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Home My WebLink AboutX2022-1492 - PermitsU411 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG 11�1 11111111111111111111111111111111111111111111111111111COMB Permit: X2022-1492 x 2 0 2 2 1 4 9 2 Project No: 1169-2022 Issued Date : 05/26/2022 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: 2018 NAUTILUS LN NB Description: SFR BLOCK WALL 6' HIGH X 60 LF ON P/L *MARKERS ON SITE* Legal Desc.: N TR 3763 LOT 74 "' ^ Owner: EKEDAL RYAN Contractor: EKEDAL CONCRETE INC Architect: Address: 2018 NAUTILUS LN NEWPORT BEACH CA 92660 Address: 19600 FAIRCHILD RD STE 123 IRVINE CA 92612 Address: �Sa�� ^ ° Phone: Phone: 9491729-8082 Phone: �" ,�'1 RR�� 1 Er.� j Applicant: EKEDAL CONCRETE INC Con State Lic: 487590 Engineer: °��° Address: 19600 FAIRCHILD RD STE 123 Lic Expire: 02129/2024 Address: IRVINE CA 92612 Bus Lic: BT00005971 Phone: 9491729-8082 Lic Exp Date: 1013112022 Phone: State Lic: 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 Building Permit Fee: $501.00 Plan Check Fee: $435.87 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: $991.87 PROCESSED BY: rLN 01I LI re7A:RRAYIA III GRADING APPROVAL: Worker's Compensation Insurance Carrier: LONGSHOREMAN-ZURICH Policy No: WC380494701 Expire: 10/0112022 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 king Space $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Designer: Address: Phone: Special Conditions: P/L AGREEMENT ATTACHED Fire Hazard 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: Pian Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 00 " 00" 090 " 0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $991.87 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) 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 rovements 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 roved 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 ly 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: 'y rn; ..ignatula 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 cover all a structure that ;lave 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 rofesslons Code. is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'ignawre of Pronerty Owner or Authorized Agent Date _ of the Business and .!CEJSED CONI RACTOR'S DECLARATION hem.Ly affirm under oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Di^isio 3 of the Business and Pr ssio Code, and my license is in full force nd Pffect. Lic' nce Class License No Dati Contractor Signal IlORKERS' COMPENSATION DECLARATION V'N7 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 OF �OMPENSAnON, VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I h^ve and .,All r.Jaiatain 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 ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performan4 of the work forwhich 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 iat, if I should becomes jec the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant Date' IECLARATION REG RDIN G AGENCY hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 hav provided is correct.�� I agree to comply with all applicable city and county d'Dances and state laws relating to building constru n. I authorize representatives of this city or county to r the above -identified property for inspect�i "p rposes. lianature of ProDedv Owner or Authorized Agent ant Prooertv Owner's or Authorized ADent's Namk ate !• ACTION I DATE BY PERMITEXPIRED PERMIT EMENDED PERMIT FINAL Q /`�(/ CERTIFICATE OF �J �47 OCCUPANCYISSUED n, OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 1403 [SUBMITTED ASBESTOS NOTIFICATION TO EPA _ AQMD IS NOTAPPLICABLE TO