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Home My WebLink AboutX2020-0391 - PermitsI+o City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 '- Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIU�X 2 02 0 0 3 9 1�'III Project COMB Permit: 0020-0391 Issued Date : 02/14/2020 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 50 SHORERIDGE N13 - Description: SFR REMODEL 218 SF (ENTRY HALLILIVING RM & WINE ROOM) Legal Desc.: N TR 15604 LOT 43 .� Owner: NAMI-ETTEFAGH Contractor: ZIGGURAT CONSTRUCTION INC Architect: Address: 50 SHORERIDGE Address: 112 NANTUCKET LN Address: NEWPORT COAST, CA 92657 ALISO VIEJO CA 92656 Phone: Phone: 949-326-6392 Phone: State Lie, Applicant: HAN PRYN Con State Lie: 1011940 Engineer: BURKE LEO 1 7 1 Address: 34167-D PCH Lie Expire: 0313112020 Address: 34167 PACIFIC COAST HWY #D DANA POINT CA 92629 Bus Lie: BT30062903 DANA POINT CA 92629 Phone: 949-226-7130 Lie Exp Date: 04/3012020 Phone: 949-226-7130 State Lic:C-067404 Code Edit: 2019 Worker's Compensation Insurance Designer: HAN PRYN Type of Construction: V-B-SPR Carrier: MIDWEST EMPLOYERS Address: 34167-D PCH .I Occupancy Group: R31U Policy No: BNUWC0140327 DANA POINT CA 92629f Added /New sq.ft. Bldg: 0 Expire: 04/1912020 Phone: 949-226-7130 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: IRVINE RANCH WATER & " No of Units : 1 Front: / SANITATION Bldg Height: 0 Left: / - Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $526.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $457.62 Additional Fee : $0.00 Plan check Fee : - $40.00 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: $24.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $36.82 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,086.44 Plan Check Fee: $497.62 Fee Due at Permit Issuance : $688.82 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: e=� ' P'UULIZ WORKS APPROVAL: . o . ` FPLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION A- I 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 ie 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 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, Iusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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: 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 covered by this permit, I nnot legal 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 7044 of the B ess an 'rofessions Code, is available upon requestwhen this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of D visio q�3,, o�f the Business and Pr fe ions jCo d m ice. is in full force end effect. License Class License No Date Contractor Signature i VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO :CST 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: ($100,000), IN ADDITION TO THE 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 jormance 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 an number number are: /�j ier \" _ 1 h 1 \ P nbet n it __ Expiration Date is of Agent S _5A� 1^ certify that, in the performance of the work if I should become �s[gbject to the work/ers' tature of Applicanty�� :reby affirm under penVp6dury that tty€re is construction lehdir ider's Name my signature belowaEertify to each of the following: I am the property owner or authorized to act on the property owner's I have read this application and the information I have provided is c I agree to comply with all applicable city and county ordinanc anc� I authorize representatives of this city or count4ente�e abov -1c 4, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '''y!!! Dates �A agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 3 to building construction. for inspection purposes. Print Property Ownei ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FI CATION TO*_.;;'• s e e s s �• e c e PERMITCANCELLED EPA • e ,: PERMITEXTENDED 0AQMD PERMIT FINAL ASBESTOS NOTIFICATION IS i�APPLI TO CERTIFICATEOF 7'Z"� t:p/�- P POSED DEM LITION es OCCUPANCYISSUED 7 •se SIGNATURE: % • see • e °°,. �