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Home My WebLink AboutX2020-2181 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 (91 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM Ili iiiiiiiiiiii1ii II INSPECTOR COMB Permit: X2020-2181 Project No : 17554,020 Issued Date : 10102120, 0 Inspection Area :)K 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010312023 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 Holio ays Job Address: 3330 FOURTH AVE NB Description: SFR REMODEL 45 SF BATHROOM Legal Desc.: Owner: HARMON CAROL Contractor: IRAJ PARSA Architect: " Address: 3330 4TH AVE Address: 24602 SELVA ROAD A Address: > - NEWPORT BEACH CA 92625 DANA POINT, CA 92629 --1 Phone: Phone: 949-202-8223 Phone: State Lie: � Applicant: HORZAD KATNN Con State Lie: 1018274 Engineer: YAGHI SHUCRI I Address: 22971 TNTON WAY Lie Expire: 0913012022 Address: 112 E. CHAPMAN #D s LAGUNA HILLD CA 92653 Bus Lie: BT30067783 ORANGE CA 92866 Phone: 949-640-8797 Lie Exp Date: 06/3012021 Phone: 714-997-9120 State Lic:C-04320 3 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units, 1 Bldg Height: 0 Bldg Sprinklers: X Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $140.07 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 Building Green Fee: $1.00 TOTAL FEE: $382.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: BENCHMARK INS Policy No: CST5019852 Expire: 08/16/2021 Building Setbacks Rear: I Front: I Left: I Right: I 0 Designer: Address: Phone: Special Conditions: HIGH DENSITY AREA Fire Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant: $0.00 SJH Trans: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check: $0.00 Electrical %: $11.27 San Dist: $0.00 Mechanical %: $6.44 NMUSD Fee: $0.00 Plumbing %: $14.49 Plan Check Fee noon Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : S 382.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVALTOISSUE: 333 co �FovY4-1, OWNER-BUIt DERDECLARATION 1 hereby aRrm L; der 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) (Section 7031.5, BLr ness and Professions. Code: Any city or counlythat 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 z ,lned statement that he or she Is licensed pursuant to the provisions of the Contractors' Stale license Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) that he or she is exempt from ficensure 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 t ndred dollars($500). ❑ I, as owner of tt : 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 (Se 44 the i Business and. P roM a lions Code: The Contraclors' State License Law does not apPty to an owner of property who, through employees' or personal effort builds or improves the property, provided improvements ere r<.I intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wig have the burden of proving that H was not built or improved for the pu Nose of sale). ❑ I, as owner of tr - property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner c Droperly 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 fm , licensure under the Contractors' State License Law for the following reason: R 1 cannot legally By my sm nature be'_-.vI 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 t perm sell a do Yrx That have built as an owner-ouilder if it has not been constructed to Rs entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 the Business and Professions Code. available upon requestwhen this application is submitted or at the following Web site:http:// + .leginfo.ca.gwimlaw-html. Date SignatvT rf eq per Owner or Authorized. Agent LICENSED CUN- ZACTOR'S DECLARATION I hereby a`;n undo penalty of perjury that I am licensed under provisions of hapter 9 (commencing with SeCtto 0) of Division 3 of the Business and Pro ons; Code, an RCtm a is in full force and effec', Lixrse lass License No I fl�,`7T Dat Contractor Signature WORKERS' Col rIENSATI N DECLARATION ivpRNNG FAauRE TC WRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DO RS (SIMM), IN ADDITION TO THE bOSOF�MPFN IMC DAMAGES AS PROVIDED CDR W SECTION 37MOF THE LABOR CODE INTEREST, AND ATTORNErS FEES. I hereby zA.T-i dnde Denaky of perjury one of the following declarations: 1 have and will -.aintain a certificate of Consent to selfinsum for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the rosSmance of the I ah for which this permit is issued. Policy No. b1 .have and wilt r intain workers' Compensation in urance,.as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Canwr zn: policy number are: �T R �T / 21 tamer P-i 0 ter.. (i r1G � f'r'- Polcy Number Gs l %-y 1 a �2 Expiration Date D� �lO l ZO vane of Nalerrt Phone # :3I certify chat in +h, performanceof the rk f 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 agnm ha fi I should beCo Ic sJCiect to rkers' mpensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. CLAPATION RE' AADTMG CONSTREIUMN LENDING AGENCY ereby affirm undee penah of perjury that there is a Construction lending n}ers Name my signature bel. v, I certify to each of the following: I am the propFn o'A'rw_r or authorized to ad on the property ow rs b I have read Lhts ppncation and the information I have ➢rovi is oorr I agree to Comp, with all applicable city and Countyo ' ances and st I authorize repr& ee tives of this city or courj(ylb me Date for the performance of the work for which this permit is issued (Section 3097, Civil C Lenders Address laws relating to building construction. Kfiroperty for inspection purposes. 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