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Home My WebLink AboutX2021-2174 - PermitsvA: City of.Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 i. Inspection Requests Phone (949)644-3255 - fi"r`�r•r�a '' -' Combination Type - SFP MECH ELEC PLU *X2021-2174* COMB Permit: X2021-2174 Project NO : 1880-2027 �� Issued Date : 11/0312 21 Ni_ Inspection Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110312024 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 Holidays Job Address: 612 IRIS AVE NB - or Description: SFR ADD 367 SF, REMODEL 750 SF, ROOF DECK 491 SF "AS -BUILT` Legal Desc.: CORONA DEL MAR BLK 636 LOT 14 Owner: IRCJ HOLDINGS LLC Contractor: Address: 2355 WESTWOOD BLVD #678 K L P M INC Architect: NOURANI SHAHAB ° Address: LOS ANGELES CA 90064 12188 CENTRAL AVE #269 Address: 2115 W CRESCENT AVE #261 ° Phone: CHINO CA 91710 ANAHEIM CA 92801 Phone: 949-246-2923 Phone: 424-365-2070 State Lic:CO26821 ...... °B°°°• Applicant: RAMIRIEZ ERNEST Con State Lic: 831751 Engineer: Address: 12403 CENTRAL AVE #378 Lic Expire: 02/28/2022 Address: CHINO CA 91710 c Bus Lic: BT30075810 • ° ° Phone: 949-246-2923 Lic Exp Date: 07/3112022 Phone: State Lic: .... ° • ° ° ' Code Edit, 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: NO EMPLOYEES Address: • a°oea Occupancy Group: R3/U Policy No: No employees °° ° ° o ° ° Added /New sq.ft. Bldg: 367 Expire: o ° ° Phone: °° ° • ° Added /New sq. ft. Garage: 0 • • No of Stories: 3 Building Setbacks No of Units : 1 Rear: 5 Special Conditions: • • ° ° ° • ° ° ° ° Bldg Height: 0 Front: 20 Bldg Sprinklers: Left: 3 Right: 3 Flood Zone: X Use Zone: Parkino Spaces: 0 Fire Hazard Zone : N Construction Valuation: $175,000 00 Building Permit Fee: $2,481.00 Excise Tax: Plan Check Fee: $1,983.11 $0.00 Planning Department - Fire Department Additional Fee : Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 $0.00 Plan check Fee : $208.00 Fire Inspection: $0.00 Investigation Fee: $2,481.00 Grading PC Consultant : $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Record Management: $48.00 Grading Permit Fee: Energy Compliance: $122.50 $237.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Grading PC Fee: CA Seismic Safety: $22.75 WQ Insp. Fee: $199.00 $0.00 Public Works Department - General Service $266.00 Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Hazardous Mat $0.00 Electrical %: $173.67 PAN Plan Check : $406.00 Grading Bond: $0.00 Building Green Fee : $7.00 Mechanical %: $99.24 San Dist: $1,015.00 NMUSD Fee: $0.00 Plumbing %: $223.29 $0.00 $0.00 TOTAL FEE : $10,562.56 Plan Check Fee : $2,313.61 Fee Due at Permit Issuance : $8,248.95 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: NO CONSTRUCTION Q K..Q APPROVAL TO ISSUE: 42- 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) iection 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 le 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 th€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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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: y my signature h•@1c :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 legally pit a structure that I hale 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 Irefeesiens Code. is aveilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. gnature of Property 6;tner or Authorized Agent D JCENSED CONTRACTOR'S DECLARATION hereL� affirm undgr Wnalty of perjuryam licensed under provisions of Crg wmencing with Section 0 ) of is n 3 of the Business and Profe an lic is in full fo[ce Tel effect. License Class License No � /'�� Date 3 / Contractor Signature, IORhERS' COMPENSATION DECLARATION hAfflIRG: fAILURE� QStVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND SAND DOLLARS ($100,000), IN ADDITION TO THE Q$T•QF•COMPENSAnO DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bsreby affirm under penalty of perjury one of the following declarations: .. • I have and Wi11nFlaimtain 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 Cade, for thi eFfer~ce of the work for which this permit is issued. Policy No. 1 h9Je and wRl'rM19iti;in 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' compensabor isurance carrier and policy number are: 7arrier Policy Number Expiration Date ne of Agent " "' certify that, in the pelforma ce the ork for ` h this pe it 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 t, y I should becomes jec to rkers' c pensati rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant) Dat /�/ 3 CLARATION REGA D CONSTRU ION LEND G AGENC f th t there is a construction I ding agency for the performance of the work for which this permit is issued (Section 3097, Civ I Code). ereby affirm under p na ty o perjury a 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 owners beh I have read this application and the information I hav pr Ided is C ect. I agree to comply with all applicable city n co my rdi nces tate la relating to building construction. I authorize representatives of this city or my the ab ide led propert or inspection purposes. (nature of ProDertv Owner or Authorized Age � � Print Property Owner's or Authorized Agent's Nam ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DZCLAR'ATION OF COMPLL REGULATIONS PART 61 OF EPA ASBESTOS WITH CODE OF FEDEF 40 AND AQMD RULE TO FOR OFFICE USE ONLY