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Home My WebLink Aboutx2022-0866 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y - Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIII�IIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-0866 Project No: 0795-2022 Issued Date: 03129/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510212025 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: 2720 PEBBLE DR NB Description: SFR DEMO EXT STAIR & LANDING CONSTRUCT NEW STAIR & LANDING 45 SF Legal Desc.: N TR 3660 LOT 44 Owner: SHOKRIAN MAHIN Address: 2720 PEBBLE DR CORONA DEL MAR, CA 92625 Phone: 949-278-1187 Applicant: LUSHBAUGH WILLIAM Address: 17191 CITRON IRVINE CA 92612 Phone: 949-251-1710 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $2 Building Permit Fee: $501.00 Plan Check Fee: $435.87 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $997.87 Contractor: DYNASTY ELECTRIC Architect: LUSHBAUGH WILLIAM Address: 1248 E SANDALWOOD AV Address: 17191 CITRON ANAHEIM CA 92805 IRVINE CA 92612 Phone: 714-851.5173 Phone: 949-251-1710 State Lic:CO24867 Con State Lic: 996619 Engineer: JAMIL BASHAR S Lic Expire: 01131/2023 Address: 751 SHASTA DR Bus Lic: BT30078637 CORONA CA 92881 Lic Exp Date: 0513112023 Phone: 714-883-4124 State Lic:C-083129 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: Address: Phone: Special Conditions: INSPECTOR, Fire Hazard Zone : N 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $997.87 Fee Due at Permit Issuance : $0.00 PROCESSED BY: 00 ` ° a _ _ o Ye B`ULIC WORKS APPROVAL: ZONING APPROVAL: pkpN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: u e c _i o OWNER -BUILDER 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) (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 (_) 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, 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: 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 legally 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di 3 of the Business and Profession Cod and m) li ns is in full force and effect. License Class License No Cat Contractor Signature rz�WORKERS' COMPENSATION DECLARATION I WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 'I hereby affirm under penalty of perjury one of the following declarations: El I 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 thI performance of the work for which 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' rance carrier and policy number are: of Agent rtify that, in the performance I should become subject to Policy Number Date thew rk for which is ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree work rs' comp atio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant !�- Date /22 iECLARATION REGARDI ONS_ UCTION 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). Ender's Name Lender's Address y 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 h pro ed is crrect. I agree to comply with all applicable city and county ordinan es andost IS s relating to building construction. I authorize representatives of this city or cou'r�'t-v�t/o d`n�ter th above -id i IS property for inspection purposes. .,..,.,f,, ..r o.. 4,t n,.,nor,.r A,dhnrlooA Anonf 7� \ _ /�- �!� Print Pmnertv Owner's or Authorized AoenYs Name A lL:n., C ce)SA-A Date 7 DATE BY I DECLARATION OP COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED ❑ISUBMITTED ASBESTOS NOTIFICATIO14TO • s • ° PERMITCANCELLED UEPA' • • ••� ` s•• •• e PERMIT EXTENDED E3AQMD • • • s PERMIT FINAL D ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF mod. s'Zi �~•'~� PROPOSED DEMOLITION ••• °• OCCUPANCVISSUED SIGNATURE: °;° •°• ••• °•• ; + " �> �.r woe e e eee re