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Home My WebLink AboutX2018-2823 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E err Permit Counter Phone (949)644-3288 a - Inspection Requests Phone (949)644-3255 azrgoav`b Combination Type - SFP ELEC II IXI�I� IIT 0�I�I Ilul III I�II� IIT III II COMB Permit: X2018-2823 Project No: 2237-2017 Issued Date :09/19/2018 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday- Friday7:00 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: 504 HAZEL DR NB Description: SFR DELTA 2 & 3, INSTALL ELEVATOR & CREATE 4TH BEDROOM Legal Desc.: N TR 673 BILK B LOT 36 Owner: LEAH ALPERIAN Contractor: OWNERIBLDR Architect: BRANDON CHRISTOPHER Address: 504 HAZEL DR Address: LEAH ALPERIAN Address: 151 KALMUS DR #G-1 No of Units : CORONA DEL MAR, CA 92625 Bldg Height: 29 Bldg Sprinklers: COSTA MESA CA 92626 Phone: X Phone: 310-403-2474 Phone: 714.754.4040 State Lic:C031637 Applicant: ALPERIAN LEAH Con State Lic: Die Engineer: DEIHIMI AMIR Address: 504 HAZEL Lic Expire: Address: 4400 CAMPUS DR NEWPORT BEACH CA 92625 Bus Lic: NEWPORT BEACH CA 92660 Phone: 310-403-2474 Lic Exp Date: Phone: 949-752-1612 State Lic:C047283 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1077 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $32.000.00 Building Permit Fee: $512.00 Plan Check Fee: $445.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $0.00. . CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat - $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,871.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: R1 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 5 Left: 3 Right: 3 Parking Spa $0.00 $0.00 $0.00 $1,354.64 $0.00 $297.36 $0.00 $35.84 $0.00 $0.00 Designer: Address: Phone: Special Conditions: REV18-1474 K 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: $803.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,871.78 _ m .PUBLIC WORKS APPROVAL: '- PLAN CHECK BY: APPROVAL TO ISSUE: t V` � L oc� cc. uu o � aco eye Fire Department $37.50 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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,871.78 _ m .PUBLIC WORKS APPROVAL: '- PLAN CHECK BY: APPROVAL TO ISSUE: t V` � L oc� cc. uu o � aco eye 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 ie 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemptio, . Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally 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 (_) all of or `) 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 vements 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 r d for the purpose of sale). I, p 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 ppl ' o an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractorpursuantto the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 1 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 legaiii ell a structure that I have built as an owner -builder if it has not be c trLe ted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when application 's iItd or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under p vi ' n of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. License Class ILice se Date Contractor Signature I/ORKERS' COMPENSATION DECLARATION DARNING: 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 OST OF"COMPENSATION, 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 --add v/111 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 erformance of the work for which this permit is issued. Policy No. :1I 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' compensatiol nsurance carrier and policy number are: 3arrier Policy Number Expiration Date Jame of Agent Phone # certify that, in the performance okhe 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 IT if I should become su ct to th o rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� J 'Signature of Applicant Dat 7 / / 5' DECLARATION RE DING C U LENDING AGENCY hereby affirm under penalty of per' ry ere 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 3y my signature below, I certify toe dW 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 ordinan s and state laws relating to building construction. ' I authorize representatives of this city or county ent he ove-id tified property for inspection purposes. , Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ACTION DATE BY DE A N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R 10 SPARTGIOFTITLE40ANDAQMD RULE 1403 • ••. PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION Ti • • :• . ` ° ` •• PERMIT CANCELLED EPA • • • i • ` PERMIT EXTENDED EIAQIVID PERMITFINAL EIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION •• •°' • • • •+• • • • • • • • • • • OCCUPANCY ISSUED SIGNATURE: • * • • •