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Home My WebLink AboutX2020-1468 - Permits (3),ewlrJq City of Newport Beach - Building Division IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1468 100 Civic Center Drive, Newport Beach, CA 92060 p x 2 0 2 0 1 4 6 8 Project No: 1133-2020 E» . �. Permit Counter Phone (949)644-3288 v "Lr Inspection Requests Phone (949)644-3255 `:,crsnu ,> Combination Type - BLDG PLUM ELEC Issued Date : 07/10/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/11/2023 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: 1106 DOVER DR NS Description: SFR - FIS FIREPLACE. F/S OPEN LATTICE PATIO COVER, 6' WALL TRASH ENCLOSURE. BLOCK WALL WIIN T OF PIL Legal Desc.: N TR 3000 LOT 12 Owner: RYAN LANCE Contractor: INSTANT LANDSCAPES Architect: Address: 1106 DOVER DR Address: 28562 OSO PKWY #D-243 Address: NEWPORT BEACH, CA 92660 RSM CA 92688 Phone: Phone: 949-347-0700 Phone: State Lic: Applicant: WRIGHT JC Con State Lie: 842586 Engineer: VENTOCILLA JOSE Address: 833 DOVER DR #24 Lie Expire: 0713112020 Address: 24636 CRESTA CT NB CA 92663 Bus Lic: BT30053469 LAGUNA HILLS CA 92653 Phone: 949-795-0618 Lie Exp Date: 12/31/2020 Phone: 949-910-0942 State Lic:C-047942 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: SIRIUS AMERICA INS Address: Occupancy Group: U Policy No: 190725-001 Added /New sq.ft. Bldg: 0 Expire: 08/15/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 20' Special Conditions: No of Units : 0 Front: 6' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' 7 101N, Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zo Construction Valuation: $20,000.00 Building Permit Fee: $797.00 Excise Tax: $0.00 Planning Department - Fire Departmen Plan Check Fee: $647.00 Additional Fee : $0.00 Plan check Fee: $83.00 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 %: $55.79 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $71.73 $0.00 TOTAL FEE : $1,655.52 Plan Check Fee: $730.00 Fee Due at Permit Issuance : $925.52 PROCESSED BY: PUBLIC WORKS APPROVAL: �, ZONING APPROVAL: PLAN CHECK. B!: 1 GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 3 of the 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 a civil penalty of Dt more than five hundred dollars ($500). ] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.co.gov/calaw.html. 'signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Diyisjgn 3 ¢�tpgBusiness and Profess' ode, an lice ce nd effect. License Class License No Da I U l°6ntractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 OST 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: 1 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 the rfo ce of the work for which this permit is issued. Policy No. ave 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 1su ante carrier and policy number are: ;a er Policy Number Expiration Date dame of Agent Phone # :1I certify that, in the performa a of the work for h' 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 I should become s bjec to the worke ensation VI ion 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant_? )ECLARATION REGARDING CO U LENDING AGENCY hereby affirm under penalty of pe ury that there is a cone;Wwtting agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the infomration I have � correct. I agree to comply with all applicable city and coun rdinances an ate Is ing construction. ` \ r \O _Z Q 1 authorize representatives of this city or coun o enter the abov I ie ropert�forinsp ction purposes. Y -z p signature of Property Owner or Authorized Agen Property Owners or Authorized Agent's Na �N \ Date ACTION DATE BY DEC OF COMPLIANCE CODE OF FEDERAL I FOR OFFICE USE ONLY REG04ATIONS LE 40 AND AQMD RULE PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED :PA PERMIT EXTENDED _ CMC PERMIT FINAL ( %f ,jj kSBESTGS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION ` OCCUPANCY ISSUED SIGNATURE: