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Home My WebLink AboutX2019-2495 - Permits1• , City of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2495 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 4 9 5 Project No : 1781-2019 Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 ea44e, 'g Combination Type -SFP ELEC Issued Date : 08107/2019 9 Inspection Area : 8 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: 2924 CAROB ST NB Description: SFR- RIR 3 WINDOWS WI 3 WINDOWS & 1 SLIDER. ADD STRUCTURAL ELEMENT 150 SF Legal Desc.:. N TR 5018 LOT 112 Owner: IRANI SANDY Contractor: DOCTOR REMODEL Architect: - Address: 2924 CAROB ST Address: 27171 SOLEDAD Address: NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92691 Phone: Phone: 949-584-5919 Phone: State Lie: Applicant: ANGELL BILL Con State Lic: 406279 Engineer: CHEN EMILY HSIAO HAN Address: 27171 SOLEDAD Lie Expire: 03/31/2021 Address: 22629 LAKESIDE LN MISSION VIEJO CA 92691 Bus Lie: BT30034664 LAKE FOREST, CA 92630 Phone: 949-584-5919 Lie Exp Date: 03/31/2020 Phone: 310-617-9098 State Lie :C-073319 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: WC EXEMPT Address: Occupancy Group: R3IU Policy. No: (NO EMPLOYEES) Added Mew sq.ft. Bldg:- 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear, I - Special Conditions: No of Units : 1 ...Bldg Height: 0 Front: I Left: I TOP SPEC Bldg Sprinklers: Right: i Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $26,000.00 Building Permit Pee: $472.00 Excise Tax: $0.00 Planning Department- .Fire Department Plan Check Fee: $410.64 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: $2.00 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 WO Insp. Fee: $0.00 Park Dedication i $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $33.04 San Dist : $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $958.68 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $958.68 PROCESSED BY: PUBLIC WORKS APPROVAL: - e o eoo W ZONING APPROVAL; PLAN CHECK BY: GRADING APPROVAL: <'� <.�< cUo oco APPROVAL TO ISSUE: oo goo 0 o be oc oee 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 itgm(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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 n roved for the purpose of sale). 1, 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: Iy my signature below 1 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 Iegall� ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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://www.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 700 ) of Division 3 of the Business and Pofemie,and my Ii s full force nd effect. License Class License No Cat o Contractor Signatu�-* I/ORKERS' COMPENSATION DECLARATION 'ARNING: 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 DST 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: 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, erformance of the work for which this permit is issued. Policy No. 11 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' compensatior Isurance carrier and policy number are: arrier Policy Number Expiration Date am I F -Phone ]I cey that, in the performanc f the work for which this permit is su , I shall not employ any person in any manner so as to become subject to the workers' compensation laws: of California, and agre, tat, if become ub'ect to t e orkers' compensat provisio of action 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican. Date DECLARATION RE R ING CONSTRUCTION LENDING AGEWY hereby affirm under pena ty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Clvi ode). ender's Name Lender's Address 3y 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 and county ordma es and state WE n I authorize representatives of this city or county t - e ter th ve-identifi ro signature of Property Owner or Authorized A e , > .�_ ACTION DATE BY CLARATION OF COMPLIANCE REGULATIONS PART 61 OF TITLI to building construction. tr inspection purposes. AQMD RULE FOR OFFICE USE ONLY Date PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • • • •� • • . • • ••• • • PERMIT CANCELLED DEPA PERMITEXTENDED QMD PERMITFINAL �O 9 ii0 i BEST S NOT I TION IS NOT PPLICAB 0 CERTIFICATE OF ROPOSED E LI I N • • • • • • • • • + OCCUPANCYISSUED iV SIGNATUR _ • • • + • ?