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Home My WebLink AboutX2022-1218 - PermitsCity of Newport Beach - Building Division xKI'auu,� 'X2022-1218* COMB Permit: X2022-121 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No : 0953-2022 Inspection Requests Phone(949)644-3255Combination Type - BLDG Issued Date : 2022 rea : 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: 387 VISTA BAYA NB Description: SFR BLOCK WALL 5' @ POOL EQUIPMENT Legal Desc.: N TR 2609 LOT 15 Owner: RISCALIA DANIEL/MICHELINE Contractor: SO - CAL POOLS Architect: Address: 387 VISTA BAYA Address: 18223 BETONY PLACE Address: NEWPORT BEACH, CA 92660 SAN BERNARDINO, CA 92407 - Phone: Phone: 909-843-7172 Phone: State Lic: ' a Applicant: HOLDER AARON Con State Lic: 877295 Engineer: " Address: 18223 BETONY PLACE Lic Expire: 06/3112024 Address: SAN BERNARDINO, CA 92407 Bus Lic: BT30065408 ' Phone: 661-487-2396 Lic Exp Date: 1213112022 Phone: State Lic: a Code Edit: 2019 Worker's Compensation Insurance Designer: HOLDER AARON Type of Construction: VB Carrier: EXEMPT NO EMPLOYEES Address: 18223 BETONY PL Occupancy Group: U Policy No: SAN BERNARDINO CA 92407 Added /New sq.ft. Bldg: 0 Expire: Phone: 909.843-7172 " Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 20 Special Conditions: No of Units: 1 Front: 20 Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $287.97 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 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: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ 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 %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $619.97 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $619.97 PROCESSED BY: 7 �j PUBLIC WORKS APPROVAL: C �^ 5 fiC ZONING APPROVAL: 1 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 (a) 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) orthat 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). ❑ 1, 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 f,Lr,l ,icensure under the Contractors' State License Law for the fallowing reason: By my signature te'c n 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, call A stmoture thPt I hive 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 F:ofessiGns Coda, 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 L-CENSED CONTRACTOR'S DECLARATION I hereby affirm unr'er p':nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7X of Division 3 of the Business and Profess1on and my li Is in full force a,,d uffec, License Class License No Date 1 - Contractor Signature JG " WORKERS' COMPENSATION DECLARATION WARNING 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Eereby affirm under pLr.alty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the formar.ce of the worh.-or, which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, trance carrier and policy number are: Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Policy Number Expiration Date ie of Agent Phone # 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 su/bje/ct ty/t�e''n kers' compensa Islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X lature of Applicant /�` ( I Date- ` — 12 - Z Z CLARATION REGARDWO CONSTRUCTION LENDING AGENCY ereby 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. authorize representatives of this city or county to enteCAUaa4pven 8fied property for inspection purposes. Signature of Property Owner or Authorized Age ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL �� CERTIFICATE OF OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 15 NOTAPPLICABLE TO FOR OFFICE USE ONLY Date s 1'Z..- o ry O1 L U c 0 u a N O C a o m N o a c N m ry n 00 Ol N o N S i R Y E S �o 3 O Y aui Y E 00 W R �n o M R H ~ _ 0