271 2020 Issued Date: 0811912020 Inspection Area : B4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OW 112023 OR PERMIT WILL Br r 1NVALIu 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 Holi9ays Job Address: 2801 ALTA VISTA DR NB Description: SFR BLOCK WALL 84 LF X 6' HIGH & 123 LF X THIGH WI TEMPERED GLASS ON PIL (25 LF ON PIL) MARKERS ON SITE Legal Desc.: N TR 5018 LOT 126 Owner: LEASON FAMILY TRUST Contractor: ARTISAN OUTDOORS Architect: Address: 205 EVENING STAR LN Address: 17835 SKY PARK CIR #J Address: NEWPORT BEACH, CA 92660 IRVINE CA 92614 Phone: Phone: 949-424-5870 Phone: State Lic: Applicant: ELLISON PAUL Con State Lic: 1001086 Engineer: POWERS MARTIN Address: 24642 VIA RAZA Lic Expire: 02128/2021 Address: 22032 ESPLENDOR #201 LAKE FOREST, CA 92630 Bus Lic: BT30056442 MISSION VIEJO CA 92691 Phone: 949-683-9861 Lic Exp Date: 06/3012021 Phone: 949-770-2723 State Lic:S-0037 n4 Code Edit: 2019 Worker's Compensation Insurance Designer: , Type of Construction: Carrier. SECURITY NATIONAL Address: , Occupancy Group: U Policy No: SWC1279270 Added /New sq.ft. Bldg: 0 Expire: 02/0612021 Phone: Added /New sq. ft. Garage: 0 - No of Stories: 0 Building Setbacks Rear: 6 Special Conditions: P/L AGREEMENT ATTACHED • ^ • ' No of Units : 0 Front: 6 ' Bldg Height: 0 Left: 6 - Bldg Sprinklers: Right: 6 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $790.92 Plan Check Fee : $790.92 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: © r/ ZONING APPROVAL: 'J PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: `Z VJ M M C) _ .I UWNCK-l: LHLLJ _K UtCLAKATION 1 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 th,: applicable items) 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 ie permit to file a sign ad 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 'rofessions Code) or t.Iat 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 of more than five hun Jred dollars ($500). . 3 I, as owner of the 1: roperty, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered fors ale (Section 7044, Usiness and Professi )ns 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 nprovements are not itended 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 nproved for the purpc ;e of sale). D 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 poly to an owner of pi operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from lcensure, under the Contractors' State License Law for the following reason: ly 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, ell a structure that I h;�ve 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 Tofessions Code, is a railable upon request when this application is submitted or at the following Web site:http://www.leginfb.ca.govtcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTR.aCTOR'S DECLARATION hereby affirm unoer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Pro ons Code, and ?y license is in full force nd effect. ULEnde Class License No Date Contractor Signature e.L.,V�S tJRKERSCJ,14PE:NSATION DECLARATION ARNINQ FAILLRE rJ SEC URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ( 5100,0003, IN ADDITION TO THE OST OF COMPENSATION, aAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: J ' have and will mantain 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 W olmance of the war<for which this permit is issued. Policy No. have and ^rig mairtain 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' ranee carrier and p Acy number are: ier_ _ e of Agent Policy Number Date ,zertify that, hl the p srfornance of the work forwhich 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 agre t, if I shodld beebmf s ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant_ jam+t ' eyli ' DateV 8119/20 CLARATION REGA AD G CONSTRUCTION LENDING AGENCY IV reby affirm under pl: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). Nets Name Lender's Address my signature below, I certify to each of the following: I am the property a Yner 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 v ith all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or counntJyjb enter, thery ab,,o�( identified property for inspection purposes. ' e nature of Property Cwner or Authorized Agent If rlt " "w'�""" Print Property Owner's or Authorized Acent's NES Paul Ellison ACTION DATE BY ® I R�UTATIO S PART LARATION OF 061 OF IITLE 40 AND AQMD RULECE WITH CODE OF [ ' "'^•" "" """I AF u I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PA PERMIT EXTENDED aQMO PERMIT FINALSBESTOSI [CATION IS NOTAPPLICABLE TO COMFICATEOOCCUPANCYISF OPOSER DEM TION OCCUPANCY/55UfD �j.Z ^ I' y- SIGNATURE: ���WT'V FOR OFFICE USE ONLY W c y O W0. �— m co IL F+I W CD V co m b m F- c°it �€ U O WO @ > e m m C Oacm O F L H� W C Y qC F+Zo W o(D QI Pw V C c O V X U J T o z W t y W Am a� {7f I� W O o c a0 Pro M A a z m y,� Z W= rE ® > W FBI U = y c 0 0 0 U U O m c m m z o W 0 c s Z W a v o c ,aF,ACH W w o: 3 y �' E c0 E m '�3� W QE�c �h YIN a a 8„ m_ o Aiti 6j W Q F .. w, 0 s a U w W m ,^ m .a w z z a W G LL LL w O m O w a w a W a F w w w °0 0 a a a z z z Z Z z U. O LLJ O QUQ Z Z LL z z °¢ a a a a. W tp .� z a 0 W w V W m 0 w a