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HomeMy WebLinkAboutX2020-1430 - Permits�Earr, City of Newport Beach - Building Division f 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r,ryri,utir> Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIIIIIIIIIIII�III II COMB Permit: X2020-1430 Project No : 1109-2020 Issued Date: 08119/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812012023 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: 1200 WINSLOW LN NB Description: 'THE CAY @ MARINER SHORES" SITE LIGHTING. 23 BOLLARD LIGHTS, 22 POLE LIGHTS, 15 TRELLISIACCENT LIGHTS Legal Desc.: IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT Owner: SHEA HOMES LP Contractor: SHSCSC INC Address: 2 ADA STE 200 Address: 655 BREA CANYON RD IRVINE CA 92618 WALNUT CA 91789 Phone: 949-526-8842 Phone: 909-594-9500 Applicant: JOHN THOMAS Con State Lic: 1012096 Address: 2 ADA STE 200 Lic Expire: 0313112022 IRVINE CA 92618 Bus Lic: BT30069571 Phone: 949-526-8842 Lic Exp Date: 10/3112020 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Building Permit Fee: $1,285.00 Plan Check Fee: $1.117.95 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $2,582.16 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier. LIBERTY MUTUAL FIRE INS CO Policy No: WA266DO66115040 Expire: 0810112021 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: I Left: I Right: I Architect: Address: Phone: State Lic'. 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: 'w`' C C Fire $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $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 $3.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $168.21 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,582.16 Fee Due at Permit Issuance : $0.00 PUBLIC WORKa'. APPROVAI : �� PLAN CHECKBY: GRADING APPROVAL: APPROVAL TO ISSUE: DWNER-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 licensors 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 fwe 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 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. It, however, the building or improvement Is sold within one year or completion, the Owner -Builder will have the burden of proving that it was not built or Im 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 apply to an ownar of property who bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensors 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 legally sell a structure that I have built as an owner -builder if it has not been constructed In Its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:ll www.leginfo.ca_govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. A' B 1012096 7/2/20 /� License Class License No _ _ Datax Contractor Signature. i 01 & / /G9/4f.CL2 WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ILID0.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROWDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perury one of the following declarations: 111 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, forth performance 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' gqameff or d poJlcy qup�per are: WA266D066115039 3/31 /22 itJeRy IVI u[ual I -ire Insurance Policy Number Expiration Date _. of Agent certify 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 If I should become subject to the workerscoompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7/2/20 CLARATION REGARDING CO TRUCTION LENDING AGENCY 7t Ireby affirm under penalty of. rjury that there Is a construction lending agency for the performance of the work for which this perk 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- ] 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. 7/2/20 I authorize representatives of this city or county to enter bo id d property for Inspection purposes. _.._ _ .. John Thomas ACnON DATE BY DECLARATION OF COMPLIANCEWTHCODEOF FEDIERALREGULATIONSPARTbf OFTFILE40AND AQMORULE 1403. ❑ 1SUBIWTTEDASBESTOS NOTIFfCATLONTO. ❑ EPA ❑ AQMD ©OPOSEDDEMOLIT ON.ASBESTOS T30Nl5 NOTAPPLfCABLE TO SIGNATURE. FOROMCEU$EONLY .PERMITEXPIRED PERMITCANCELLED - — — PERMIT EXTENDED - �/�_ - PERMfr.RNVAL -� �. - 2 CC.4TEOF OCCUPCCUPANCYISSUED