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Home My WebLink AboutX2021-3338 - Permits,tl=� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r.. Permit Counter Phone (949)644-3288 ...M� Inspection Requests Phone (949)644-3255 ri0.irrr�k Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII� II COMB Permit: X2021-3338 Project No: 2462-2021 Issued Date : 12/10/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211012024 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: 4708 NEPTUNE AVE NB Description: BLOCK/GLASS WALL (INSIDE P/L) F X 50' Legal Desc.: R S 03250 PAR 8 AND RIVER SECTION BLK 47 LOT 8 Owner: GASSEL ADAM Address: 4708 NEPTUNE AV NB CA 92663 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Code Edit, 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $246.00 Plan Check Fee: $214.02 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 TOTAL FEE: $513.02 PROCESSED BY: ZONING APPROVAL: Contractor: INFINITY POOL SERVICE Architect: Address: 28295 CAMINO ESTRIBO Address: TEMECULA CA 92590 Phone: 714-262-9164 Phone: State Lie: Con State Lie: 891370 Engineer: LACHER TODD Lie Expire: 02/28/2023 Address: 1201 N TUSTIN AVE Bus Lie: BT30053051 ANAHEIM CA 92807 Lie Exp Date: 05131/2022 Phone: 714-630-6100 State Lic:C-067656 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9159411 Expire: 0512012022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical Plumbing %: Rear: 10' Front: 15' Left: 3' Right: 3' king Spacs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: Address: Phone: Special Conditions: 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PpBuc M1 KS AM PLAN CHECK BY: os ouo o GRADING APPROVAL: o 0 0 0�0 0°0 0 a .... I4P,PROXkIL T03SUE: 0 o °o o o0 0 0 0 0 0 eo oee e o 0o eo uw�.,o � u vo ° vc �o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $513.02 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 L) all of or L) 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 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 legalh 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 7044of 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 Ivi on 3 of the Business and Pr_ofpsslo0abnd Icense is in full force and effect. License Class License No D 2 /0 2 ( Contractor Signatourr '��// _i WORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 ice 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' compensa carrier and policy number are: 'le of Agent certify that, in the performal if I should become subject of Policy Number Date ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and agre provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ CLARATION REGARDING C`qN$1WCTIM LENDING AGENCY :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 3097, Civil Code). Ider's Name Lenders 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and countAt;fb, a tat s relating to building construction. v/ authorize representatives of this city or county to a den d property for inspection purposes. (G nature of Pmoerty Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Po f2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 ......... •.• • ••• •.• PERMITEXPIRED ISUBMITTEDAS STCtjJOTIFICATI0N.F0� ••.*. i s PERMIT CANCELLED EPA • • • • PERMIT EXTENDED E3AQMD PERMIT FINAL , ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �� PROPOSED DEMOLITION••• • • • •••••• • • • ••. •• OCCUPANCY ISSUED SIGNATURE: a • i s •• • e • . e e• a •¢ • e s• s se eoe ee o+ • o eoeeoe ee ee s . ses