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Home My WebLink AboutX2020-2287 - PermitsCOMB Permit: X2020-2287 IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No: 0943-2020 Issued Date: 0112212021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112312024 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: 1200 WINSLOW LN NB Description: MFR BISTRO LIGHT PERGOLA Legal Desc.: IRVINE SUB LOT 164 BLK 63 5.83 AC IN LOT Owner: City of Newport Beach - Building Division 4- 100 Civic Center Drive, Newport Beach, CA 92660 Address: Permit Counter Phone (949)644-3288 Address: Inspection Requests Phone (949)644-3255 - "u.,y Combination Type - BLDG ELEC COMB Permit: X2020-2287 IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No: 0943-2020 Issued Date: 0112212021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112312024 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: 1200 WINSLOW LN NB Description: MFR BISTRO LIGHT PERGOLA Legal Desc.: IRVINE SUB LOT 164 BLK 63 5.83 AC IN LOT Owner: SHEA HOMES LLC Contractor: SHSCSC INC Address: 2 ADA STE 200 Address: 655 BREA CANYON RD CA Seismic Safety: IRVINE CA 92618 Disabled Access: WALNUT CA 91789 Phone: $0.00 Phone: 909.594-9500 Applicant: SHEA HOMES LLC Con State Lie: 1012096 Address: 2 ADA STE 200 Lie Expire: 03131/2022 IRVINE CA 92618 Bus Lie: BT30069571 Phone: 949-526-8642 Lie Exp Date: 10131/2021 Code Edit: 2019 Type of Construction: V -B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Building Permit Fee: $212.00 Plan Check Fee: $184.44 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: $458.53 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115040 Expire: 08/01/2021 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 $0.00 $0.00 $0.00 $0.00 $0.00 $14.84 $0.00 $0.00 Architect: Address: Phone: State Lie: Engineer: WONG RAMON ROMAN II Address: 1800 E 16TH ST SANTA ANA CA 92701 Phone: 714.835-2800 State LIc:S-002345 Designer: Address: Phone: Special Conditions: �6'S5 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: $46.25 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $458.53 Fee Due at Permit Issuance : $0.00 o- - Y "LIC W6RKiS°APPR6VAL: Lo • o ° ° PLAN CHECK°BY: GRADING APPROVAL: VT1a APPROVAL TO ISSUE: oU Loc o 0 0 co n o o c 4 0 °� L • LY ° YY YLY • • Op PLY 1? OnU Fire Department $46.25 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 Plan Check Fee : $458.53 Fee Due at Permit Issuance : $0.00 o- - Y "LIC W6RKiS°APPR6VAL: Lo • o ° ° PLAN CHECK°BY: GRADING APPROVAL: VT1a APPROVAL TO ISSUE: oU Loc o 0 0 co n o o c 4 0 °� L • LY ° YY YLY • • Op PLY 1? OnU I hereby al -firm 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(a) Iction 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 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 Ifassions Code) or that he: or she is exempt from licensure and. the basis for the alleged. exemption. Any. violation of Section 7031.5 by my applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). t, as Owner of the property, or my employees % ith wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 Irovements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner -Builder willhavethe burden of proving that it was not built or )mved forthe purpose ofsale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Suariess.and Professions Cade: The Contractors' State License Law does not )ly town owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant t4 the Contractors' State License Law). I amexempt from licensure underthe Contredors` State License Law for the following reason: my signature below [Acknowledge thst; exceptfor my personalresidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I Cannot legall I. a structure that I. have builtas. 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http;pwww.leginfo.ca.gov/cald%#.htmL Inature of Property Owner or Authorized Agent Date SENSED CONTRACTOR'S DECLARATION sreby affirm. under penalty of perjury that I ano licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and ProlasssiJops�Code, , and mylicense is in full force Anse Class License No Dafen 1��-��ZI Ccntrador Signature,i ' )RKERS' COMPENSATION DECLARATION RNING: FAILURETOSECURE WORxERS' ODMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND crr& FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), m ADDITION To THE T OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST:AND ATTORNEY'S FEES. srebyaffrrm under penalty of perjury one of the following declarations: I have and will maintain.a certificate of consent to self-fne ore, for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Vrnance of the workforwhich this permit is issued. Policy No. _ I 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' compensatio ance carrier and policy number are., Carder Policy Number Expiration Date Name of Agent ` Phone# 1 certify that, in the performance of the 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 Jaws of California, and agrei at, if I should become Subjectto the work is' corn nation provisions of Section 3700 of the Labor Code, I shall forthwith comply wittflthose provisions. Signature ofApplicantx- //` I 'Date\Z I�ZZ/2oLi DECLARATION REGARDINGNSTRUCTION ING AGENCY I 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), Lenders Name Lender's Address By my signature below, I certify, to each of thefollowing: I Am the property owner or authorized to act or theproperty owners 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 lawsrelating to building construction: I authorize representatives of this city or county to e t rthe ova -den' d property for inspection purposes. tt+ Signature of Property Owner'DrAuthorizedA en Print Property Owners or Authorized Agent's Nam �'T�e"I ttG4'j ate 1/217Tazr AC770M DATE BY DECLARA77ON OF COMPUANCEWTH CODEOF FOROFRCEWEDNLY J F�gF,RAI.JdEGULATfONSPARTOf OFTHE40AND PERMlTEXPfREb •'�; : `—' • • AQMDR14E'1403: • • •❑ gisuBarrTEDAswms NO71FJC4TION TO: PERMfTCANCELLED i i • i • • • .E3 • JFPA PERMITEXFEI!lDEb D AQMD 13ASBESTOSNO77F.TcA7fON1s NOTAPPLtcABLFTO PERMFt.FfIVAL .�9 PROfOWDDEM0f1T1OX CER77FfCA7EOF • • • • • • • • • • OCCUPANCY15SUED • • • • g1QNATfI•Yt y