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Home My WebLink AboutX2021-1469 - Permitswhr, City of NewportBeach- Building Division 'X2021-1469` a' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspeptio CorO`0in ion Type - SFP ELEC MECH PLUM 6 mate: it- S-zz- if applicable: COMB Permit: X2021-1469 Project No : 1284-2021 PERMITS) DIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS ,MtJSggF COMPfE�J�X 1 ��lO�Q2244 O P' ti#'as ucti Mon ida. 00III : t a fro ovOd 0 a* p�(�Job Address: 1 SHORED G NBDescription: SFRADDION F THE M OPP SF & EMOD€L 1250 SF Legal Desc.: .7 'r 6 whom: Owner: DOUK ROn �tR Contractor: ROMAN JAMES DESIGN BUILD INC Architect: Address: 1 SHORE, G a Address: NEWPOR -O T, 92657 p 25 Phone: n - -8 Phone: S 3` Applicant: WOOD BRN Con State Lie: 953964 Engineer: NARAGHI-ARANI KAM Address: 1401 QUAI ST Lie Expire: 10/31/2023 Address: 30423 CANWOOD ST ; I NEWPOR E H, CA 92660 Bus Lie: BT30034279 AGOURA HILLS CA 9 Phone: 714-803-i Code Edit Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Gare No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Construction -320 9 co ee Cxr4D io onsurance V- -SPR C ner: BENCHMAR R (work $tarts) o: CST5021441 irk 1434 Expire.)IN 0 2 Note: Building Setbacks Rear: 0 1 Front: 0 Left: 0 X �_nna oorkinn.Snaroe n Building Permit Fee: $4,574.00 Plan Check Fee: $3,552.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $112.00 Energy Compliance: $303.00 CA Seismic Safety`. $65.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $20.00 TOTAL FEE : $14,072.05 PROCESSED BY: ZONING APPROVAL: i c Phone o 818-t2 S Ei Address: 3 WILSHIRE BLVD work started)BEVERLY HILLS, CA t Phone: 310-295-2281 Special Conditions: IRWD Insp. initials:�A� Excise Tax: $0.00 Planning Department - Additional Fee : $291.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $237.00 In -lieu Housing Fee Grading PC Fee: $199.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $101.50 Electrical %: $320.18 San Dist: $0.00 Mechanical %: $182.96 NMUSD Fee: $2,638.56 Plumbing %: $411.66 Date: 11/01/2021 :tion Area : 6 or Holidays Fire Department $208.00 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 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $6,367.19 Fee Due at Permit Issuance : $$7,704.86 PUBLIC WORKS APPROVAL: , PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 c°000 • ° ° o ° 00 0 ew000 °°oo•o ° o I hereby affirm under}Oen' ,ction 7031.5, Busine�san permit to file a signeUstai �fessions Code) or tha( he more than five hundied d1 I, as owner of the propert, niness and Professions Cc ,rovements are not intende ,roved for the purpose of s I, as owner of the propert fly to an owner of property I am exempt from licensu my signature below I ackn a structure that I have bui fessions Code, is availabl, y of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have Profg5,sio s Code: n�v cl or that requires a permit to construct, alter, imprgqvv �[�j.QII� ggR[r any structure, prior to it: nenEdh r h fre rh 's S F}h r s' State L9 e L'LIkdW i1"9 (commencing with Secti she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit ars 500. ❑ 80°Jo or ❑ 100% refund or s wit(gles t ore a , w all of L) portions of the work, and the structure is not intend :: T rs' Sse e I an own p y whothrough employees' or personal effort, builds or or le. In r o i arttc t+e Owner -Builder will have the I a). am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The C ho oves jl,,@&d vyp its 9,ilir c Imo, Contractor pursuant to the Contractors' State Lice the I that, this application is submitted or at the Owner clAuthorized Agent_ ;ACTOR'S DECLARATION hereby affirm uq*r penalty nd effect.' License Class ,ARMING: FAILURE TO -SECURE W OJT OF COMPEIVATION, DAMAG 4WZby affirm url4r penalty 4 have and"If, maintain 'earmance of the work for v v(Tave and will mIntain v, isiipiapce carrierand policy r :MTIIQr • •• resid or east one year prior to completion of tI actors. I understand that a copy of the Web site:http://www.leginfo.ca.gov/calaw.html. COMPENSATIONhC�,Qy RA605 ThE�AND SHALL SUBJECT AN EMPLOYER TO CODE, INTEREST, AND ATTORNEY'S FEI OVIDEDCOMPS FOR IN 5��0'NAN �39 ry one of the following declarations: to self -insure for workers' compensation, issued by the Director of as reauired by Section 3700 of the Labor ced next to the applicable item(s) nuance, also requires the applicant for 7000) of Division 3 of the Business and bjects the applicant to a civil penalty of or offered for sale (Section 7044, :roves the property, provided that the den:of proving that it was not built or State License Law does not and 3u mess and Pr f s ns.>:pde and m lice is in full force lure UP TO ONE HUNDRED TH USAGE, DOLLARS I$100,0001, IN ADDITION TO THE 3700 of the Labor Code, for issued. My workers' certify that, W6% Qerformance 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 agree t,'li I should becoubject to the workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicam Catt CLARATION RE G CONS:MUCTION LENDING AGENCY - �� ereby 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). ider's Name Lender's Address 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 have provided is correct. I agree to comply with all applicable city andQQqqqp��unty ordinances and state laws relating to building construction. I authorize representatives of this city or col to ente th bgrue-identified property for inspection purposes. \ / y nature of ProDertv Owner or Authorized Aaen ��.� /L Print Property Owner's or Authorized Agent's Name x pi Dat 2 ACTION I DATE BY/ (DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED (.g_Zz DY�+I� EPA PERMIT EMENDED AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED SBEST 5 NOTIFICATION IS NOTA LICABLE TO ROPOSED E OLITION� SICNATIIRF: