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Home My WebLink AboutX2022-0993 - Permits#t�y� City of Newport Beach - Building Division .^. 100 Civic Center Drive, Newport Beach, CA 92660 5 ',r Permit Counter Phone (949)644-3288 a. Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIII111111IIIIII�IIIIIIIIIIIIIIIIIII111111I II COMB Permit: X2022-0993 Project No : 0582-2022 Issued Date: 04/1212022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/12/2025 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: 22 SHORERIDGE NB Description: DELTA 1 *ADDITIONAL SCOPE* (2) PILASTERS 8 (2) BLOCK WALLS 19 LF X 5' HIGH MAX INSIDE P/L Legal Desc.: Owner: WOODGRIFT RANDY Contractor: RM BUILDERS LLC Address: 22 SHORERIDGE Address: 2333 E COAST HWY, STE F NEWPORT COAST, CA 92657 CORONA DEL MAR CA 92625 Phone: 949-299-8021 Phone: 818-521-3651 Applicant: BASHIAN ROUBEN Con State Lic: 1067240 Address: 2333 E COAST HWY #F Lic Expire: 07131/2022 CORONA DEL MAR, CA 92625 Bus Lic: BT30073623 Phone: 818-521-3651 Lic Exp Date: 11130/2022 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: Carrier: STATE COMP INS FUND Occupancy Group: U Policy No: 9280240 Added /New sq.ft. Bldg: 0 Expire: 0711712022 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 0 No of Units : 0 Front: 1ot Bldg Height: 0 Left: 0 Bldg Sprinklers: Right c, Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 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: $354.07 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lic: Engineer: VALENZUELA MANUEL Address: 2398 SUNNINGDALE DR TUSTIN CA 92782 Phone: 714-389-9729 State Lic:C-081005 Designer: Address: Phone: Special Conditions: REV22-0619 Tn 1 �'J Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee: $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $192.07 Fee Due at Permit Issuance : $162.00 PUBLIC WORKS APPROVAL PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 is 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 of 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, lusiness 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). 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 cannot legall, 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 Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://W .leginfo.ca.gov/calaw.html. 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 7000)f DIis on 3 f the Business and Professions Code and my license is in full force nd effect. License Class License No D Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th viiLfprmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 . if I should become subiect to the-wB�rs'"bomoensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant D�/a? /''.Wd�oC 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 property owners behalf. �K I have read this application and the information I have provided incorrect. 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 enter t entified property for inspection purposes. v iionature of Prooertv Owner or Authorized Acent 1� / S Print Propertv Owner's or Authorized ADent's Name J[ [ ACTION DATE BY DECLARATION OF I1 REGULATIONS PARTOMPLIANCE WITH CODE OF I OF TITLE 40 AND AQMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMIT EXTENDED QM D PERMITFINAL �5�1L ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: