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Home My WebLink AboutX2022-1194 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1194 *t 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 9 4 PfDJBCt No: 1099-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: °'is,rnti�`F Combination Type - BLDG - Inspection Arearea :2022 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY .- OR-PE12tT 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: 34 DUNES BLUFF NB Description: SFR BLOCK WALL 7 LF X 5' HIGH INSIDE P/L Legal Desc.: "" A y�'7"•,+^� �� ' > L.. Owner: HARPEN SHAWN Contractor: MIRAGE LANDSCAPE Architect: Address: 34 DUNES BLUFF Address: 61 THREE VINES CT Address: NEWPORT BEACH, CA 92657 LADERA RANCH CA 92694 Phone: Phone: 949-293-2800 Phone: State Lic: Applicant: ELLISON PAUL Con State Lic: 806651 Engineer: LACHER TODD Address: 24642 VIA RAZA Lic Expire: 04/30/2022 Address: 1201 N TUSTIN AVE _ LAKE FROEST, CA 92630 Bus Lic: BT30068406 ANAHEIM CA 92807 Phone: 949-683-9861 Lic Exp Date: 0813112022 Phone: 714-630-6100 State Lic:C-067656 Code Edit: 2019 Workers Compensation Insurance Designer: , Type of Construction: Carrier: EXEMPT Address: - -- Occupancy Group: U Policy No: , Added /New sq.ft. Bldg: 0 Expire: 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: $1 000.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $95.70 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee $0.00 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 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond:'$0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $258.70 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $258.70 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 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 Irofessions 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 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 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 or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I Pm exempt from licensure under the Contractors' State License Law for the following reason: ;y ;,,y signature o?low 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 tl.et ; ;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 7044 of the Business and 'rofeesions Cody, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iigaeture of Prnperty Owner or Authorized Agent Date .ICENSED CONTPACTOR'S DECLARATION hE,cby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of ' ion of the Business and Pr ssio od , and lic e' in full force rd effect. Licel.se Class License No Date 1Lentractor Signat V^_RkERS' COMPENSATION DECLARATION T R'l:Ni: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PEN TIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C5T Oi COMPENSATI7N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will m&lntaln 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 erformance of the work for which this permit is issued. Policy No. I have 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' compensatiei Isurance carder and policy number are: :arri r Policy Number Expiration Date lrnof Agent Phone# I certify that, in the perf4tt ork fo hich ' permit is issued, I shall not employ any person in any manner so as to become subject to the worke compensa on la s of California, and ogre t should beco suw keys' ompen ion provisions of Section 3700 of the Labor Code, shall forthwith comply with thosepronot of Applican DaLARATION RE UC LENDING AGENCYhereby affirm under penathere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C. it Code). Ender's Name Ender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the rty owner's Elf. I have read this application and the information I ave pr is c rrect. I agree to comply with all applicable city and con o an a sta aws relating to building construction. / I authorize representatives of this city or county e r the abov = ntified r inspection purposes.S Z ignature of Property Owner or Authorized Agent Print Propertym Owner's or Authorized Agent's Nae //Gf(((/ " Da 1CTION DATE BY V FN<7RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PABI-U OF TITLE 40 AND AO,MD RULE PERMIT EXPIRED ISUB ITTED ASBEST S NOTIFICATION TO PERMITCANCELLED E A PERMIT EXTENDED PERMITFINAL E 0 O ICATIO NOT APPLICABLE TO CERTIFICATE OF ' Lf R OLITION OCCUPANCYISSUEO sIGNATl _