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Home My WebLink AboutX2022-1759 - PermitsCity of Newport Beach - Building Division m 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM "X2022-1759' COMB Permit: X2022-1759 Project No : Issued Date: 06/24/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 415 FERNLEAF AVE NB Description: MFR BATHROOM REMODEL 88 SF "STOP WORK" (STANDARD PLAN) 44/0 Legal Desc.: CORONA DEL MAR BLK 332 LOT 15 Owner: LAZKANI NANCY Contractor: EURO DESIGN LLC Architect: Address: 415 FERNLEAF AVE Address: 39 ABILENE OR Address: CORONA DEL MAR CA 92625 TRABUCO CANYON CA 92679�� Phone: 818/384-1900 Phone: 9491677-8156 Phone: State Lic: Applicant: EURO DESIGN LLC Con State Lic: 1087129 Engineer: Address: 39 ABILENE DR Lic Expire: 02/29/2024 Address: TRABUCO CANYON CA 92679 Phone: 949/677-8156 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: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $! Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $161.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $547.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Bus Lic: ST30079092 Lic Exp Date: 06/30/2023 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / 'arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.27 $6.44 $14.49 Plan Check Fee Phone: Designer: Address: Phone: Special. Conditions: 0 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 00 Fire Department $62.00 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 Fee Due at Permit Issuance : $547.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: IoY APPROVAL TO ISSUE: owo• '�acoo o 000•• 0 0 • 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 U 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 legall) 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) of Division 3 of the Business and Professions C cense is in full force and effect. License Class License No Date 4 9 Contractor Signature WORKERS' OOMPfNSATION DECLARATION .... PING. 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 SU�j`OMPEN§.4j1fJ! DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Ilerelly affirm Crider penalty of perjury one of the following declarations: ® 1'h®ve and wilt 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 performance of & IyBQc for which this permit is issued. Policy No. • • •. 1112ve and wile 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' compensatiol RlsaFance carrier and policy number are: CIM Er .... Policy Number Expiration Date y that,-isA derformance 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 agre should bgecorp� subje -to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applitant: Date h.2cf/ z ti IATION REGA I STRUCTION LENDING AGENCY —� 1 affirm under perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Name Lender's Address my signature-low,-i-remty to each or the touowing: 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to nter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY % DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED M D PERMIT FINAL CERTIFICATE OF ,I ,.,� OCCUPANCYISSUED �I i SBESTOS NOTIFICATION IS NOT APPLICABLE TO OPOSE DE UTION� SIGNATUR Name (Z