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Home My WebLink AboutX2019-3715 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� e�COMB Permit: X2019-3715 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 1 5 Project No: 1874-2018 E~ _ Permit Counter Phone (949)644-3288 $. Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : Inspection Arearea :2019 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 72 LF X 6' HIGH INSIDE PIL CITY STANDARD *MARKERS ON SITE* Legal Desc.: N TR 3004 LOT 38 4 Owner: HALL RANDALL Address: 1501 MARINERS DR MAWCO24037 NEWPORT BEACH, CA 92660 Phone: 949-838-5238 Applicant: MATA'S CONSTRUCTION CO Address: 910 E. 4TH ST Bus Lie: SANTA ANA CA 92701 Phone: 714-393-6358 Code Edit : Type of Construction: Occupancy Group: 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: Contractor: MATA'S CONSTRUCTION CO Address: 910 E. 4TH ST MAWCO24037 SANTA ANA CA 92701 Phone: 714.393-6358 Con State Lie: 861880 Lie Expire: 07/31/2021 Bus Lie: BT30015664 Lie Exp Date: 04/3012020 2016 Worker's Compensation Insurance Carrier: WESCO INS CO U Policy No: MAWCO24037 0 Expire: 02101/2020 0 CA Seismic Safety: Building Setbacks Rear: 6' $0.00 Front: 20' $0.00 Left: 6' $1.00 Right: 6' Valuation: $4.000.00 Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $820.00 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 g L - State Lie: State Lie: e emmeee e e e eeoeoe o m 000000 0 m om . m m 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $820.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: e o oeocao 0 n soo eo 0 mmmmo 000000 o e o 0 0 oeoeoo e o m000 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: e emmeee e e e eeoeoe o m 000000 0 m om . m m 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $820.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: e o oeocao 0 n soo eo 0 mmmmo 000000 o e o 0 0 oeoeoo e o m000 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 he 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 lot 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, 3usiness 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 mprovements 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 m 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 Ipply 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 licensure under the Contractors' State License Law for the following reason: 3y 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 legalh ;ell a structure tlgt j rave 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 Irofesslons Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. kgrlelure of Property Owner or Authorized Agent Date _ICEN13ED CrdAtMCTOR'S DECLARATION hgrety affirm unoer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 0 io of the Business and ProfesBe is in full force Ind Affect. Licepse C4ass License No Date Contractor Signature 40R%ERS' CWPENSATION DECLARATION IARAIAG: FAILURE.TP"CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HU HOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DiAOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. boreby affirm under penalty of perjury one of the following declarations: ZLI'R4Ve and Will msintain 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 Vance of+the twpk for which this permit is issued. Policy No. 4 and w4l,maiotain 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 ce carriEy441) rlblicy number are: carrier Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the perform nae4th or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation aws of California, and agree .hat, if I should become subj ct t an lo ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat )ECLARATION REG L ING AGENCY hereby affirm under pe erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o er's behalf. I have read this application and the information I have pr ed is correct. I agree to comply with all applicable city and cou" y ofidinanms and state laws relating to building construction. I authorize representatives of this city or county o e 'entified property for inspection purposes. 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATELARATION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUJAATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I LiU I SUBMITTED PERMIT CANCELLED PERMITEXTENDED rtrcmu ruYE rd//,y/cv�Y Iwo -J /IgPR AygEg705 ryOTIF�Yfy�PION IS//;�Ipp/ApptrCABLE TO CERTIFICATE OF 7 / C C/..NII/PROPOSSFT��',[°,,0 10 Y�///// r! Fi/yrJ/`FAQ/ OCCUPANCVISSUED SIGNATURE: f"