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Home My WebLink AboutX2021-2615 - PermitsCity of Newport Beach - Building Division �N,• &r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD 1111111111111111111111111111111111111111111111111111JillCOMB Permit: X2021-2615 X 2 0 2 1 2 6 1 5 Project No : 2275-2021 Issued Date : 12/0812021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210812024 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 Jab Address: 19 VINCENNES NB Description: SFR ADD 162 SF, REMODEL BATHROOMS AND CLOSET 349 SF NEW DECK 118 SF AND COVERED PATIO 204 SF W/DRAINAGE Legal Desc.: N TR 15717 LOT 41 h a Owner: GRI LAND DEVELOPMENT Contractor: TABIKHA INCORPORATED Architect: TEKSTRA MICHAEL Address: 10877 WILSHIRE BLVD STE 1402 Address: PO BOX 123 Address: 23183 LA CADENA DR #101 LOS ANGELES, CA 90024 CORONA CA LAGUNA HILLS CA 92653 Phone: Phone: 951-454-8709 Phone: 949-586-1050 State Lic:CO25197 Applicant: TEKSTRA MICHAEL Con State Lic: 876807 Engineer: ITANI RIAD Address: 23103 LA CADENA DR #101 Lic Expire: 04/30/2022 Address: 2459 228 M STREET LAGUNA HILLS CA 92653 Bus Lic: BT30077422 TORRANCE CA 90501 Phone: 949-586-1050 Lic Exp Date: 12/31/2022 Phone: 310-897-2136 State Lic:C-055688 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: EXEMPT Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 162 Expire: Phone: - - Added /New sq. ft. Garage: 0 - No of Stories: 2 Building Setbacks Rear: 10 Special Conditions: IRWD No of Units : 1 Front: 10 Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: X Use Zane: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $75,000.00 ... Building Permit Fee: $1,760.00 Excise Tax: $0.00 Planning Department - Fire Department . .. Plan Check Fee: $1,107.45 Additional Fee : $0.00 Plan check Fee : $260.00 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 : $58.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $199.00 Public Works Department - General Service $0.00 CA Seismic Safety: $9.75 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 W $123.20 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $70.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $158.40 $0.00 TOTAL FEE: $4,047.20 PROCESSED BY: ZONING APPROVAL: Plan Check Fee : $1,438.20 Fee Due at Permit Issuance : $2,609.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 to 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 Iicensure 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 L) all of or L) 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). D I am exempt from Iicensure under the Contractors' State License Law for the following reason: Iy my signature below I 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 ell a structure that I have 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature 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 7000 of O'vision 3 of the Business and Profes�¢n� my license is in full force nd effect. License Class License No Date /2 Contractor Signature VORKERS' COINPFNSATION 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 33- Cr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unfler penalty of perjury one of the following declarations: I 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 the edormance of the A ck for which this permit is issued. Policy No. ho"e 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' rance carrier dnL policy number are: Policy Number of Agent Date er!J y that, inJth. p_rformance of the work for which this permit 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 - Should become subject tot compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applicant /Date,�Z2 /7 ; CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 behalf. I have read this application and the information I have provided is correct. I agree t0 comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coyAty to enter the bov -identified property for inspection purposes. ! / of DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF 2-23 OCCUPANCY ISSUED Print ProDertv Owner's or Authorized BECCARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO