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Home My WebLink AboutX2019-3716 - Permits�,,�� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3716 cG 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 1 64 p Project No: 1874-2018 h '� �' Permit Counter Phone (949)644-3288 5 �.' Inspection Requests Phone (949)644-3255 °� , Combination Type - BLDG Issued Date :11/20/2019 0 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1501 MARINERS DR NB Description: SFR BLOCK WALL 90 LF X 6' HIGH ON P/L CITY STANDARD *MARKERS ON SITE* Legal Desc.: N TR 3004 LOT 38 Owner: HALL RANDALL Contractor: MATA'S CONSTRUCTION CO Architect: Address: 1501 MARINERS DR Address: 910 E. 4TH ST Address: 1 ��® 1 NEWPORT BEACH, CA 92660 SANTA ANA CA 92701 Phone: 949-838.5238 Phone: 714-393-6358 Phone: State Lic: • • • ®• • Applicant: MATA'S CONSTRUCTION CO Con State Lic: 861880 Engineer: • • e • • • • ° Address: 910 E. 4TH ST Lic Expire: 07/31/2021 Address: ®00060 ® ° SANTA ANA CA 92701 Bus Lic: BT30015664 • e ° Phone: 714-393-6358 Lic Exp Date: 04130/2020 Phone: State Lic: °° • o e ° •• ° Code Edit: 2016 Worker's Compensation Insurance Designer: ° O0 °°6• ° Type of Construction: Carrier: WESCO INS CO Address: ° • ° ° Occupancy Group: U Policy No: MAWCO24037 6 • ° ° ° 0 ° ° E 0 ° ° Added /New sq.ft. Bldg: 0 Expire: 02/01/2020 Phone: • ° ° °' ° Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: NEIGHBOR LETTER ATTACHED 0 0 No of Units : 0 Front: 20' • • • • ° ° Bldg Height: 0 Left: 6' a 60° °°°•°` Bldg Sprinklers: Right: 6' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4.000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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: $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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $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 : $415.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $415.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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) action 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 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 @usiness and �fessions 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 penafip of 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, :iness 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 rovements 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 roved 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 Ily 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: 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 legal[) 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 fessions CoV j,ai� ofailable upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date .riNtED CONTRACTOR'S DECLARATION Ireb)Paffirm 3nr%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) 3 of the Business and Profess' y license is in full force Lef apt. Licence Class License No Date Contractor Signature WV )RICERS' COMPENSATION DECLARATION g4lNt6FAILUR?T%?ECWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNOR HOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT 06 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •aa• :ceby affirm under penalty of perjury one of the following declarations: a aaaa 10119ve 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 th �mrance of thg world for which this permit is issued. Policy No. have and will main!in 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' compensatiol hWj carrier gqd policy number are: 'r". *..:.o Policy Number Expiration Date is of Agent certify that, in the pt , if I should become �ce 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 worke s' compensation laws of California, and agre to the workers' com r is' ns of Secti the Labor Code, I shall forthwith comply with those provisions. signature of Applicant ate_ 1ECLARATION REGAR99 NG CONSTR E ING AGENCY hereby affirm under peNalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Sectio 097, Civil Code). ender's Name (((( Lender's Address sy 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 o finances and state laws relatin to building construction. I authorize representatives of this city or county to ter a n ' operty for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na a ate IIZXZIZO NCTION DATE BY A N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 63 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED � � rw LU W § g \ w � \ } § ■ N \ !