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HomeMy WebLinkAboutX2020-2489 - PermitsPhone nr� City of Newport Beach - Building Division IIIIII��IIIIIIIIIIIIII COMB Permit X2020-2489 100 Civic Center Drive, Newport Beach, CA 92660 �X 2 0 2 0 2 4 8 9 Project NO: 2198-2019 Permit Conspect onuReq Requests Phone(949)644-3288 )(949)644-3255 XZ0Z2- o -1 � G 1 Combination Type - BLDGO Z - UI® Issued Date : 10/3012020 I � o („ S 0I mi 614o '�_->/ Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1013112023 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 SANTIAGO DR NB Description: SFR BLOCK WALLS 152 LF X 42" HIGH MAX INSIDE P/L `MARKERS ON SITE* Legal Desc.: N TR 4224 LOT 199 Owner: DUNTLEY SCOTT/FAMILY TR Contractor: ARTISAN OUTDOORS Architect: $4.00 Address: 1108 SANTIAGO DR Address: 17835 SKY PARK CIR #J Address: $0.00 Hazardous Mat NEWPORT BEACH CA 92660 Building Green Fee : IRVINE CA 92614 $0.00 e Phone: 949-278-7127 - Phone: 949-424-5870 Phone: State Lie: 'O'' Applicant: MUEHLBAUER BRIAN Con State Lie: 1001086 Engineer: e e Address: 2753 CAMINO CAPISTRANO #B-2 Lie Expire: 02/28/2021 Address: NEWPORT BEACH CA 92672 Bus Lie: BT30056442 Phone: 949-388-5300 Lie Exp Date: 0613012021 Phone: ee•m - State Lie: • • •emm Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: Building Permit Fee: $195.00 Plan Check Fee: $169.65 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $455.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1279270 Expire: 02/0612021 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 $0.00 $0.00 $0.00 Designer: Address: Phone: Special Conditions: LANDSLIDE AREA Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PMN Plan Check: $86.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $169.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $286.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: (�'' A, • e e•e000 • o • m • o e ee o e o • o 0 mo e me000 •mono ©oe000 ° o n m e mmmmco m o 0000 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $286.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: (�'' A, • e e•e000 • o • m • o e ee o e o • o 0 mo e me000 •mono ©oe000 ° o n m e mmmmco m o 0000 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 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 fessions 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 more than five hundred dollars ($500). I, 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, ;iness 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 Movements 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 Proved 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 Ply 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 exerrjatfrypt;licensure under the Contractors' State License Law for the following reason: my signature belo* 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 Iegall, ,%Cructure fheil.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 lessions C84E61%available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date :FUSED CONT�1ACTOR'S DECLARATION Prepy affirm finder natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Di s'on of the Business and Prof si s` z{D y license_rYfull force I effect. L1, as lass License No Dat d '?» 2v Contractor Signature r/% d lX ERS' GOIIBPENSATION DECLARATION .... IN11 FAILURE TBECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRI, AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS [$700,0001, IN ADDITION TO THE RU COMPENSATION, DAMAGES A5 PROVIDED FOR IN SECTION ]TOB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. je'uyaffirm under ftalty of perjury one of the following declarations: 'I I* h%ve and JI'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 '0rmance of tDAM14forwhich this permit is issued. Policy No. I. .... have 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' compensatioi mance carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the pert rma ce 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 wor er compensation laws of California, and agre I, if I should become su 'e to the woZOOFs=s mpagation provisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I nature of Applicant _ D a 10 f / '3o �20 CLARATION REGARDI STRUCTION LE14DMG AGENCY Preby affirm under penalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, ivil Code). Iders Name Lender's Address 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 countf ordinances and state laws relating to building construction. 1 authorize representatives of this city or count o Ter the bo Ufied propert r inspection purposes. 1bI,7 n) nature of Prooertv Owner or Authorized ADent A.l Print Property Owner's or Authorized Agent's Name - Date ACTIONI DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERI�I RErZNS PART 61 OF TITLE 40 AND AQIVID RULE AL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QM PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED T J // SBEST OTIFICATION IS NOTAPPLICABLE TO OLIT", SIGNATURE: