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Home My WebLink Aboutx2021-2010 - Permitspwry City of Newport Beach - Building Division IIIII IIIIIEEI IIIIIIIIII III 11111111 COMB Permit: X2021-2010 U 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 1757-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 1011212021 Combination Type - SFP ELEC MECH PLUM Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011212024 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: 1913E BAY AVE NB Description: SFR KITCHEN & BATH (2) REMODEL 1,500 SF, REPLACE FRENCH DOORS (5), BIFOLD (2), GARAGE & ENTRY DOOR ar Legal Desc.: TR 756 LOT 1 POR OF LOT AND BALBOA TR POR LOT 7 BLK S POR ABAND ST r f Owner: MENDOZA RUBEN Address: 1913 BAY AVE E NEWPORT BEACH, CA 92661 Phone: 949.500-7885 Applicant: Address: Phone: Contractor: TEMPLETON CUSTOM HOMES Address: 784 CENTER ST COSTA MESA CA 92627 Phone: 949/933-2459 Architect: Address: Phone: MANSHADI FARHAD SANTA ANA CA 92701 714-835-2800 State Lic:C-036840 AZIZI MASUM M_�,�„?� 4701 VON KARMAN AVE #156 NEWPORT BEACH CA 92660'�p 949-689-7999 State Uc:CO24129 ��t= 1800E16TH ST UNITB ®•a•®• ° �• • AZIZI MASUM M Con State Lic: 1059236 Engineer: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,837.00 Plan Check Fee: $1,598.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $64.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $4,782.59 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical W Mechanical %: Plumbing %: Rear: 5 Front: 4 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $128.59 $73.48 $165.33 Designer: Address: Phone: Special Conditions: JD DEMO TO HAUL DEBRIS Hazard 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: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: a • oo:000 0 Oi o ° oeea• Deco• • a • $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,650.19 Fee Due at Permit Issuance : $3,132.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: LDER 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 U all of or U 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,y 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 11applto 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: 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 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 LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm wfdec penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ,pf Ivis'on 3 of the Business and Professions Coc{e, arySl my,kgen a is in full force 4nd effe;t. License CASS License No Date 8 Z Zl Contractor Signature (RtRS' (WIMMISATION DECLARATION ARNIN6: FAILURE'fOTSE�URE 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 IQOW 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"n a 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 IN ggrfptrpance of4tte wo rik for which this permit is issued. Policy No. I•har✓e and wilt 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 slsuraQGe carrier afid policy number are: R"Agent '�e%fy that, if I should rture of AD Policy Number Expiration Date 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 thew or s' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - - --- -' DateZ� 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 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 owners 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 state laws relating to building construction. I authorize representatives of this city or county to ent the bove-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Aqent's Name i)md BY l/ DEC64RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED QMD PERMIT FINAL `� Z J SBESIOS NOTIFICAATION IS NOT APPLICABLE TO CERTIFICATE OF POSEq DFi(nOL�tTlylry �/`\ OCCUPANCYIS5UED cir_mnr„o Jn'/ / Civil Code).