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Home My WebLink AboutX2022-0124 - PermitsCity of Newport Beach - Building Division *X2022-0124* 100 Civic Center Drive, NewportBeach, CA 92660 w. Permit Counter Phone (949)644-3288 • r Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2022-ulz'+ Project No: 0336-2020 Issued Date : 0112412022 Inspection Area: 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMP6: r p c r o„ work- -' - - 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: 6 POINT LOMA DR NB 00A PIL (STANDARD PLAN - FTG 3B) 1 1 �,e� Description: SFR BLOCK WALL V HIGH X 148 LF � Legal Desc.: N TR 7432 LOT 32 Architect:' Contractor: S401 EAKQUA CONL ST, ST 105 Address: -+o Owner: SADEGHI MOHSEN Address: 1401 QUAIL ST, STE 105; Address: 6 POINT LOMA DR NEWPORT BEACH CA 92660 State Lic: CORONA DEL MAR, CA 92625 Phone: Applicant: HASHEMI SHAMSEDDIN Address: 8PANDOIRVINE, CA 92604 Phone: 949-337-3279 Code Edit: 2019 Type of Construction: U Occupancy Group: 0 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: Bldg Sprinklers: Building Permit Fee: $280.00 Plan Check Fee: $243.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $ 0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 1 Building Green Fee: $1.00 Phone: 949-476-0501 Con State Lic: 553434 Lic Expire: 0113112023 Bus Lic: BT01083001 Lic Exp Date: 07/31/2022 Worker's Compensation E� Insurance SVC GRP Carrier: Policy No: 1 C 5840208 Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee. Electrical W Mechanical %: Plumbing %: Rear: 47142 Front: 6 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE • $578.60 Plan Check Fee PROCESSED BY: ZONING APPROVAL: nl(' h1 GRADING APPROVAL: Phone. Engineer: Address: Phone: Designer: Address: Phone: Special Conditions 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 State Lic: Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: bGY H SGYG Y o YAYY J c Y:Y $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $578.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: YCYYm a Bia®H Y S9Gii :9ewGY Y C p Y :JAYY• i OFA. . "'ICK-OUILDER 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 Section 70o file Business and Professions or she Any city or County that requires i permit to h construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant he permit to file a signed statement that he exempt she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division ir 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 b an a (s) of more than five hundred dollars ($500). PP t for I, as owner of the property, or my employees with wages as their sole compensation, will do y y applicant for a permit subjects the applicant to a civil penalty of usiness and Professions Code: The Contractors' State License Law does not apply 'Iprovements are not intended or offered for sale. If, however, the building or improvement is sold f Property one year of ug PP Y to an owner of property who, throng ions C tproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704, 'ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract, I am ex ,, 1. "ql licensure under the Contractors' State License Law for the following reason. llpStMY signat'ur lletow I acknowledge that, except for my personal residence in which I must have r ructure that I.have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 u d —esidefor at ofessions WCV 143vailable upon request when this application is submitted or at the following Web site:http://www.legi� Inature of Property Owner or Authorized Agent :EWSED CONTRACTOR'S DECLARATION =rpby affirria underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 r effect. a Clas Lic'bnss 2QKERS''(°NAPENSATION DECLARATION License No Date N1NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ii OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. teb'y affirm Lndel•Mnalty of perjury one of the following declarations: II. PP ve and w11 maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of lrmence of ttiep%for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the oe �ance carrier and policy number are: er f\ I ne of Agent �.R e b e7 certify that, in the performance of the work If I should become subject to the workers' iature of Annhcanr x Policy Number ucture is not intended or offered for sale ( eme work, andployees' orthe Persornal effort, builds Or improves the property, Sion protvidedOthat the )letion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not Pursuant to the Contractors' State License Law). ear prior to completion of the improvements coverred bI cannot leg y this permit, gy derstand that a copy of the applicable law, Sectio44 of the Business and 'o. ca. g ov/ca law. h t m I. n 70 he Business and Prc Contractor Signature is in full force CIVIL FINES UP TO ONE HUNDRED TNOUSAN LLARS ($100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' comoencai txplratlon Date this permit is issued, I shall not em to an Phone # P Y Y person in any manner so as to become subject to the workers' compensation laws of California, and ation provisions of Section 3700 of mthe Labor Code, I shall forthwith 'comply with those provisions. _C `��" "vn t- G AGENCY ide r, affirm under penalty of perjury that thew construction lending agency for the performance of the work for which Ider's Name my signature below I certify to eagh of the following. Lender's Address _— 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 provi d i correct. I agree to comply with all applicable city and county ordinance I state laws relating to building construction. I authorize representatives of this city or county to enter the abo - entified pro y for inspection purposes. iature of Property Owner or Authorized Agent�C 14.c VV I In LURE OF FEDEI 61 OF TITLE 40 AND AQMD RULE PtHMITFINAL 11) CERTIFICATEOF _lj �Z1 pti� ASBESTOS NOTIF.ICAQI IS NOTAPPLICABLE 70 OCCUPANCY ISSUED PROPOSED DEMOL IDNI Dater. (I /;, permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY