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Home My WebLink AboutX2021-1990 - Permits+:•rw City of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 °•,t,yeyy;,.'` Combination Type - BLDG IIIIX�I� 0 uIII��II I0 II COMB Permit: X2021-1 Project No : 0943-2020 Issued Date : 08/03/2021 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY0810312024 OR PERMIT KIILL 8E 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: 2150 ANDOVER LN NB Description: BLOCK WALL 6' X 58'6" W/ STUCCO Legal Desc.: IRVINE SUB LOT 164 BLK 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: 949-526-8842 Phone: 909-594-9500 Phone: State Lic: Applicant: HARLEY MATTHEW Con State Lic: 1012096 Engineer: WONG RAMON ROMAN II Address: 2 ADA STE 200 Lic Expire: 03131/2022 Address: 1800 E 16TH ST IRVINE CA 92618 Bus Lic: ST30069571 SANTA ANA CA 92701 Phone: 949-526-8842 Lic Exp Date: 1013112021 Phone: 714-835-2800 State Lic:S-002345 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: LIBERTY MUTUAL FIRE INS CO Address: Occupancy Group: U Policy No: WA266DO66115040 Added /New sq.ft. Bldg: 0 Expire: 0810112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: BLDG 30 of Units: 1 Front: Bldg Bldg Height: 0 6' Left: 6' iii ••• Bldg Sprinklers: Right: 6' A J- Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,327.48 Building Permit Fee: $229.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $199.23 Additional Fee: $0.00 Plan check Fee : $0.00 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 : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $429.23 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $429.23 PROCESSED BY: _ _ PUBLIC WORKS APPROVAL: VIA ZONING APPROVAL: '��i _ _ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: N I hereby affirm ( der pen lty o Iv,� t hereby affirm underpenalty perjurythat I am exempt from the Contractors' State License Lawforthe reason(a) indicated below by the checkmark(s) 1. have placed next to the applicable Items) action 7031.5, Business and Professions Code: Any city or county that requires a pennitto construct, alter, improve, demolish, or repair any structure, ,prior to its :issuance, also requires the applicant for pemnitto-file a -signed statementthat he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9.(commencing with Section 7000) of Division 3. ofthe Business and ofessions Code); or that he.orshe is exemptfrom licensure and the -basis for the alleged. exemption. Any violationof Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of t more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their compensation, will do U all cf or U portions of the work, and the structure is not intended or offered for sale (Section 7044, isiness and Professions:Coda: 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 rprovements 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 pmving that it was not built or (proved 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 )ply to an owner of property wilo.builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to, the Contractors State License Law). I I am exempt from licensure underthe'Contractors' State License Law for the following reason: y my signature below I acknowledge that, exceptfor my personal residence in which 1 must have resided for at least one year pnorto Completion of the improvements covered by this permit, I cannot legal) Ill a structure that [have builtanon owner -builder if it has, not been constructed in its entirety by licensed.contractors. I understand theta copy ofthe applicable law, Section 7044 ofthe Business and rofassions Code, is available upon requestwhenthis application is submittedorat thefollowing Web site:http:/Aw aeginfo.ca.gov/calaw.html. Date ignature of Property Owner or Authorized Agent JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7000) of Division 3 ofthe Business and Professions Co e, and my [icense is in full farce no effect. ��- - icenseClass License No Dateay �1Lil Zr Contractor Signature, ilk JORKERS' COMPENSATION DECLARATION /�• DARNING FAILURE. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUS ECT AN EMPLOYERTD ORIMINALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T00 OF.THE LABOR CODE, INTEREST, AND ATTORNEVS FEES. hereby affirm under penalty of perjury one of 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 the "Imranceofthe work for which this permit is issued. Policy:NO. al pave.and will maintain workers' compensation' insurance, as required by Section 3700 ofthe Labor Cade, for the performance of the work for which this permit is issued.. My workers' compensation once: carrier and policy number are. arrier Policy Number Expiration Date Jame of Agent Phone # 71 certify that, in the performance ofthe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to.the workers' compensation. laws of California, and agree hat, if l should become subj�bto the wvo IS' pensation provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those. provisions. signature of Applicant ��% ✓�C/6 Date's( 7/21/7 )ECLARATION REGXRR ING CONSTRUCTION LENDING AGENCY 7� hereby 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). -ender's Name Lenders Address 3y my signature below, I certify to each .ofthe4ollowing: I am the property owner or authorized to actt ontheproperty owner's behalf. I 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 to `er the a�e ed property for inspection purposes. 3ionature of Property Ovmer or Authorized - -__ l / Print Property Owners or Authorized Agents NamP<A I� /� hFuh-r �E'aIS /Zf Z I AC7701V DATE BY DECLARATIONOFCOMPLIANCEIMTHCODEOF FlEDER4LREGULATIONSPARTbf OF7TILE X AND AQUORULE 1403. ❑ JSUBMA(TED ASBESTOS M077FICATION TO:. ❑ EPA El AQMD ❑ ASBESTOSNO77HCA7701VISNOTAPPLICABLETO PROPOSEDDEMOUTTO& SIGNATURE: FOR OFFICE USEONLY - _ xPlRED AP: CELLED X7ENDE0 7NAL ItTEOF VCYfSSUED