HomeMy WebLinkAboutX2021-0352 - PermitsL;lty Or Newport tseacn - tiwiaing uivision III�111111111111111111111111111111111111111111111111111111 COMB Permit: XZUZ1-U35.
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 3 5 2 Project NO : 0943-2020
ff�1 Permit Counter Phone (949)644-3288 'IbL'
U 1P Inspection Requests Phone (949)644-3255 t
612021
Combination Type - BLDG Issued Date :
" Inspection Area
: 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/17/2024 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: 2161 ANDOVER LN NB
Description: MFR PRIVACY WALL 6' X 42'4" W/ STUCCO
Legal Desc.: IRVINE SUB LOT 164 BILK 53 5.83 AC IN LOT
Owner:
SHEA HOMES
Contractor:
SHSCSC INC
Architect:
Address:
2 ADA STE 200
Address:
655 BREA CANYON RD
Address:
IRVINE CA 92618
WALNUT CA 91789
Phone:
Phone:
909-594-9500
Phone:
State Lie:
Applicant:
SHEA HOMES LLC
Con State Lie:
1012096
Engineer:
WONG RAMON ROMAN II
Address:
2 ADA STE 200
Lie Expire:
03/3112022
Address:
1800 E 16TH ST
IRVINE CA 92618
Bus Lie:
BT30069571
SANTA ANA CA 92701
Phone:
949-526-8842
Lie Exp Date:
10I31/2021
Phone:
714-835-2800 State Lic:S-002345
Code Edit: 2019
Type of Construction: V-B
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:
Flood Zone:
Valuation: $6,128.92
Building Permit Fee: $195.00
Plan Check Fee: $169.65
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: $365.65
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier. LIBERTY MUTUAL FIRE INS CO
Policy No: WA266DO66115040
Expire: 08/01/2021
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 20'
Left: 6'
Right: 6'
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone;:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
"n nn
Fair Share :
$0.00
Fire Plan Rev
$0.00
_
SJH Trans :
$0.00
Demolition Fee
to no
In -lieu Housing Fee:
$0.00
Building Dept Arlon
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$365.65
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: - APPROVAL TO ISSUE:
IWNER-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)
iectionn 7031:5, Business and Professions Code: Any city or county that requires a permit toconstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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 3ofthe Business and
rofessions 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 civllpenalty of
of more than fire hundred dollars ($500).
7 I, as owner, of the property, or my employees with wages as their sole Compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements are not intended or affered 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
nproved for the purpose of sale)_
1, 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 Lawdees not
pply to an owner of property, who builds or improves thereon, and who Contracts forthe projects wither licensed Contractor pursuant to the Contractors' State License Law).
7 I am Exempt from iicensum under the Contractors' State License Law for the following reason:
ty my signature below -I acknowledge that, exceptfor my personal residence in which I. must have resided for at least one year priorte Completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an awner-butider if it hasnot been constructed in its entirety by licensed: Contractors. I understand that a Copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.govlcalaw.html.
signature of Prop" Owner or Authorized Agent Date
.10ENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am:licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licenseis in full force
Id effect Air ZX
.icense Class License No Date %f✓ 16/ ZoZI Contractor Signature, i
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE.TO SECURE WORIDERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FUZES UP TO ONE. HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION SIDS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of peijury one of the following declarations:
I have 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 ofthe Labor Code, for th,
rmance of the workforwhich this permit is issued. Policy No.
21]pave 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' compensation
offaince carrier and policy number are:
Policy Number Expiration Date
Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject tothe workers' compensationlaws of. California. and agre,
if I should become subje t> wor ' c mpeensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iatureofApplicent Dated/
7LARATIONREGARDING CONSTRUCTION NDING AGENCY
reby affirm under penalty of perjury that there is a construction lending agency for the perfor nance:of the work for which this permit is issued. (Section 3097, Civil Code)-
der's Name Lenders Address
ny signature below, I certify to each of thefollowing:
I am the property owner or authorized to action the property owner's behalf.
I have read this application and the information I have provided is correct
I agree to Comply Withallapplicable city and County ordinances and state laws relating to building construction.
I authorize representatives of this city or county to r the a ove-identified arty for inspection purposes.
rature of -Property Owner or Authorized Ager Print P ODerty Owner's or.Authorized Anent'. Nam/�'ia.rrilew /� l-l-iir (-err �Df tP � i/L/Zdzr
ACTION
DATE
BY
DECLARATION OF COMPLIANCEMTH CODEOF
FEDERAL REGULATIONS PART 61 OFTITLE40AND .
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PROPOSEODEMOLIT/OX
SIGNATURE:
FORORWIFUSEONLY
-
-
PEWITEXPIRED
PERMIT -CANCELLED
PERMIT On ENDED
PERMJTHAfAt.
CE477FICATE OF
OCCUPANCYISSUED