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Home My WebLink AboutX2021-2062 - PermitsCity of Newport Beach - Building Division �,wrgy, ;} 100 Civic Center Drive, Newport Beach, CA 92660_ Permit Counter Phone (949)644-3288 , Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM ELEC *X2021-2062* COMB Permit: X2021-2062 Project No : 1787-2021 Issued Date : 0312512022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/25/2025 O 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 Su p%�Holidays Job Address: 1406 LINCOLN LN NB..s1 Description: SFR NEW RETAINING WALLS 130 LF 8 GASLINE TO FIREPLACE (INSIDE P/L) Legal Desc.: N TR 3851 LOT 7 .. Owner: LARSON MATT 8 ELIZABETH Contractor: C JONES 8 CO Architect: METODIEV TRIFON Address: 1406 LINCOLN LN Address: PO BOX 2946 Address: 155 ROCHESTER NEWPORT BEACH, CA 92660 COSTA MESA CA 92628 COSTA MESA CA 92627 Phone: 949-468-6284 Phone: 714-668-1190 Phone: 949-293-2176 State Lic:C037844 Applicant: GARCIA RON Address: 155 ROCHESTER STREET COSTA MESA, CA 92627 Phone: 626-224-3300 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $63,000.00 Building Permit Fee: $913.00 Plan Check Fee: $794.31 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,856.39 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1064530 Lic Expire: 03/31/2022 Bus Lic: BT30073234 Lic Exp Date: 1013112022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9306288 Expire: 09/29/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing W Rear: / Front: / Left: / Right: I 3arkinc Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $63.91 $0.00 $82.17 Plan Check Fee Engineer: BURKETHOMAS ==.aa0` Address: 151 KALMUS DR#140 a - COSTA MESA CA 92626 Phone: 949-494-0776 State Lic:S-005088 - Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $794.31 Fee Due at Permit Issuance : $1,062.08 PUBLIC WORKS APPROVAL: PLAN CHECK BY: AA 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 D-y 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 of the Eusiness and professions Code) or that he or she is exempt from Iicensure 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 perfai:Y of Tot 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 Iicensure 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 legall) 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://www,leginfo.ca.gov/calaw.htmi. Signature of Propn.C;• Owner or Authorized Agent Date LICENSED CONTR6,CTOR'S DECLARATION I nerebv affirm Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivi ion 3 of the Business and Professions CyQ�/9r�Ymy license is in full force a.id effeoL Licensb Class License No Date 3 22 Contractor Signature / /� 001 WORKERS' COMPENSATION DECLARATION WARN1,,G: 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 COMPENSSTIOr', D'1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I heeehp 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 pnrtcrr.3nce of the work for which this permit is issued. Policy No. fnave, and will,mair, tain 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' compensatioi ranc€ carrier and,po)icy number are: Policy Number Date 'I'a ar Agent ._ _ rnone s 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 agrei if I should become subject to ttje workee;W compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Dat�WZZ_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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, Civil Code). ender's Name Lender's Address y 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 enter t a e entified property for inspection purposes. l ionature of Prooertv Owner or Authorized Apen7 Print Property Owners or Authorized Agent's Name,/Lrri ��f ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QM D PERMITFINAL )'6 y ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF / PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: & \ \ \ CL i ■. \ 0 \ e uj � �� !}\ � \ Z} _ / \ j :k\ \ \ \ $ }ƒw k§ \ )} w !t!r§|!!! §