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Home My WebLink AboutX2022-0696 - Permits��"Pogl City of Newport Beach - Building Division 100 Civic Ce. 'er Drive; Newport Beach, CA 92660 �.. ;. Permit Counter Phone (949)644-3288 ,... C Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH IIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2022-0696 Project No: 0110-2021 Issued Date: 0410612022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410612025 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: 13 HARBOR ISLAND NB Description: DELTA 1 REVISION & ADD'L SCOPE: ADD (N) ELEVATOR Legal Desc.: TR 802 LOT 13 ALL-INC BET SAME & HIGH TIDE LINE - Owner: NEVELL MICHAEL Contractor: ZALAR HOMES Address: 13 HARBOR ISLAND Address: 8146 PAWTUCKET OR NEWPORT BEACH CA 92660 HUNTINGTON BEACH CA 92646 Phone: Phone: 714-853-9696 Applicant: ZALAR DOUG Con State Lic: 1071867 Address: 17785 SKY PARK CIR #G Lic Expire: 12/3112022 IRVINE, CA 92614 Bus Lic: BT30074051 Phone: 714-853-9696 Lic Exp Date: 01/31/2023 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: EXEMPT Occupancy Group: R3/U Policy No: no employees Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 11 Construction Valuation: $30.000.00 Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,160.82 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lic Engineer: DEIHIMI AMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 Phone: 949-954-7244 State Lic:C-078194 Designer: Address: Phone Special Conditions: REV22-0416 INcn-ECT0,11-1 Fire Hazard Zone : N S t" L Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire'lnspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical%: $39.13 San Dist: $0.00 Mechanical %: $22.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $538.33 Fee Due at Permit Issuance : $622.49 PU31LIC WORKS APPROVAL: PLAN CHECK BY: A APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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: By 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 sell 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 Professions Cade, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DIViSi0D 3 of the Business and Professions Code and y license is in full force and effect. License Class License No Date Contractor Signa{etfF WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 performance of the work for which this permit is issued. Policy No. 01 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' compensatioi insurance carrier and policy number are: Policy Number Date Tie of Agent vnone s rtify 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 to the workers' compensation laws of California, and ogre I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Cat ��'� CLARATION REGARDD11 13 CONSTf�FK_ 1 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 Lenders Address 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Pronertv Owner or Authorized AD Print Property Owner's or Authorized Agent's Name l�ii a.0 Date DATE I BY l/ iDECU�RATION OF REGULATIONS PART 610 TIIT E 40 AND CE WITH DDE OF AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATICNTO PERMIT CANCELLED UEPA PERMIT EXTENDED EIAQMD PERMITFINAL MASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION — — OCCUPANCYISSUED SIGNATURE: