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Home My WebLink Aboutx2020-1994 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `+ix.ruY Combination Type - SFP ELEC MECH PLUM ��N��lll COMB Permit: er iProject No: 2 20020-1994 Issued Date: 10130/2020 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/31/2023 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: 2107 BAYCREST RD NB Description: SFR ADD 158 SF TO BEDROOM AND CREATE NEW BATHROOM 102 SF Legal Desc.: N TR 3082 LOT 3 Owner: FLEMING ELIZABETH P Contractor: MOLA BUILDERS INC Architect: Address: 5030 CAMPUS DR Address: 3334 E COAST HWY Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92625 - - Phone: Phone: 714-924-3137 Phone: State Lie: Applicant: PARSI SAM Con State Lie: 831729 Engineer: MOAYEDI KAMRAN Address: 24257 SANTA CLARA AV #9 Lie Expire: 02128/2022 Address: 26180 ENTERPRISE WAY #300 DANA POINT CA 92629 Bus Lie: BT30048402 LAKE FOREST CA 92630 Phone: 949-489-9392 Lie Exp Date: 0913012021 Phone: 949-636-6725 State Lic:C-035137 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: R3/U - Policy No: 9111013 Added INew sq.ft. Bldg: 158 Expire: 0813012021 Phone: - Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear. 6 Special Conditions: No of Units: 1 ON Front: 20Bldg Left: 6 R ECTOR Bldg Spri kt Right: 6 i%.alers: P V®/fig Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $36.600.00 Building Permit Fee: $1,065.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $846.23 Additional Fee: $0.00 Plan check Fee : $185.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $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: $32.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $129.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $74.55 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $42.60 NMUSD Fee: $0.00 $0.00 Plumbing %: $96.85 $0.00 TOTAL FEE : $2,472.23 Plan Check Fee: $2,472.23 Fee Due at Permit Issuance : $0.00 PROCESSED BY: � o 9 � g a w� o e PUBLIC WORKS APPROVAL: �1� On 6d4 ZONING APPROVAL: V K PLAN CHECK BY: �IJV GRADING APPROVAL: a i o APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ection 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 e 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 rofessions 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 1t more than five hundred dollars ($500). 11, 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, usiness and Professions Code: The Contractor; 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 iprovements 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 iproved 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 oply 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: y 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 all 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://ww .leginfo.ce.gov/calaw.html. at ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty ofp„erjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' sio 3 of the Business and Proles i n Co d m icense is in full force nd effect. License Class �i — / License No O'3/ 22`� Date G c 28 Contractor Signatu VORKERS' COMPENSATION DECLARATION tx rARNING: 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 111100,0001, IN ADDITION TO THE ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 e ormance of the Work for which this permit is issued. Policy No. 511 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' compensation is ranee came j apolicy number a 'Pr�j Policy Number Expiration Date SITE of Agent ]I certify that, in the perform 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 ogre rat, if I Should beco a subj o e workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / ignature of Applic iECLARATION RE A DING CONSTRUCTION LENDING AGENCY 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). enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope wners behalf. I have read this application and the information I h, a pro ' ed is correct. - I agree to comply with all applicable city and county o n ces an tat I We relating to building construction. I authorize representatives of this city or county toe r e abov d party for inspection purposes. g� / .A Print Property Owners or Authorized Agent's Name llmv,4 n— /"/0 �A� Date ACTION DATE BYV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • • • • ••• • • • PERMIT CANCELLED LIEPA • . : PERMIT EXPENDED QMD • ° °•' ° • •.° PERMITFINAL WW ASBESTOS NOTIFI TI I NOTAPPLICABLE TO PROPOSED E.OLRI - CERTIFICATE OF O, 000UPANCYISSUED SIGNATURE: °s° ••• ° • ••• •• e e s one on eo a e oeo +o°