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Home My WebLink AboutX2022-1100 - Permits�n'6N n04 City of Newport Beach - Building Division C. r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F .in Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1100 Project No : 1006-2022 Issued Date : 06/08/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 30 WHARFSIDE DR NS Description: SFR BLOCK WALL 5' X 11'6" (CITY STD, INSIDE P/L) & PLMB/ELEC FOR BBQ & FIRE PIT Legal Desa56K SK : U, Rkq- -5 ^� Owner: MANLEY MICHELLE Contractor: TESERRA Architect: A Address: 30 WHARFSIDE Address: P O BOX 1280 Address: a--� NEWPORT COAST CA 92657 COACHELLA CA 92236 Phone: Phone: 760-398-9222 Phone: State Lie: Applicant: ELLISON PAUL Con State Lie: 656128 Engineer: BIEDENBACH CHRISTOPHER Address: 24642 VIA RAZA Lie Expire: 10/31/2022 Address: 1201 N TUSTIN ..� LAKE FOREST CA 92630 Bus Lie: BT30078953 ANAHEIM CA 92807 � Phone: 949-683-9861 Lie Exp Date: 0613012023 Phone: 714-630-6100 State Lic:C-074003 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STARSTONE Address: Occupancy Group: U Policy No: T10200999 Added /New sq.ft. Bldg: 0 Expire: 01/01/2023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 0' Special Conditions: No of Units : 0 Front: 10' Bldg Height: 0 Left: 0' Bldg Sprinklers: Right: 0' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,000.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $95.70 Additional Fee : $0.00 Plan check Fee : $52.00 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: $0.00 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 : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $7.70 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.90 $0.00 TOTAL FEE : $327.05 Plan Check Fee : $147.70 Fee Due at Permit Issuance : $179.35 PROCESSED BY: PUdI-,C WC,RKS APPROVAL: ZONING 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 L) 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 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: 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 Sectio 7000 of Di�{gi9qn 3 of the Business and Pro essi s d and y rC hse is in full force and effect. License Class License No Date 6144` Contractor Sig natur 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 I$100,0001, 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 :e of the work for which this permit is issued. Policy No. and will fain workers' cDy_�ensation 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 nd policy numbeir apt; 1 Date id -of Agent 1 certify that, in the perfor anc irk r for this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' Xcompensation la s of California, and agre that, if I should become su act t the ' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �O Signature of Applicant U 2/ DECLARATION REG(E)WtSNDING AGENCY I hereby affirm under natty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on th;w6rint ehalf. I have read this application and the information I ect / I agree to comply with all applicable city and couSt I s rela g to building construction. /_ I authorize representatives of this city or county tt' d pr y for inspection purposes. d�, 1Q Signature of Property Owner or Authorized Agentrint Property Owner's or Authorized Agent's Name vV•v W Dat ACTION DATE BY DECLAR T F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LJ ISUBMITTED ASBESTOS NCTIF'CATION TO '- PERMITCANCELLED LJEPA PERMIT EXTENDED LJAQMD PERMITFINAL �_ ('(��L I�L- ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF V PROPOSED DEMOLITION _ OCCUPANCYISSUED SIGNATURE: