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Home My WebLink AboutX2020-0204 - Permitswr,y� City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v y Inspection Requests Phone (949)644-3255 �'�xriuy' Combination Type - SFP ELEC PLUM MECH 1111�111111�11111111lil1111111111111111111111111111 JillCOMB Permit: X2020-0204 Project No : 0033-2019 Issued Date : 0112312020 Inspection Area : 6 PERMITS EXPIRE 980 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 Job Address: 11 SARTEANO DR NB Description: SFR *CHANGE OF CONTRACTOR* KITCHEN REMODEL 300 SF Legal Desc.: Owner: SABOUNJIAN AZAD Address: 11 SARTEANO NEWPORT BEACH, CA 92657 Phone: Applicant: MCCLOSKEY SHANNA Address: 540 N. GOLDEN CIR #212 196 TECHNOLOGY DR #J SANTA ANA, CA 92705 Phone: 714.392-5836 Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Contractor: WYSS GROUP Architect: Address: 196 TECHNOLOGY DR #J Address: Phone: IRVINE CA 92616 Excise Tax: Phone: 949-325-5515 Phone: State Lic: Con State Lic: 1015500 Engineer: Lic Expire: 0613012020 Address: Bus Lic: BT30069571 Grading Bonds Fee: Lic Exp Date: 06/30/2020 Phone: State Lic: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9209391 Expire: 0412712020 Building Setbacks Rear: / Front: / Left: / Right: I Designer: MCCLOSKEY SHANNA Address: 540 N. GOLDEN CIR #212 $0.00 SANTA ANA, CA 92705 Phone: 714-392-5836 Special Conditions: VHFHSZ REPLACE X2019-0048 Construction Valuation: $0.00 $0.00 Fire Inspection: $0.00 Fire Plan Rev Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - General Service Plan Check Fee: $0.00 Refund Deposit Additional Fee : $35.00 Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE : $35.00 PROCESSED BY: ZONING APPROVAL: Plan Check Fee Zone: Y $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL:`.. , <RPPfYBVAL TO ISSUE: oEa oo cc, a ° coo oo� 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 : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL:`.. , <RPPfYBVAL TO ISSUE: oEa oo cc, a ° coo oo� 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 items) ;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 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 iot 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, 3usiness 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 mprovements 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 roved for the purpose of sale). J 1, 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 licensure under the Contractors' State License Law for the following reason: 3y 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 legally cell 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000),of.D'M 3 of the Business and Progssions Coj� ri yense is in full force and effect. License Class License No Dat l �L Contractor Signature 1/ Arge NORKERS' COMPENSATION DECLARATION YARNING: 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: 1 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 the rerformance of the work for which this permit is issued. Policy No. 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' carrier arld-policy number are: ,-� N ^r Date ie of Agent \ l/(/ %- %=" r 1--� ' &-!T Phone # certify that, in the performance of the wo 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< if I should become subject to the vyy�d(npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant f- IECLARATION REGAVDING CO UCTION LENDING AGENCY Daf� 1IL3j2a�� I hereby affirm under p natty 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 provided is correct. I agree to comply with all applicable city and county ordinances and to laws relating to building construction. I authorize representatives of this city or count enter the a -1 tifproperty for inspection purposes. . n �y 7'S' " (U ( Signature of PropertyOwner or Authorized Agent Print PropertyOwner's or Authorized Agent's Na f`t/ � WDat ACTION DATE BY I DECLARA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • •.• • ••• ••• •_ PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA • • • • • • • •• PERMIT EXTENDED QM D PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICA13LE TO CERTIFICATE OF I��n"'� DIS- PROPOSED DEMOLITION •• ••• • • • ••• OCCUPANCY ISSUED SIGNATURE: • • • • • _ _