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Home My WebLink AboutX2020-0412 - Permits��wwr,,� , City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0412 i' J 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 4 1 2 Project No: 0995-2017 Permit Counter Phone (949)644-3288 z5 - Inspection Requests Phone (949)644-3255 nw ear%.. Combination Type - BLDG Issued Date : 02/13/2020 d rnu Inspection Area : 2 Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 1215 DOLPHIN TER NB �� TEMP BARRIER FOR POOL (30) DAYS ONLY (52017-0081) N TR 2334 LOT 1 DIYAR IRVINE LLC Contractor: KAZ INVESTMENTS MGMT INC Architect: 2901 W. COAST HWY STE 200 Address: 2901 W COAST HIGHWAY STE 200 Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92663 0� Phone: 714-787.8097 Phone: State Lic: KAZ INVESTMENTS MGMT INC Con State Lic: 1023867 2901 W COAST HIGHWAY STE 200 Lic Expire: 02/26/2021 NEWPORT BEACH, CA 92663 Bus Lic: BT30058144 714-787-8097 Lic Exp Date: 02/2812020 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. k. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: 2016 Worker's Compensation Insurance Carrier: BENCHMARK U Policy No: CST5016203 0 Expire: 02/04/2021 0 CA Seismic Safety: Building Setbacks Rear: / $0.00 Front: / $0.00 Left: / $1.00 Right: / Building Permit Fee: $104.00 Plan Check Fee: $0.00 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 : $1.00 TOTAL FEE: $105.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Engineer. Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: Deme ° e eeoo Deme. ° m amm000 o e ° Planning Department - m o 0 m o Fire Department eon ONOO.im $0.00 Plan check Fee : O o c em o m o e oeocc oc ac o O COmC�I cc c noa�<c Grading PC Consultant : ° o 0 PUBLIC WORKS APPROVAL PLAN CHECK BY: APPROVAL TO ISSUE: accmcc 11 cmmc Deme. ° m Excise Tax: $0.00 Planning Department - Fire Department eon Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: - $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 / 1 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $105.00 PUBLIC WORKS APPROVAL PLAN CHECK BY: APPROVAL TO ISSUE: accmcc 11 cmmc 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 is 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 Irofessions 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 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 U 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 nprovements 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 nproved 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 pply 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: iy 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 legalll ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f Div sion 3 of the Business and Professions Cadey license y in full force nd effect. LieertaWglass License No Date Contractor Signature 1 / VORKERS' CVMPpE+NSATION DECLARATION NNNIN& FAILUr�OASEyURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OFPCOMPENSpiION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Meire5y,affirm under penalty of perjury one of the following declarations: I -have and yClljg*tain 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 56 ance of the wont' for which this permit is issued. Policy No. and 411 alaintain 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 carrier 8nd policy number are: Policy Number Expiration Date agent ' Phone # that, in tf a geerfor nce-of-th'd worTcTof wh�h 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 could become ue'�b'e�t-to-tfie-wSik mpensation p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .... of AApPlec�in. Date l/'Z, 02-0 hereby affirm under penalty of per' re 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 cougtyardMMrcnand ate laws relating to building construction. I authorize representatives of this city or county tor e a -idents ' d property for inspection purposes. innahire of Prnnerty Owner or Authnrizerl Anent � 1 Print Prooertv Owners or Authorized Aaent's Name n 1403 PERMIT CANCELLED pF<OMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 63 OF TITLE 40 AND AOMD RULE NOTIFICATION TO PERMIT EXTENDED L.IAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF f/ PROPOSED DEMOLITION OCCUPANCYISSUED V SIGNATDRF: