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Home My WebLink AboutX2021-3080 - PermitsCity of Newport Beach - Building Division i. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s.: n Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2021-3080* COMB Permit: X2021-3080 Project No : 2671-2021 Issued Date : 1211012021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 1211012024 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: 2172 E OCEAN FRONT NB Description: BLOCK WALL 6' X 127 LF (INSIDE PIL) MARKERS ON SITE Legal Desc.: N TR 518 BLK E LOT 19 • • °°•°°• Owner: MCLAIN HELLE Contractor: GALLO BUILDERS INC Architect: • Address: 2172 E OCEAN FRONT Address: 1278 GLENNEYRE ST #412 Address: NEWPORT BEACH CA 92661 LAGUNA BEACH CA 92651 • °• Phone: Phone: 949-683-3500 Phone: State Lic: Applicant: RISLEY MIKE Address: 1278 GLENNEYRE ST #412 LAGUNA BEACH CA 92651 Phone: 9491683-5725 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: Building Permit Fee: $280.00 Plan Check Fee: $243.60 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: $576.60 PROCESSED BY: ZONING APPROVAL: Can State Lic: 852218 Lic Expire: 01/31/2023 Bus Lic: BT30028998 Lic Exp Date: 08/3112022 Worker's Compensation Insurance Carrier: STARNET INSURANCE Policy No: BNUWC01522628 Expire: 11/20/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 0 Front: 10 Left: 4 Right: 4 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: GRGURIC NENO Address: 2880 S COAST HWY LAGUNA BEACH CA 92651 Phone: 949-715-0775 State Lic:C-059487 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM 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: eaeo • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $576.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: • • • •• • •••oae • OWNER -BUILDER DECLARATION 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 ie 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 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portionslof the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 the 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 70144, Business and Professions Code: The Contractors' State License Law does not pply 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 frbA rlicensure under the Contractors' State License Law for the following reason: Iy 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, LEIIVCructum fnatrl:ave 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 'rofessions CoQe, is Zvailable upon request when this application is submitted or at the following Web site:http://m .lelginfo.ca.gov/calaw.html. lignAwre of Property Owner or Authorized Agent Date .icVNSED CONTRACTOR'S DECLARATION 'hgrdby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) o Di si 3 of the Business and P of sio my license is in full force ndt'4fect. Lice g.Class License No Date �9 /2 Contractor Sign ure FORISERS' COALI NSATION DECLARATION 71RILIAG: FAILURE TD SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAND DOLLARS ($100,000), IN ADDITION TO THE p$LGF.COMPENSATI0-, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h€reby affirm under penalty of perjury one of the following declarations: .. . • •I•lVe and u ill 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 ar&rinlance ofkhewblk forwhich this permit is issued. Policy No. 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' r nce carrier and policy number are: Policy Number me of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any t, if I should become subject totV`workv%- compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicarit V I CLARATION F&eAgDNd7ffONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ider's 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 coun rdinan es and tate laws relating to building construction. I authorize representatives of this city or county ter �! an ifed ro erty for inspection purposes. nature of Prooertv Owner or Authorized Aoent Print Prooertv Owner's ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF IREGULATIONS PART 61 OF TITLE 40 AND AQMD RULEFEDE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINALASBESTOS N TIFICATION IS APPLICABLE TO CERTIFICATE OF J U 1/✓ v PRO EDD LI OCCUPANCY ISSUED SIGNATURE: Date so as to become subject to the workers' compensation laws of California, and agre t comply with those provisions. /' Date/Z/�'// i this permit is issued (Section 3097, Civil ode). FOR OFFICE USE ONLY Name led