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HomeMy WebLinkAboutx2021-2444 - PermitsCity of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIII�IIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 4 4 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 „:._. Combination Type - BLDG ELEC PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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. Job Address: 307 ONYX AVE NB Description: RETAINING WALL (INSIDE PIL) - 11 2'X 3' RETAINING W/5.5' BLOCK WALL ON TOP. GAS/ELECT Legal Desc.: BALBOA ISLAND SEC 3 LOT 34 BILK 18(AND S1/2 LOT 33 BLK 18 Owner: BINDER RHONDA Contractor: CALIFORNIAPACIFIC Address: 217 ONYX AV Address: 11620 WILSHIRE Bl, BALBOA ISLAND CA 92662 LA CA 900Z Phone: Phone: 949-701-9997 Applicant: BOLOURCHI JONATHAN C Con State Lic: 1010268 Address: Lic Expire: 01/31/2022 Bus Lic: BT30072853 Phone: Lic Exp Date: 0913012021 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: Carrier: STATE FUND Occupancy Group: U Policy No: 9258066 Added /New sq.ft. Bldg: 0 Expire: 07/27/2022 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' No of Units : 1 Front: 8' Bldg Height: 0 Left: 4' Bldg Sprinklers: Right: 4' Architect: Address:�lp��*�� Ph ei✓ COMB Permit: X2021-2444 Project No: 0994-2020 Issued Date : 09/1312021 Inspection Area : 2 R PERMIT WILL BE INV, Sundays or Holidays State Lic: ®gineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-036840 Designer: Address: �� Phone: Special Conditions: Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $287.97 Additional Fee : $0.00 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 %: $23.17 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %:' $0.00 NMUSD Fee: $0.00 Plumbing %: $29.79 TOTAL FEE : $724.93 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 °a • Fiaq Due•at Pe Ait Issuance: $724.93 • PUBLIC WORKS APPROVAt_?' PLAN CHECK BY: iC 6 9 • 9 JB C PP P O G O P APPROVAL TO'ISJ3UF!,' 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) ction 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 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 fessions 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 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, iness 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 rovements 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). 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 coven 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent A- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivi on 3 of the Business and Profe i nd effect. License Class License No Date Contractor Signatur Jy PORKERS' COMPENSATION DECLARATION of the Business and in full force YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDKO SAND DOLLARS ($100,000), IN ADDITION TO THE :DST 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 th, erformance of the work forwhich this permit is issued. Policy No. 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' compensatior su nce carrier and policy number are: ;ar ier f Policy Number Expiration Date Jame of Agent i Phone # V �I certify that, in the perfo man of the wo k o ispermitis issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation lar s of California, and agre, hat, if I should become sub t<o he wo co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date Z% )ECLARATION REGARDI CTI LENDING AGENCY hereby affirm under penalty o erj that there 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 3y my signature below, I certify to ch 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 informaf n I have provided is correct. I agree to comply with all applicable City ancf`C ordin ces state laws relating to building construction. I authorize representatives of this city or co n er th ab a identi IS -arty for inspection purposes. signature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Name Date i ACTION DATE BY E�CLARATVN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED - .: LJ4SUBMliTEDASNIESTOSNOTIFICATIONTO PERMITCANCELLED • EPA • • • •• PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ••• •PROPO•SED15WgL911010• OCCUPANCY ISSUED r 91GNATURrc: • 1.