HomeMy WebLinkAboutX2020-2281 - Permits1w' City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�I�IIII�IIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-2281
4 ` 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0
Permit Counter Phone (949)644-3288 Project No: 0943-2020
Inspection Requests Phone (949)644-3255
c1k x Combination Type - BLDG Issued Date: 0112212021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY0112312024 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 POOL WALL 29'3" x 6'6"
Legal Desc.: IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT
Owner: SHEA HOMES LLC
Contractor:
SHSCSC INC
Address: 2 ADA STE 200
Address:
656 BREA CANYON RD
IRVINE CA 92618
$0.00
WALNUT CA 91789
Phone:
Phone:
909.594-9500
Applicant: SHEA HOMES LLC
Con State Lie:
1012096
Address: 2 ADA STE 200
Lie Expire:
03/31/2022
IRVINE CA 92618
Bus Lie:
BT30069571
Phone: 949.526-8842
Lie Exp Date:
10/3112021
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction:
Carrier:
LIBERTY MUTUAL FIRE INS CO
Occupancy Group: U
Policy No:
WA266DO66115040
Added /New sq.ft. Bldg: 0
Expire:
08101/2021
Added /New sq. ft. Garage: 0
$0.00
NMUSD Fee:
No of Stories: 0
Building Setbacks
Rear: 6'
No of Units : 0
Front: 20'
Bldg Height: 0
Left: 6'
Bldg Sprinklers:
Right: 6'
Flood Zone:
Use Zone: R-1-6000
Parkina Spaces: 0
Construction Valuation: $15.000.00
Building Permit Fee: $331.00
Plan Check Fee: $287.97
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: $666.22
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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:IA p S E - I
Excise Tax:
$0.00
Planning Department -
$46.25
Additional Fee :
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
PNV Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing "/o:
$0.00
Zone:
Plan Check Fee: $666.22 Fee Due at Permit Issuance : $0.00
o PJfl Ll C WORKS APPRO1iAL: o
°
u:a c c
° PLAN CHECK BW: °
. APPROVAL TO °ISSUE:
9 b °
nc •or a o •e o0 000
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: $666.22 Fee Due at Permit Issuance : $0.00
o PJfl Ll C WORKS APPRO1iAL: o
°
u:a c c
° PLAN CHECK BW: °
. APPROVAL TO °ISSUE:
9 b °
nc •or a o •e o0 000
OWNER -BUILDER DECLARATION '
I hereby affinn 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 appficabledtem(s)
(Section 7031.5. BusinessandProfessions 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 app(Icant for
the pemttt to file a signed statement that he or she islicensedpursuant 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: Crabs 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 toe civil penalty of
not mole than five hundred dollars{$500).
1:11, as owner of the property, or my employees with wages as their sole compensation, will do f, all of or U 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 nut intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Omer -Builder will have the burden of proving that it was not built or
improved fon the purpose ofsale).
❑ I, as owner of the property, am exciasively:contracting with licensed Contractors to construct the project (Section 7044, Business: and Professions Code: The Contractors' State License Law does not
apply town Owner of property who builds or improves thereon; and who contracts for the projects With -a-licensed Contractor pursuant to, the Contractor*' State License Law). -
❑ I am. exempt from licensure underthe Contractors' State License Law for the following reason:
By my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year pdorto completion of the improvements covered by this permit, I cannot legal)
sell mature 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwW.leginfo.mgov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty ofperjury that I am;licensed under provisions of Chapter 8 (commencing with Section 7000) of Division 3 of the Business and Professio s Cotle, and my license is in full force
and effect. /J
License Class License No Date 1/2-242-02-11 Contractor Signature, � Gr—
WORKERS' COMPENSATION DECLARATION
WARN NG; PAILURETOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS [5100,000), IN ADDITION TO THE
COSTOF COMPENSATION. DAMAGES AS PROVIDED FORIN SECTION 3700 OFTHE LABOR CODE, INTEREST:AND ATTORNEI"S FE64.
L hereby affirm under penalty of perjury one ofthe following declarations:
❑'I 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 th
rmance of the workforwhich this permit is issued. Policy No.
1 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
ante carrier and policy number are:
Carder Policy Number Expiration Date
Name of Agent Phone.#
I 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 laws of California, and agre
at, if I should become subject o the work rs' cam nsation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature ofApplicantx —7 Date/ 1/27/7sz4 ---
DECLARATION REGAR13ING CONSTRUCTION LtWLNG AGENCY
I hereby affirm under penalty of perjury that there is a. construction lending,agency.for the performance.ofthe 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 the following:
I am the property owner rorauthorized 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 County ordinances and state laws. relating to building construction.
I authorize representatives of this city or countytae t rthe ova an" property for inspection purposes. II 11
Signature or PropertyOwner' orAuthorized Agen Print Property Owners orAuthorizedAgent's Nam a^h=1tGrj ate i/Zz/z -1
AC17ON DATE BY
DECLARATION OF COMPUANCEWTH CODEOF
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