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Home My WebLink AboutX2022-0126 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-012 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 1 2 69 Project No : 1232-2020 ti( Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 03/01/2022 Combination Type - BLDG Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112025 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: 401 15TH ST NB Description: DELTA 5, WALL LOCATION REVISION. ADD'L SCOPE-810-RETENTION PLANTERS & POOL EQUIPMENT RET WALL 6' X 18' (REV22-0079) Legal Desc.: N TR 1218 LOT 31 17 Owner: FLORIAM DAN Contractor: SHOWALTER CONST INC Architect: AUST ERIC Address: 401 15TH ST Address: 1791 WHITIER AVE Address: 62 BALBOA COVES �ys� NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 NEWPORT BEACH CA 92663 Phone: 949-422-9294 Phone: 949-673-1645 Phone: 949-637-5220 State Lic:CO29374 y n l Applicant: REYNOSA RYAN Con State Lic: 654380 Engineer: ROSS SCOTT WILLIAM Address: 498 SHADY DR Lic Expire: 0212812024 Address: 1800 E 16TH STREET #B C COSTA MESA CA 92627 Bus Lic: BT00006144 SANTA ANA CA 92701 Phone: 949-929-4047 Lic Exp Date: 05/31/2022 Phone: 714-835-2800 State Lic:C-045309 `..J Code Edit : 2019 Workers Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9220812 Added /New sq.ft. Bldg: 0 Expire: 11/02/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10' Special Conditions: REV22-0079 No of Units : 1 Front: 20' Bldg Height: 0 Left: 4' ' Bldg Sprinklers: Right: 4' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20 000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 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: $8:00 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 P/W 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 : $838.92 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $838.92 PROCESSED BY: - - PUBLI6WCRK9.4PPRJVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO 13SJ2.:, 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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-Buiiderwill have the burden of proving that it was not built or improved 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 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://\N im.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 Section 7000 f Division 3 of the Business and Prc}1:esppTs�6pde, y license i; in full force and effect. License Class License No Date I aD2 Contractor Signature 7( ��d.. wanly 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 ($100,000), 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: 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 rrgance 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�n `policy numbers _ re of Agent W certify that, in the perform a ork for if I should become subye t to the wr4 �rs' co Date 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 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ , , ignature of Applicant �Oat� DECLARATION REGAPPING CONS ION LENDING Y 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 Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property 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 count o ances and state laws relating to building construction. I authorize representatives of this city or county ter th abo ,e�- dentified groyp.erty for inspection purposes. of Property Owner or Authorized BY DECLARAMN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED QMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ETASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: