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Home My WebLink AboutX2021-0214 - Permitsw , City of Newport Beach - Building Division *X2021-0214* COMB Permit: X2021-0214 �'. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0158-2019 F; Permit Counter Phone (949)644-3288 a~s..yr'. Inspection Requests Phone (949)644-3255 '�ycrvroaas Combination Type - BLDG - Issued Date: 03/11/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0 311 112 0 2 4 OR PERMIT WILL BE INVALID $161.00 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 Planning Department- Job Address: 1734 MIRAMAR DR NB Fire Department Plan Check Fee: $140.07 Additional Fee : Description: SFR BLOCK WALL AT FRONT YARD 32" HIGH X 50 LF Plan check Fee: $46.25 Fire Inspection: Legal Desc.: N TR 518 BLK K LOT 9 Overtime Plan Ck: $0.00 Grading Bonds Fee: ° e Fair Share : Owner: CEFALIA JIM Contractor: SHORELINE DEVELOPERS Architect: °TO OLDHAM RYAN 0 Address: PO BOX 551 Address: P O BOX 551 Address: e ° 2651 E. CHAPMAN AVE #110 ° ° • e e •° ° • ° 0 • ° NEWPORT BEACH CA 92661 Record Management : NEWPORT BEACH CA 92661 Grading Permit Fee: e ® FULLERTON, CA 92831 • o Phone: 949-478.2593 Phone: 949-697-3993 Phone: 714-482.8296 State Lic:CO29715 $0.00 Applicant: OLDHAM RYAN Con State Lie: 890871 Engineer: LOTHROP SHAWN DUANE • e ° Oe ° ° ° °o Address: 2651 E. CHAPMAN AVE #110 Lie Expire: 01/3112023 Address: 29970 TECHNOLOGY DR, STE 212 ° • ° ° ° FULLERTON, CA 92831 Bus Lie: BT30041079 Disabled Access: MURRIETA CA 92563 ° • ° • ° ° ° • • 0 0 Phone: 714.482-8296 Lie Exp Date: 1013112021 Phone: 951-600-0032 x204 State Lic:S-005627 ° • ®• Code Edit : 2019 Worker's Compensation Insurance Designer. ° ° • 0 o m 000000 • ° o Type of Construction: Carrier: STATE COMP Address: • • • ° Occupancy Group: U Policy No: 9038773 $0.00 Added /New sq.ft. Bldg: 0 Expire: 01/01/2022 Phone: ...... • • ° ° Added /New sq. ft. Garage: 0 $0.00 TOTAL FEE : $350. No of Stories: 0 Building Setbacks Rear: / Special Conditions: REV21-0122 ownressan wv. No of Units : 0 Front: 9 ,,,,e, ...........1 ------ --...,.. Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: ZONING $161.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee: $46.25 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 : $2.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $350. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $350.32 ownressan wv. ,,,,e, ...........1 ------ --...,.. ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: /�+r APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 (_) 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 owngt Viongperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 1 arr6exempt HVicensure under the Contractors' State License Law for the following reason: NymysPnaturPCbPJ1oo41 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 P,rbfpslipns Code, 4s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 9ignotdre of Property Oydner or Authorized Agent Date LIE,FNgED CON9'R'FjCTOR'S DECLARATION I}lereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio C70,,,o4fqI is'or 3/of the Bus' s and ofessions C ,and yilly eis'IrfTatl force andAifect. License4lass License No DaI I L 1 Contra to Signature �— V omeRS' COIIpPENSATION DECLARATION wARMIMe: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 ($100,000), IN ADDITION TO THE COSTOF QOMPENSA?IOd,UaMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,..at'Jh�,e"M affirm unQ9r peflalty of perjury one of the following declarations: L.I.haue 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 IN IRWQpxIance of the work7for 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 7e of Agent certify that, in the performance of the work for . if I should become subiecttolhe-workers' co Date Led, I shall not employ any person in any manner so as to become subject to the of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;reby 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 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and c Rfi d t t a s rel ti to building construction. I authorize representatives o y to enter the ab VE-ide�itifi� y for inspection pu o „r or.,.,o w n... ,� 1. T // nn Prcoertv Owners or Authorized ADant'Sl9',hrbe 1 PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATEDECLANATION OF CE WITH CODE OF FEDE I / BY I REGULATIONS PARTO61 OF IIT E 40 AND AQMD RULERAL I FOR OFFICE USE I SUBMITTED TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: compensation laws of California, and Code).