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Home My WebLink AboutX2014-2080 - Permitsw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2014-2080 0 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 4 2 0 8 9 Project No :1688-2014 Permit Counter Phone (949)644-3288 c} Combination Type - SFP ELEC PLUM MECH Inspection Requests Phone (949)644-3255 Job Address: 15 SAN SEBASTIAN NB Issued Date : 07/21/2014 Description:SFR/ RIR FIREPLACE, ALT KITCHEN/PANTRY AND (2) BATHROOMS Inspector Area: 6 Legal Desc.: N TR 9860 LOT 17 R f' W Owner: KHATAMI,NASSIR Contractor: ROBINSON BUILDERS INC Architect: f II a ` Address: 15 SAN SEBASTIAN Address: 31232 BROOKS STREET Address: NEWPORT BEACH, CA 92660 LAGUNA BEACH CA 92651 Phone: Phone: 949-338-2477 Phone: State Lic: Applicant: MONJEZI DARYOOSH Con State Lic: 594216 Engineer: MONJEZI DARYOOSH Address: 34167 PACIFIC COAST HWY #A Lic Expire: 05/31/2016 Address: 34167 PACIFIC COAST HWY #A DANA POINT CA 92629 Bus Lic: BT30036981 DANA POINT CA 92629 Phone: 949-496-8633 Lic Exp Date: 09/30/2014 Phone: 949.496.8633 State Lic C-042625 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: VS Carrier: STATE FUND Address: Occupancy Group: R3/U Policy No: 1515709 Added /New sq.ft. Bldg: 0 Expire: 04/01/2015 Phone: Added /New sq. ft. Garage: 0 ° ° ° No of Stories: 1 Building Setbacks Rear: / Special Conditions: ° ° ,° ° No of Units : 1 Front: / ° ` ` 0 0 0 Bldg Height: 0 Left: / O00Oo0 00000 Bldg Sprinklers: Right: I °00000 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: $144.00 Planning Department - Fire Department Plan Check Fee: $103.68 Excise Tax: $0.00 Plan check Fee : $32.00 Fire Inspection: p 0 °$0.0 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 PAN Plan Check : $0.00 Fee Increase: Fee: $0.00 Electrical %: $10.08 San Dist : $0.00 Additional Fee : $0.00 Mechanical %: $7.20 NMUSD Fee: $0.00 $0.00 Hazardous Mat : $0.00 Plumbing %: $14.40 $0.00 Building Green Fee: $1.00 TOTAL FEE: $314.36 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $314.36 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: /� a.Al , PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED OWNER -BUILDER 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 (_) 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-Builderwill have the burden of proving that itwas 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). ❑ I 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 legalh 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. 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 Di Sion of the Business and Profas I e, and my license is in full force and effect. License Class License NoD Contractor Sig ure MU� WORKERS' O®NSATION DECLARATION ... Im�lN'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 ($'IOO,ODO), IN ADDITION TO THE @OST OFZOMPENSATjdN'DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II4eretry affirm drltler penalty of perjury one of the following declarations: 9111-114e and wilt 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 thI rmance of tRe W84( for which this permit is issued. Policy No. A7eand 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' compensatioi Race caneand.poJ,kcy number are: mfrfat 7 �tLW Policy Number Expiration Date VaWdf Agent Phone # 01 certify that* MR? Derforrrjqce 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 ltiattR ishould.4 pme subj o workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signatu re of Ap nt• Ite 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, Civil 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 pro ed is correct. I agree to comply with all applicable city and county ordi ce and state laws relating to building construction. authorize representatives of this city or,upty to enter ove,4 ntified property for inspection purposes. I 7 2/ r( Sianature of Property Owner or Authorized Ap t Print Property Owner's or Authorized Agent's Na pa� Ai.THM DA TF BY DECLARATION OFOOMPUNICE WITH CODE OF FUN UiLhr EtAk t=T FEDERAL REGtlLARONS PART Gf OF TITLEA0 AND AOR4D RULE 140x. PFRVFT FYP[RR) d SIflMf1TTrRRSNSTOS ROIIFK-4TdON TI): ❑ EPA ❑ AQMD ASBESTOS NOTtACARON/S NOT APPLICABLE TO OPOSEDD€N7 - PLETIMUTCANCCLLID PERiIdfTEXTFte'DEi7 P£�'fi RA/TTNM.L P�c..ti F CFRTiF?C,.4;TEOF �.4/�/�Y OCCUPAlJCYtSCUEO. ` C'' AL SfGNAPUItt I