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Home My WebLink AboutX2021-2495 - PermitsCity of Newport Beach - Building Division x 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2021 Project No : 2154-2021 Issued Date : 09/2012021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/20/2024 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: 441 ISABELLA TER NB Description: SFR 5' HIGH RETAINING WALL W/ 3'6" HIGH GUARDRAIL ON TOP X 39' 6" LF *MARKERS ON SITE* Legal Desc.: N TR 1237 LOT 161 Owner: JOHNSON NEIL A TR Contractor: NICHOLSON CONSTRUCTION CO Architect: Address: 441 ISABELLA TER Address: 1 CORPORATE PLZ #110 Address: CORONA DEL MAR, CA NEWPORT BEACH CA 92660 Phone: Phone: 949-872-6637 Phone: State Lic: Applicant: GLASS NANCI Con State Lic: 660295 Engineer: HAKIM FADY Address: 1 CORPORATE PLAZA DR #110 Lic Expire: 1213112022 Address: 124 PEONY NEWPORT BEACH, CA 92660 Bus Lic: BT98032850 IRVINE CA 92618 Phone: 714-865-4465 Lic Exp Date: 04/30/2022 Phone: 310-422-1536 State Lic:C-075736 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U Policy No: 9074255 Added /New sq.ft. Bldg: 0 Expire: 1010112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6 Special Conditions: No of Units : 0 Front: 15 Bldg Height: 0 Left: 6 Bldg Sprinklers: Right: 6 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7,200.00 Excise Tax: $0.00 ��11^°qq�] Planning Department - Fire DepaittA$ Building Permit Fee: $212.00 Plan Check Fee: $184.44 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 $48.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $2.00 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 PNV 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 NMUSO Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $447.94 Plan Check Fee : $184.44 Fee Due at PT.rmit Issuance : $263.50 PROCESSED BY: PUBLIC WORKS AFPROVAI. -_ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPR04A1. TQ ISSi1E` 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 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 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). ❑ 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 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 from licensure 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 legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.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 Prlessl Code, an(V license is in full force and effect. License Class License No Date,Contractor Signatur�7�� j/ �n WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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. I hereby affirm under penalty 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th T nce o the workfor which this permit is issued. Policy No. d will mintain 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' compensatio carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # I 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 agre that, if I should become subject to the workers' compensation q�*�()Isy`e�'s ofnSection 3700 of the Labor Code, I shall forthwith comply with those provisions. /� Signature of Applicant c�n f"SI6/Y Y 1/ Y /0/7 —, �\ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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, vil 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 state laws relating to building construction. I authorize representatives of this city or county t n{the al ovf�-�/� t�fied property for inspection purposes. _ Signature of Property Owner or Authorized Agent / k_y_ % ' Print Property Owner's or Authorized A ent's Date9 _ ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403' PERMIT EXPIRED I SUBMIT iED ASBESTOS NGTIFICATtON TG PERMITCANCELLED LIEPA PERMIT EXTENDED LIAGIVID PERMIT FINAL p �'L nN ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF V PROPOSEC DER^OPTION, OCCUPANCYISSUED SIGNATURE: