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HomeMy WebLinkAboutX2022-0292 - Permitswrr,. City of Newport Beach - Building Division ���������������������������������������������������������� COMB Permit: X2022-0292 �' 'a 100 Civic Center Drive, Newport Beach, CA 92660 s Project No : 1507-2020 r... � Permit Counter Phone (949)644-3288 + Inspection Requests Phone (949)644-3255 '� rri�F' � Combination Type - BLDG �g g Issued Date: 02/01/2022 INS L d Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210112025 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: 2707 BLUE WATER DR NB Description: BLOCK WALL 6' X 30 LF (INSIDE PIL) "MARKERS ON SITE" Legal Desc.: TR 6385 LOT 43 AND POR OF LOT 42 Owner: LAKE SARAH Address: 10601 CALM HILL CIR SANTA ANA CA 92705 Phone: Applicant: LONGMAN CONSTRUCTION CO INC Address: 2782 CIRCLE DR NEWPORT BEACH CA 92663 Phone: 949-722-7711 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $212.00 Plan Check Fee: $184.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $451.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: RF Contractor: LONGMAN CONSTRUCTION CO INC Architect: Address: 2782 CIRCLE DR Address: NEWPORT BEACH CA 92663 Phone: 949-722-7711 Phone: State Lic: Con State Lic: 393881 Engineer: Lic Expire: 08131/2023 Address: Bus Lic: BT00001921 Lic Exp Date: 03/31/2022 Phone: State Lic: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9062475 Expire: 07/01/2022 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: / Front: / Left: / Right: / larkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: eapp a p app• e p app popp p pea. p pGp4Gp p pp eo a a a ppP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $451.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Kff p oapppp p p peep paepa• a p.Fp! p p p p paappw 3 p Jepy OWNER -BUILDER DECLARATION V 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 the 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 Professions 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 not 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 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 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 improved 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 apply 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: By 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 legall) sell 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 Professions CgM, 1?4vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prope14; Owner or Authorized Agent Date d. CF&ED CONTFKCTOR'S DECLARATION 1 hereby affirmiultler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 IgB of the Business and Professions C m nse is in full force M efFgct. License Class License No Date p G'Rr Contractor Signature �C WORKERS' CQURENSATION DECLARATION P OgNI11Cy FAILUR%JOZSCURE 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 GOST<GF COMPENSATION, DAMAGES AS PRONGED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l 4abrelay affirm erc+er penalty of perjury one of the following declarations: ®1'FPave 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 rlandii of toe wgr) for which this permit is issued. Policy No. Er'havoe and wiB mainain 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' compensatiol i:9tTrAi`t* carrierand policy number are: CdIngro w� : r ( Policy Number Expiration Date ie of Agent _ certify that, in the pi . if I should become of Applicant this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I s of alifornia, and ogre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING CONSTRUCTION INDING AGENCY .'n ;reby affirm under penalty of perjury that they€ is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. s I have read this application and the information I have provided is correct. j I agree to comply with all applicable city and county ordinan state laws relating to building construction. I authorize representatives of this city or county to enter property for inspection purposes. _ �� DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITEXTENDED r� ERML C�6-3-zz CERTIFICATEFICATEOF OCCUPANCY ISSUED TO V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY