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Home My WebLink AboutX2021-0350 - Permits4r'e'6�f�04 city of Newport r3eacn - Bullaing DIVISion r 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 U Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2021-0350 unl X 2 8 2 1 0 3 5 011111 Project No : 0943-2020 ` Issued Date : 0211612021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211712024 OR PERMIT WILL BE INV) 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: 2173 ANDOVER LN NB Description: MFR PRIVACY WALLS 5' X 36'6" WI STUCCO Legal Desc.: IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT Owner: SHEA HOMES LLC 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: 1013112021 Phone: 714-835.2800 State Lic:S-002345 Code Edit: 2019 Type of Construction: V-B Occupancy Group: U 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: Construction Valuation: $5,276.07 Building Permit Fee: $178.00 Plan Check Fee: $154.86 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: $333.86 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115040 Expire: 08101/2021 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' $0.00 $0.00 en nn $0.00 $0.00 $0.66 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNJ Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 - � 9 F1 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $333.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 toconstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires theapplicant 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 Drofessions. 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 evil penalty of iot more than five hundred dollars ($500). 1, 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 forsale.(Section 7044, Business and Professions Code: The Contractors' State.License Law does not apply to an owner of property who, through employees' or personal effork 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-Bulderwill have the burden of proving that R was not built or improved for the purpose of sale). ❑ 1, as owner of the property,. am exclusively contracting with licensed Contractors to constructthe 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 forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am.exempt from . licensure.underthe Contractors' State License Law for the following reason: By my signature below -I acknowledge that, exceptfor my personal residencein which I. must have resided for at least one year pdorto completion of the improvements covered by this permit, 1 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'orat the following Web sire:httpJAv .leginfo.cagov/caiaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurythat I am:licensed underprovisions of Chapter 9 (commencing with Section: 7000) of Division 3 of the Business and Professions Code, and my licenseis in full force and nseC. �I`/laZf g License Class License No Dafe� � Contractor Si nature. WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TD SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up To ONE. HUNDREDTHOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. I hereby affirm under penalty of perury 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 of the Labor Code, for lrtnance of the workforwhich this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 370o of the Labor Code, for the performance of the work for which this permit is issued.. My workers' compensa tf an Carrier and policy number are: Policy Number is of Agent Phone # Date certify that, in the performance of the workforrwhich 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 subjec�wor s' compensation provisions of Section 3700 of the labor Code, I shall forthwith comply with those provisions. ialureOfApplicant f// Oatex '2,11 7W7-1 :LARATION REG R NG CONSTRUCTION LENDING AGENCY eby affirm under penalty of perjurythat there is a construction lending agency for the perfornance:ofthe work for which this permit is issued. (Section 3097, Civil Code)_ fens Name Lender's Address ny signature below, I Certify to each of the following: I am the property owner or authorized to action the property owners behalf. 1 have read this application and the information I have provided is correct I agree to comply With -all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tog ter the 49ve-identified orpoerty for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCEWTU.CODEOF FEDERAL REGULATIONSPART fi7 OFTJTLE40AND. AOMDRULE 1403. ❑ 1SUBMLTTEDASBESTOS .NOTIFICATION TO. ❑ EPA ❑ AQMD - ASBESTOSNQIIRC4770MISnCrAPPf_f4ABLETO PROPOSEODEMOLITION, SIGNATURE: F0R4OFFTiEO5EONLY PSWITEXPIRED PEWIT -CANCELLED PERMITEXTENDED PERA4ri AL b CER77FICATEOF OCGUPANCYISSOED