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Home My WebLink AboutX2021-1989 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG 9 8 9 II COMB Permit: X2021-1989 Project No : 0943-2020 Issued Date : e/0312021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810312024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2140 ANDOVER LN NS Description: BLOCK WALL 6' X 51' WI STUCCO Legal Desc.: IRVINE SUB LOT 164 ELK 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: 0313112022 Address: 1800 E 16TH ST IRVINE CA 92618 Bus Lic: BT30069571 SANTA ANA CA 92701 Phone: 949-526-8842 Lic Exp Date: 10/3112021 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: WA2660066115040 Added /New sq.ft. Bldg: 0 Expire: 08/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: BLDG 29 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Front: 20' Left: 6' Right: 6' ^ 5 GT® 1 P Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7.259.85 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $184.44 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 PAN 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: $397.44 Plan Check Fee PROCESSED BY: ZONING APPROVAL: W -� GRADING APPROVAL: $0.00 Fee Due at Permit Issuance : $397.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: )WNER-BUILDER DECLARATION 1 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 nextto the applicable Item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permitto construct, alter, improve,demolish. or repair any structure,prior to its issuance, also requires theapplicant for he permit tofilea signed statement that heorshe is licensed pursuant to the provisions of the: Contractors' State License Law (Chapter 9,(commencing with Section 7000) of Division 3 ofthe Business and >rofessions Code), or that he.orshe is exempt.from Iicensure and the basis for the alleged. exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to -a civilpenalty cf iot more than five hundred dollars ($500). ZI I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions oP the work, and the structure: is not intended proffered for sale (Section 70441 3usiness and Profassions:Code:.The Contractors' State license Law does notapply 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). ❑ 1, as owner of the property,am. exclusivelycontracting 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 improvesthereon, and who contracts for the: projects with a licensed Contractor pursuant to, the Contractors' State License Law). d lam. exempt from licensure under theContractors'State - License Law for the following reason: By my signature below 1acknowledge that, exceptfor 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 sella structure that I have builtas:an owner-butider N 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 Professions Code, is available upon request when this application is submitted:or at the following Web site:http:/A n Jeginfa.m.govlcalaw.htmi. 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 Section7000) of Division 3 of the Business. and Professions Co e, and my license is in full force and effect License Class License NoDate�Z-1/ZI Contractor Signature, � G/ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE.TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRINITNALPENALmES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THELABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty, of perjury one of the following declarations: ❑ 1 have and will maintain.a. certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th pe Imancs 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' carrier and policy number are: Policy Number ne of Agent Phone # Date certifythat, in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to.the workers' compensation. laws Of Callfomia, and agre t, if i should become subj�bto the workers' cc pensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. nature ofApplicantx�sc-lam /L Date>/ 7/21/Z) CLARATION REGARDING- CONSTRUCTION LENDING AGENCY emby affirm under penaltyof pourythatthere, is a construction lending agency:for the performance, of the work for which this pemlitis issued (Section.3097, Civil Code). Ider's Name Lender's Address my signature below, I certify toeach .ofthefiollowing: I am the property owner or authorized to act on the.propertyowners behalL I have read this application and the information I have providedis correct. 1 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 toter the at�ided property for inspection purposes. , AC90N DATE BY DECLARATION OF COMPLIANCE'I✓Irti CO➢EOF FEDERALREGULATIONSPART 6f OFTIILE40AND AOMDRULE1403. ❑ I SUBrrW7TEDASBESTOS NO17FICATION F.. ❑ EPA ❑ ARMD ❑ ASBESTOSN071FICA710NIS-NOTAPPLICABLETO PROPOSEDDEMOUTION, SIGNATURE: FORDMICEWIFONLY ' .. PERMITE1Cc1RED PERMN TC.4IYCELLED PERP,41.TEXIENDED � CERMf ER7iFlC47E C4TE OF OCCUPANCYISSL'ED