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Home My WebLink AboutX2021-0470 - Permitsa"`hufh 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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0470 X 2 8 2 1 0 4 7 0 Project No : 0227-2018 Issued Date: 0310112021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 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: 1957 PORT DUNLEIGH CIR NB Description: BLOCK WALL 6' X 50' (ON PIL) *CITY STANDARD* 3B Legal Desc.: N TR 7027 LOT 47 Owner: BELCHER KURT Contractor: R D M S INC Architect: Address: 1957 PORT DUNLEIGH CIR Address: 250 E BAKER ST # 300 Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-448-9835 Phone: State Lie: Applicant: DULEY MCKENNA Con State Lie: 815872 Engineer: Address: 250 E BAKER ST #300 Lie Expire: 1213112022 Address: COSTA MESA CA 92626 Bus Lie: BT30008726 Phone: 949-933-1670 Lie Exp Date: 01/3112022 Phone: State Lie: Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Plan Check Fee: $154.86 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 Worker's Compensation Insurance Carrier: EVERSTREMIER INS CO Policy No: 7600015443191 Expire: 09/01/2021 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 %: Rear: 10 Front: 21 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IITOTAL FEE: $380.11 Plan Check Fee '.d PROCESSED BY: 1 ZONING APPROVAL: _ _ AO Designer: Address: Phone: Special Conditions: P/L AGREEMENT ON PLAN Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 l ► C:CTOR Fire Department $46.25 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 $0.00 Fee Due at Permit Issuance : $380.11 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) 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 (_) all of or U 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). 111, 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 Iicensure 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 legally 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 ivision of the Business and Professions Cory license is in full force and effect. License Class License No Date Contractor Signature `-�/�'T/�L WORKERS' COMPENSATION DECLARATION C NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000f, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 pformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent rnmle n I 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 agree t, if I should become subject to the workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. !nature of Applicant ) Date A CLARATION REGA ING ING A NCY 1 areby affirm under pShelly 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). ider's Name Lender's Address 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 to a errttlw.alaove-' a tified property for inspection purposes. .,� * �. f Grnna , n,.,�er . r A, fhnri,.d Aanof ,�� 77 Print PmDertv Owner's or Authorized ADent's Name /MC G DATE BY X dECLARATION OPLBMRuAJCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - - - - PERMITCANCELLED EPA PERMIT EXTENDED L3AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 01/06/22 DLPoI, WJ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Date?