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Home My WebLink AboutX2019-1078 - Permitstr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 k Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ear�ew`' Combination Type - SFP PLUM Ill �Xllll0�ullulllll�lllllll0ll�� II COMB Permit: X2019-1078 Project No : Issued Date : 04/04/2019 Inspection Area : 6 Occupancy Group: R3/U Added /Newsq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: 4 $184.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Record Management: $0.00 Construction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays $0.00 Job Address: 1 CORAL REEF NB Disabled Access : $0.00 • ° ° ° $0.00. Description: SFRPEX-REPIPIE(11) FIXTURES°""�� $0.00 NMUSD Fee: $0.00 Legal Desc.: ,�... QbO° Owner: J & K FADAVI-ARDEKANI Contractor: PIPELINE RESTORATION PLUM Architect: •° Address: PO BOX 8844 Address: 3921 E LA PALMA AV UNIT R Address: �...� •"" NEWPORT BEACH CA 92656 ANAHEIM CA 92607�•-�wO •• Phone:. Phone: 949310-2281 Phone: State Lie: S•'r�O °"^r jww-Aa onr�• Applicant:. PIPELINE RESTORATION PLUM Con State Lie: 965054 Engineer. o • ' °'�„� Address: 3921 E LA PALMA AV UNIT R Lie Expire: 08/31/2019 Address:. ANAHEIM CA 92807 Bus Lic; BT30044701 ° Phone: 949-510-2281 Lie Exp Date: 09/30/2019 Phone: State Lie: • • °'` Code Edit: 2016 Worker's Compensation Insurance Designer. �• e", "°"` Type of Construction: VB Carrier: OAK RIVER Address: Occupancy Group: R3/U Added /Newsq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: 4 $184.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Feer $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00. Efuilding,Green Fee: $1.00 TOTAL FEE: $201.56 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Policy No: PIWC812004 Expire: 0 511 3/2 01 9 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical °i°: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: / irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.56 0 Phone: Special Conditions:. i Fire Hazard Zone : N Planning Department- Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $201.56 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 $0.00 Fee Due at Permit Issuance : $201.56 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 (_) all of or U 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 Ptrpt§e of sale). 4.4 owner of IN 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 t6 an owngr"cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ® I %n exempt frdrMicensure under the Contractors' State License Law for the following reason: By Ery signature 6elow 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, §g1l a structure `IM 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 GWepis'available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Drop@rty Owner or Authorized Agent ate 6LP.PNSED COWJRACTOR'S DECLARATION ( 4reby affirm finder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) n of the Business and Prof s n full force andel offect. License Class License No Date Contractor Signature NORKERS"COMPENSATION DECLARATION RING: FAILggqEE 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 �t44Ra OF COMPEr7SATIpN, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Yoder 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 i6rmance of the work for which this permit is issued. Policy No. 4ave and willIn 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' compensal Irance carrier an po y number are: 0 ricer I I i WL.4 Expiration Date ie of Agent I certify that, in the pe orm*ofeork 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 agree t, if I should becomes ' ' ction 3700 of the Labor Code, I shall forthwith comply with those provisions._F/mature of Applicant �$4-'.CLARATION REGTION LENDING AGENCYsreby affirm under penalty othere 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 pro a owner's behalf. I have read this application and the information a provi d is correct. I //0j, I agree to comply with all applicable city count oo. tnMi-e7ate l�Lir-p-eHn4 r Inn building construction. �iR! /'� V"`�` 1 authorize representatives of this city or cbu ty en - If e� props y or I -t— ns�ion purposes. inature of Prooertv Owner or Authorized / Print Property Owner's or Authorized Agent's Na D e ACTIONI DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED