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Home My WebLink AboutX2021-3195 - Permits`I•?'fA City of Newport Beach - Building Division *X2021-3195* COMB Permit: X2021-3195 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2768-2021 �; Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "iair�iiR>'cn Combination Type- BLDG GRAD ELEC PLUM Issued Date: 03/23/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/23/2025 OR PERMIT WILL)RE 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 rqd'pys Job Address: 5 VIA CRISTALLO NB, Description: SFR -GRADING, DRAINAGE, GATES, LANDSCAPING, HARDSCAPE, BBQ, RETAINING WALLS, 3'5" X 23' SITE WALLS (INSIDE P/L) r� Legal Desc.: Owner: KING MARY ANN Contractor: NAJCO BUILDING & DEVELOPMENT Architect: STEVENS BENJAMIN Address: 5 VIA CRISTALLO Address: BERKSHIRE #15 Address: 25251 VIA PIEDRA BLANCA NEWPORT COAST CA 92657 ALISO VIEJO CA 9265 LAGUNA NIGUEL CA 92677 `> Phone: Phone: 949-463-5264 Phone: 949.680-8616 State Lic:C032310 Applicant: STEVENS BENJAMIN Con State Lic: 678335 Engineer: GIBBS ERIK Address: 25251 VIA PIEDRA BLANCA Lic Expire: 10131/2023 Address: 25991 AVENIDA MARIPOSA LAGUNA NIGUEL CA 92677 Bus Lic: BT30078313 SAN JUAN CAPISTRANO CA 92675 Phone: 949-680-8616 Lic Exp Date: 03/31/2023 Phone: State Lic:C-081137 „ Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: BENCHMRAK INS CO Address: Occupancy Group: U Policy No: CST5014387 , Added /New sq.ft. Bldg: 0 Expire: 11/09/2022 Phone: , Added /New sq. ft. Garage: 0 , No of Stories: 0 Building Setbacks Rear: 0 Special Conditions: No of Units : 0 Front: 10 = Bldg Height: 0 Left: 0 Bldg Sprinklers: Right: 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ' Construction Valuation: $149,000.00 Building Permit Fee: $1,531.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,331.97 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $973.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $846.51 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $107.17 San Dist: $0.00 Building Green Fee : $6.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $137.79 $0.00 TOTAL FEE : $4,933.44 Plan Check Fee : $2,262.00 Fee Due at Permit Issuance : $2,671.44 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 :he 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 L) all of or L) 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). ❑ 1 am exempt from Iicensure 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Cat LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di Isionqft,the Business and Profess' C e, and my lice full force and effect. License Class License No Date Z%Contractor Signature WORKERS' PENSATION DECLARATION WARNING: FA RE 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 CPST OP C PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereb affirm und•:r penalty of perjury one of the following declarations: :� aie 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 pe rmance of the work for which this permit is issued. Policy No. hate and w0l mai-Itain 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' compensatior Insurance carrier and policy number are: Carrier__ _ Policy Number Expiration Date Name of Agent _ Phone # ❑I certify thgt,`in tha performance oft work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws o •California, and agree '1h9t, if I should become subject a w'rl ers' compensate visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature cf Applioar-t14DECLARATION REG ING NSTIR CTION LENDING AGENCY I hereby affirm under pena perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 count ances and sta ws relating to building construction. I authorize representatives of this city or county enter he ab -Identified property for inspection purposes. /� Z Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Name d A -A- Vx-- Date 312 ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL I ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: