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Home My WebLink AboutX2022-0861 - Permitsv, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0861 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 8 6 1 r Project No : 0790-2022 Permit Counter Phone (949)644-3288 U. Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date : 06/29/2022 Inspection Areay7/?r 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: 3121 W COAST HWY NB St: 1 Ft: 5 Unit: 5A - Description: MFR INTERIOR ALTERATION 1053 SF. CONV 47 SF OF INTERIOR SPACE TO BALCONY (STOP WORK) Legal Desc.: TR 919 LOT L ELYI/2 Owner: KURIAN DICKRAN Contractor: KPD BUILDERS INC Architect: d Address: 3121 COAST HWY W 95A Address: 16027 VENTURA BLVD #500 Address: � �/ NEWPORT BEACH CA 92663 ENCINO CA 91436 ®` Phone: 818/422-1280 Phone: 818-901-0100 Phone: •S�aI Cic: Applicant: KURIAN DICKRAN Con State Lie: 1051760 Engineer: e GHARAI AR 0P Address: 3121 COAST HWY W #5A Lie Expire: 03131/2023 Address: 6747 OD VE #204 NEWPORT BEACH CA 92663 Phone: 818/422-1280 Bus Lie: Lie Exp Date: BT30079133 06130/2023 Phone: VAN ® A 91406 t,S 61464 \� ®Z I'll Code Edit : 2019 Worker's Compensation Insurance Designer �` Type of Construction: V-B Carrier: STATE FUND Add ®-1V Occupancy Group: R21U Policy No: 9248907 Added/New sq.ft. Bldg: 0 Expire: 0411112023 Phone: _a Added /New sq. ft. Garage: 0 �O No of Stories: 8 Building Setbacks Rear: / Special Condition No of Units : 28 Front: I Bldg Height: 0 Left: I rn Bldg Sprinklers: N Right: I Flood Zone: Use Zone: Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $110,000.00 Building Permit Fee: $1,297.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,128.39 Additional Fee : $0.00 Plan check Fee : $52.00 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: $1,297.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee I Record Management: $26.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $77.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $181.58 San Dist: $0.00 Building Green Fee : $5.00 Mechanical %: $142.67 NMUSD Fee: $0.00 $0.00 Plumbing %: $116.73 $0.00 TOTAL FEE : $4,323.37 Plan Check Fee: $1,128.39 Fee Due at Permit Issuance : $3,194.98 •YB 4aa _ PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: MOB • w e• Q O G G PUBLIC WORKS APQRgVRL. ± • • . • ` ;� PLAN CHECK BY: APPROVAL TO ISSUB:•o "• o°Y -� , a a 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) ction 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 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 fessions 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 more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of tl lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through E nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor 1 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 y ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un, 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .legini signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7009)101 nd effect. License Class License No Date (\/ to COMPENSATION DECLARATION work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date Business and Professi ode, and y license is in full force ntractor Signature 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 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 ndustrial Relations as provided for by Section 3700 of the Labor Code, for th e ormance of the work for which this permit is issued. Policy No. ]I 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' compensatiol 1 rance carrier and policy number are: farrier Policy Number I Expiration Date lame of Agent Phone # 31 certify that, in the pertorma e o �thr ich thispermit is issued, shall not employ anypeany manner s as to become subject to the workers' compensation laws of California, and agretat, if I should becomes bject t eo pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �// signature of Applicant DatK — I��.1 f IECLARATION REGA ING C RUCT N LENDING AGE �" hereby affirm under penalty of perjury th here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's 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 pro erty owner's behalf. 1 have read this application and the information I hav pr ided is corre t. I agree to comply with all applicable city and county or ma)Ce5and,st a laws relating to building construction. I authorize representatives of this city or county�t9 ente tified property for inspection purposes. lianature of Property Owner or Authorized AgePrint Property Owner's or Authorized Agent's Name,X 8 A-N ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY 1403 PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO APPLICABLE TO FOR OFFICE USE ONLY