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Home My WebLink AboutX2019-1656 - Permits�wnovr City of Newport Beach - Building Division �4 ¢ 100 Civic Center Drive, Newport Beach, CA 92660 rh. Permit Counter Phone (949)644-3288 @ Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-1656 x 2 0 1 9 1 6 5 6 Project No: 1182-2019 Issued Date : 0811212019 Inspection Area : B 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: 663 VISTA BONITA NB Description: MFR ADD 147 SF (ENCLOSE (E) PATIO) & CREATE NEW BATHROOM 21 SF Legal Desc.: TR 5877 (L.L.84-214030) PAR 35 AND PAR 35G Owner: TALAYEH ESMAIL/SHAHROO Contractor: OWNERIBLDR Architect: ��I �V I Address: 7675 E DANIELLE CIR Address: TALAYEH ESMAIL Address: ANAHEIM CA 92808 Phone Applicant: PARSI SAM Address: 24257 SANTA CLARA AVE #9 DANA POINT CA 92629 Phone: 949-489-9392 Code Edit: 2016 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: 147 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $1,016.00 Plan Check Fee: $808.84 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $48.00 Energy Compliance: $56.00 CA Seismic Safety: $3.38 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $2,338.67 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing W Rear: I Front: I Left: I Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $71.12 $40.64 $91.44 Plan Check Fee Phone: State Lic Engineer: FARJADI ARASH Address: 3961 VIA MARISOL #209 LOS ANGELES CA 90042 Phone: 949-742-0148 State Lic:C-078579 Designer: PARSISAM Address: 24257 SANTA CLARA AVE #9 DANA POINT CA 92629 Phone: 949-489-9392 Special Conditions: OWNERIBLDR ATTACHED NO SETBACKS Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Zone: N Fire Department $160.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $940.49 Fee Due at Permit Issuance : $1,398.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: C ' O 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 items) 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 7006) 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 s-civil penalty of o}•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, Vustlless 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 nprobbbb,ements 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). 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except form 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 i as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and 'rofessions Code, is available upon request when thjd application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Prcperty Owner or Authorized Agent Date i- ( 2-_ 1 .ICENSED CON TRACTOR'S DECLARATI N hereby affirm under penalty of perjury that I amIlicensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, and my license is in full force nd effect. Licel,se Class License No Date Contractor Signature COMPENSATION DECLARATION : FAILURF 1 O SEGIRE 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 ^.OMPENSATION, VAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urder r'enalty of perjury one of the following declarations: have and w.li 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 )rmance of the work for which this permit is issued. Policy No. have and wil- main*ain 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' compensa rance carrier and policy number are: Policy Number of Agent Date :1I 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 tD the workers' co ensation laws of California, and agre iat, if I should become bje t to the workers' pensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date N IECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ivil 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 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 ydinances and state laws relating to building construction. I authorize representatives of this city or county to ter the above -identified property fo 'nspection purposes. �- j ` �y icnature of Prooertv Owner or Authorized ADent .t�/1 rint Pronertv Owner's or Authorized Anent's Name ��Yy011' �`� 1 L�_� 2 1°i D/t,,(2' �-\ ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY / DECLARATION OF WULATIONS PART061 OF IITLE 40 AN ACMD RULECE WITH CODE OF FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO