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Home My WebLink AboutX2021-3179 - Permits�;wr•U4, City of Newport Beach - Building Division COMB Permit: X2021-3179 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0846-2021 p, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 1112312021 Combination Type - BLDG Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112312024 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: 280 EVENING CANYON RD NB Description: BLOCK WALL 117 LF X 6' HI INSIDE P/LJ116 LF X 6' HI ON P/L (P/L FENCE AGREEMENT ON PLANS) Legal Desc.: N TR 1116 LOT 62 Owner: MENDELLSTEVE Address: 233 JASMINE AVE CORONA DEL MAR, CA 92625 Phone: Applicant: WINE RICK Address: 264 N SHAFFER ST ORANGE CA 92866 Phone 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: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $834.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: VALLEY MASONRY Address: 264 NORTH SHAFFER ORANGE CA 92866 Phone: 714488-6393 Con State Lic: 390882 Lic Expire: 01/31/2023 Bus Lic: BT30052400 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: EMPLOYERS COMP Policy No: EIG157791610 Expire: 10/01/2022 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: I Front: / Left: / Right: I TEALE MARK Address: 29 0BRISTOL ST BLDG A203 COSTA MESA CA 92626 Phone: 949-975-0123 State Lic:CO22162 Engineer: Address: Phone: State Lic: Designer: Address: 'a Phone: Special Conditions: Fire Hazard Zone : N " $0.00 Planning Department - Fire Department - $0.00 Plan check Fee : $52.00 Fire Inspection: $0,.00 $0.00 Fair Share : $0.00 Fire Plan Rev $OBOE"" $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $834.92 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: - V 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 IS 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 Iicensure 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). 7 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 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 7044, 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 from Iicensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivision 3 of the Business and Profe�s+D s de, and my license is in full force nd effect. License Class License No Date ,�� Contractor Signatures VORKERS' COMPENSATION DECLARATION IARNING: 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,D00), IN ADDITION TO THE OST OF COMPEt.SATIO'% DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ha-eby affirm under penalty of perjury one of the following declarations: J ],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 E.0aq.laa)r ce of the work for which this permit is issued. Policy No. and will mPintain 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' carri,r and policy number are: Policy Number of Agen: Date cartify that, `in the performance of the work for 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 agree t, if I shoplU beLcme subject tot or rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .l nature of Applicant r— Date��C CLARATION PE GA INCI CON9TRUCTION LEND11TG AGENCY ;reby affirm under penalty of perjury that there 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: 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ente t a o-y1entified—property for inspection purposes. nature of ProDertv Owner or Authorized ADent /1� Print Prooertv Owner's or Authorized Aoent's Name C w,-Y, Date 0 `T-4 ' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED 0AQMD PERMIT FINAL LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: