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Home My WebLink AboutX2020-2283 - Permitswr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII�IIIIIIII COMB Permit: X2020-2283 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 0 2 2 8 3 II Project No : 0943-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `'�cy� Combination Type - BLDG ELEC - Issued Date : 0112212021 9 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 CABANA 17'x 9'4" Legal Desc.: IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT Owner: SHEA HOMES LLC Address: 2 ADA STE 200 Record Management: IRVINE CA 92618 Phone: $0.00 Applicant: SHEA HOMES LLC Address: 2 ADA STE 200 Hazardous Mal IRVINE CA 92618 Phone: 949-626-8842 Code Edit: 2019 Type of Construction: V -B Occupancy Group: U Added /New sq.ft. Bldg: 180 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $10.000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 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 Mal $0.00 Building Green Fee : $1.00 TOTAL FEE: $539.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SHSCSC INC Address: .655 BREA CANYON RD Fair Share : WALNUT CA 91789 Phone: 909.594-9500 Con State Lic: 1012096 Lic Expire: 0313112022 Bus Lic: BT30069571 Lic Exp Date: 1013112021 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115040 Expire: 08101/2021 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 $32.20 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Slate Lic: WONG RAMON ROMAN It 1800 E 16TH ST SANTA ANA CA 92701 714-835-2800 State Lic:S-002345 Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In-Ileu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $539.47 Fee Due at Permit Issuansis : - i AC, gt1BL,�C yMORK9 APPRO`VAI�f o PLAN CHECK f#Y: ° .f APPROVAL TO ISSUE: c o ao o c VO 000 00 O O 0 O0 Op0 000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuansis : - i AC, gt1BL,�C yMORK9 APPRO`VAI�f o PLAN CHECK f#Y: ° .f APPROVAL TO ISSUE: c o ao o c VO 000 00 O O 0 O0 Op0 000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable Item(s) lection 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 le 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 heor she is eXemptfrom licensure and, the basis for the alleged. exemption. Anyviolation of Section 7031.5 by my applicant for a permit subjects the applicant too civil penalty of otmore than five hundred dollars ($500). - I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions -of the work, and the structure is not intended or offered for sale.(Section 7044, usineers 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 propedy,.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 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' State License Law does not pply town owner of property who builds or improves: thereon, and who contracts forthe projects with a Lcensed Contractor pursuant tq the Contractors' State License Law). 1 am. exempt from licensure underthe Contractors' State License Law for the following reason: ly my signature below f acknowledge that, exceptfor my personal residence in which I must have resided for at least one year priorto completion of the improvements covered by this permit, I cannot legalh ell a structure that I. have 'built .as: an owner -builder if 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 'rofessions Code, is available upon request when this application is submitted or at the following Web s'Ite:http:!/www.le-ginfo.mgovlcalaw.htmL signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am.licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s Code, and my license is in full force Dill effect. Icense Class License No Date I/a1/s.o21 Contractor Signature, i`, VORKERS' COMPENSATION DECLARATION fARNING: FAILUMTOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UPTO ONE HUNDRED THOUSAND DOLLARS [$100,000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION $706 OF THE.LA13OR CODE, INTERESTAND ATTORNEMSFEES. hereby affirm under penalty of perjury one o€the following declarations: - 1 have and will maintafn.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 th "I rnancaof the work for which this permit is issued. Policy No. �1 ave and will maintain workers' compensation insurance, as required bySection3700 of the Labor Code, for the performance of the work for which this permit is issued. Myworke.rs' compensatio ante carrier and policy number are: Policy Number Expiration Date 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 tothe workers' compensation Jaws of California, and agree 4 if I should become subject to the work coAm sygrl ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant ///`/ .�//' —_ Date\Zj/ZZ/20z4 CLARATION REGARDING CONSTRUCTION L&OING AGENCY rreby affirm under penaltyyof pegurythat there is a. construction lending,agency for the performance .ofthe work for which this permitis issued (Section 3097, Civil Code). Net's Name Lender's Address mysignature below, I certify to each of the following: I am thepropertyowner: or authorized to act on 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 eptgr the�bovejdenjifiyd property for inspection purposes. ACDON DAZE BY UEt1-0RAt1UN 01-LUMPLIANLbM111CODEOF FOR13MCIFUSE40NLY F6D6RaL.REGULA710NSPART 61 OFTOLE40MD PERMITEXPIRED •� �, A4V&RI4E1403. , , , •0 16UMTFED ASBESTOS NOTIFICATION TO: PERMlICAIVCE[LED . .C1 • kPA PERMIrRNALOH7 AQMD ja ASBESTOS NOTIFTCARONISNOTAPPLICABLE 70 PERA4FtCATI- . .2 PAPPgWDDEMOLITIOAL cERT3FrcaT� OF - . ....4KA occupaNcyrssuED ,• ,• r r