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Home My WebLink AboutX2022-1495 - Permits•„ City of Newport Beach - Building Division f T 100 Civic Center Drive, Newport Beach, CA 92660 iy rl Permit Counter Phone (949)644-3288 L. Inspection Requests Phone (949)644-3255 Ccmbination Type - BLDG COMB Permit: X2022-1 Project No : Issued Date : 0512612022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVAL 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: 4733 CORTLAND DR NB Description: SFR BLOCK WALL 6' x 38 LF (INSIDE P/L) CITY STD PLAN Legal Desc.: TR 3519 LOT 6 ALL -EX SWLY 1 FT - Owner: IGATA DAVID Address: 4733 CORTLAND DR CORONA DEL MAR, CA 92625 Phone: 949-633-7772 Applicant: O W NER/BLDR Address: DAVID IGATA Phone Code Edit: 2019 Type of Construction: VB 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: Construction Building Permit Fee: $144.00 Plan Check Fee: $125.23 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous.Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $324.2$ Contractor: OWNER/BLDR Architect: Address: Address: Phone: Phone: State Lic: Con State Lic: O/B Engineer: Lic Expire: Address: Bus Lic: Lic Exp Date: Phone: State Lic: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 35 Front: 6 Left: 6 Right: 6 Designer: IGATA DAVID Address: 4733 CORTLAND DR NEWPORT BEACH CA 92625 Phone: 949-633-7772 Special Conditions Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WD Insp. Fee: $0.00 Park Dedication : $0.00 PNV Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $324.28 PROCESSED BY: r PLi'BI IC WORKS AFPLOVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO -.S'S'UE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 cf 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 applicPnt to a civil penalty of lot more than five hundred dollars ($500). ❑ 1, 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 Rproklements 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 mpe6vN for the purpose of sale). ® I, as wner 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 t n 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). am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residengnhich I st have resided for at least one year prior to completion of the improvements covered by this permit, cannot legal sell a structure that have built as an owner -builder if has no een consn-iiretybgiieensed contractors. understand that a copy of the applicable law, Sectio 704 f the Business and Professions Code, is available upon request wh s at' ifollowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed under prov" K ns 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. License Class License No Date Contractor Signature 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 ($100,000(, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: D I 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 erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work fgpyvhi 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 agre tha if I should become ubjact workers' c PAP-1a rovisions of -Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant2Q�� DECLARATION RE RDING ONSTRU T �SNDING AGENCY I hereby affirm unde penalty of perjury that t e 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 county ordinances and tate I ws r ting to building construction. I authorize representatives of this city or c my t e abov en " A- ertpforfispection purposes. �, Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na ACTION DATE BY DECLARATIO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS RT 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITFINAL l.q Lq Oi LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF .7 ! PROPOSED DEMOLITION. OCCUPANCY ISSUED SIGNATURE: