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Home My WebLink AboutX2021-0627 - Permitsuqc� �5„, City of Newport Beach - Building Division *X2021-0627' COMB Permit: X2021-0627 100 Civic Center Drive, New ort Beach, CA 92660p Project No : 0573-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 -g��g- Issued Date : 0811112021 Combination Type - SFP ELEC MECH PLUM a 3 g`u 4:t L..0 9 -1 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/11/2024 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: 1315 SANTANELLA TER NB Description: SFR DETACHED ACCESSORY DWELLING UNIT 367 SF +� Legal Desc.: N TR 1700 LOT 42 Owner: PULLIAM TRACY& BRITTA Contractor: OWNER/BLDR Architect: JEANNETTE BRION S ^ , Address: 1315 SANTANELLA TERR Address: PULLMAN TRACY Address: 470 OLD NEWPORT BLVD NEWPORT BEACH, CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-645-5854 Phone: 949-645-5854 State Lic:0008012 Applicant: LI WUN SZE Con State Lic: O/B Engineer: DEIHIMI AMIR HOSSEIN Address: 470 OLD NEWPORT BLVD Lic Expire: Address: 23172 PLAZA POINTE DR STE 145 NEWPORT BEACH, CA 92663 Bus Lic: LAGUNA HILLS CA 92653 0 - Phone: 949-645-5854 Lic Exp Date: Phone: 949-954-7244 State Lic:C-078194 - - Code Edit: 2019 Worker's Compensation Insurance Designer: , Type of Construction: V-B Carrier: Address: - - Occupancy Group: R3 Policy No: Added /New sq.ft. Bldg: 367 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: No of Units: 1 Front: 26 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $70,000.00 Building Permit Fee: $1,328.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $980.00 Additional Fee : ($1,627.70) Plan check Fee : $208.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $9.10 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 %: $92.96 San Dist : $0.00 Building Green Fee : $3.00 Mechanical %: $53.12 NMUSD Fee: $0.00 $0.00 Plumbing %: $119.52 $0.00 TOTAL FEE: $13166.00 Plan Check Fee: $1,163.00 Fee Due at Permit Issuance : $3.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: V 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 item(s) 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 ie 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 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 of mom 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, lusiness 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 roved for the purpose of sale). as owner Cf tl.e property, am exclusively contracting with licensed Contractors construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner c`. property who builds or improves thereon, and who contracts the pr is w' a licensed Contractor pursuant to the Contractors' State License Law). ' cn exempt licensure under the Contractors' State License Law for t followi Des ly my signature he!o'v I acknowledge that, except for my personal residen n whic ust a resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, .ill a structure that I have built as an owner -builder if it as not been co ructed i n' y by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofcesions Code, is available upon request when is pplication i itted a lowing Web site:http://www.leginfo.ca.gov/calaw.htmi. / z/ �ignalpre of Pm;CCy Cwner or Authorized Agent Da .IGF.NSED CONTRACTOR'S DECLARATIO herehy affirm 'Irder penalty of perjurythat I am licensed under pTovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURF TO PEC'IRE 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 TOT DST OF COMPENSATION, FAMAGES 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for erformance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation in ranee, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' urance carrier and policy number are: rrier Policv Zber® Expiration Date of Agent I certify that, in the performance of th�rz� for whvat�rovisions it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become su ct to the com of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xa mature of Applicant .r D�CLARATION REGA DI ONS UCTION LENDI G AGENCY areby affirm under penalty of p06y that there is a construction lending agenc for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name a Le er's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property /isrrect. alf. I have read this application and the information I have providI agree tD comply with all applicable city and county ordinans ating to building construction. I I authorize representatives of this city or cou',,+�,,//,'o enter t �fve-ide I d operty for inspection purposes. nature of Property Owner or Authorized Agent l //i Print Property Owner's or Authorized Agent's Name ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIF13 N TO EPA TO FOR OFFICE USE ONLY