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Home My WebLink AboutX2020-1150 - Permitsako City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 1 5 0 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'rcrrntr'' Combination Type - MFP MECH ELEC PLUM zip N C(., 1.() INSPECTOR COMB Permit: X2020-1150 Project No: 0872-2020 Issued Date : 05/20/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 220 NICE LN NB St: 1 FI: 1 Unit: 106 Description: MFR REMODEL MST BATH, KITCHEN & LIGHTING THROUGHOUT 1,000 SF Legal Desc.: TR 8336 LOT 13 UNIT 202 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER eemm Owner: GRIGORE CATALIN Contractor: ANDREW MARK IBRAHIM Architect: BENHAM GEORGE L Address: 220 NICE LN #106 Address: 3006 VIA FIANO Address: 1150 E ORANGETHORPE AVE NEWPORT BEACH CA 92663 ONTARIO CA 91764 PLACENTIA, CA 92870 • e m ° ° Phone: Phone: 760-887-3382 Phone: 7141572.2384 State Lic:C016997 ° • Applicant: BAREH MIKE Address: Phone: 949-322.7066 Code Edit: 2019 Type of Construction: V -A -SPR Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 49 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $50.000.00 Building Permit Fee: $746.00 Plan Check Fee: $649.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,694.66 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1034561 Engineer: Lic Expire: 01/31/2022 Address: Bus Lic: BT30066605 Fire Inspection: Lic Exp Date: 12/31/2020 Phone: State Lic: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9244121 Expire: 01/31/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $40.00- Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev _ $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 $104.44 San Dist: $0.00 $82.06 NMUSD Fee: $0.00 $0.00 $67.14 $0.00 Plan Check Fee: $649.02 Fee Due at Permit Issuance: $1,045.64 _ PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: p� e APPROVAL TO ISSUE: )V v \ e c me0000 m • o 0 •o m e o • c c •e o ••o oo e oe000 m oe000 m m omomoo o m m•eo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 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). ❑ 1, 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 -Builder will have the burden of proving that it was 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 jrpM11 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 legall, ezll-structut4diaf 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 eodE, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html. SigrTature of Property Owner or Authorized Agent Date LICENSED GONTRACTOR'S DECLARATION I reRby affrrl!I mJer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 0Of ivisi 3 of the Business and Proles license is in full force and effect. Ligpnsg Class License No Date 'rIV r Contractor Signature $'YORKERS"GOWENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL the UP TO ONE HUNDR THOUSAND `DOLLARS ($100,0001, IN ADDITION TO THE gW" COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Hbre* affirm under Jenalty of perjury one of the following declarations: a❑ h A$ve and willemaintain 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 aedppppp'''''rmance of tjlgygpfk for which this permit is issued. Policy No. �f 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' compensatioi XQance carrier and policy number are: -arrier Policy Number Expiration Date \lame of Agent Phone # :1I certify that, in the peormance of the 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 :hat, if I should become I Tor ers c nsa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica D DECLARATION RE DING CONSTRUCTLQNkENDING AGENCY hereby affirm undery that there is a construction lending agency for the performance of the work for which this permit is issued (Section 39 7, Civil Code). r ena Lender's Name Lenders Address 3y 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 informajcount provided is correct. I agree to comply with all applicable city anrdinances and state laws relating to building construction. I authorize representatives of this city or co = en I d property for inspection purposes. �,( S Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name / iE 'd ✓ m ate '+ ACTION DATE BY OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED i 1 1 LJISUBMITTED ASBESTOS PERMIT CANCELLED EPA CERTINOTIFICATION IAPPLICABLE TO FICATEOF "I I �%n I� II f / NATURE: EM/ OCCUPANCY ISSUED 1 yr /Mll ll