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Home My WebLink AboutX2022-1382 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u.� Inspection Requests Phone (949)644-3255 °As,y„rw" Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1382 x 2 0 2 2 1 3 8 2 Project No : 1303-2018 Issued Date : 05/13/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 219 EVENING STAR LN NB Description: DELTA F - REVISION TO SITE PLAN. RET WALL 2.32' x 12', 3.61' x 6', 3.96' x 16' Legal Desc.: N TR 4224 LOT 139 Owner: JONES JR. CLIFTON S Contractor: OWNER/BLDR - Address:--219-EVENING STAR LN- Address' NEWPORT BEACH CA 92660 Phone: Phone Applicant: LIGHT CJ Con State Lie: O/B Address: 1401 QUAIL ST STE 120 Lie Expire: NEWPORT BEACH CA 92660 Bus Lie: Phone: 949-B51-8345 Lie Exp Date: Code Edit : 2019 Worker's Compensation Insurance Type of Construction: Carrier: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkina Soaces Building Permit Fee: $110.00 Plan Check Fee: $0.00 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: $111.00 PROCESSED BY: ZONING APPROVAL: Architect: LIGHT CHRISTIAN R .Address:._ 140111UAILST_#120- _ NEWPORT BEACH CA 92660 Phone: 949-851-8345 State Lic:CO22334 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: I'PE__CT0R Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $111.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 U all of or U portions of the work, and the structure is not intended or offered far 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 in7proved 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 nellstructure o an owner of property who builds or improves thereon, an contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). m exempt from licensure under the Contractors' Stat Ic a or following reason: signature below I acknowledge that,exceptformy o re ' hich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal[, that I have built as an owner -builder if i as struct 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 wh thi a Ica submitt r at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. A / Signature of Property Owner or Authorized Age Da�Ejf� �J' 2 Z LICENSED CONTRACTOR'S DECLARAfIO L/ I hereby affirm under penalty of perjury that I am licensed and r pi of Chapter (commencing with Se§tion,Z00� of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Li nse Da£A ^/ 3 "2 i Contractor Signature WORKERS' COMPENSATION DECLARATION ✓✓✓ ARNING: FAILURE TO SECURE 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the arformance of the work for which 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' rance carrier and policy number are: Agent y that, in the pf Ihould become Policy Number Date 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, Tlpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant � � D CLARATION REGA NS N ENDI AGENCY ;reby affirm under penalty of '! here 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 3y my signature below, I certify to each of the following I am the property owner or authorized to act on the prope w ehalf. /7i1��g� I have read this application and the information I have v' e is r ct. L� I agree to comply with all applicable city and county rdi nces st to laws relating to building construction. I authorize representatives of this city or count o nt the ve-' tified operty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY C A PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULA 0 T 610E TITLE40ANDAQMD RULE PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED LJAC1MD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED -ZJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: