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Home My WebLink AboutX2021-0626 - PermitsCity of Newport Beach - Building Division *X2021-0626" COMB Permit: X2021-0626 gf 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0573-2021 Permit Counter Phone (949)644-3288 P1 Inspection Requests Phone (949)644-3255 g �'+ I hr••�' �--.r E p _TO Issued Date : 08/11/2021 Combination Type - BLDG ELEC € ;'1 fie} i L iii...11l Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811112024 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 NEW DETACHED CALIFORNIA ROOM 200 SF (UNCONDITIONED) " ^ Legal Desc.: N TR 1700 LOT 42 " Owner: PULLIAM TRACY& BRITTA Contractor: OWNERIBLDR 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:C008012 ..... " 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 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: Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added/New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units : 0 Front: 26 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $23,000.00 Building Permit Fee: $467.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $406.29 Additional Fee : $0.00 Plan check Fee : $0.00 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: $0.50 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 %: $32.69 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $907.48 Plan Check Fee : $406.29 Fee Due at Permit Issuance : $501.19 PROCESSED BY: PUBLIC WORKS APPROVAL: 1` A ZONING 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 item(s) 3ection 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 1e 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 U all of or (_) 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). as owner Gftl,e 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 n owner `property who builds or improves thereon, and who contracts foAe projects,4ith d,licensed Contractor pursuant to the Contractors' State License Law). ern exempt from Iicensure under the Contractors' State License Law forth Ilowing re�R�:ly my signature be'o.v I acknowledge that, except for my personal residence which I mu d for at least one year prior to completion of the improvements covered by this permit, I cannot legal ell a structure that have built as an owner -build rif it has not been cons cted in its e eed contractors. I understand that a copy of the applicable law, Sectio 7 44 of the Business and 'rofessions Code, is available upon request when application is s I d r at ing Web site:http://www.leginfo.ca.govlcalaw.htmi. / e� / lignar•ure of PmFcCy Cwner or Authorized Agent Date ( L! .IL;F.NSED CONTRACTOR'S DECLARATION herehy affirm ''rder o^.nalty of perjury that I am licensed under prow ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 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 TO THE DST OF COMPENSFT.ON, EAMAGES 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 th erformance of the work for which this permit is issued. Policy No. I 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' Lance carrier and policy number are: or / me of Agent certify that, in the performance of the work for ich this It. if I should becomesmbiect to the workers'r.� nsatio nature of Applicant -A- / TI CLARATION REGA DING CONSTRUCN LENDING AGE CY areby affirm under penalty of perjury thaKhere is a construction Iendin lder's Name Date eed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IDS g agency for the performance of the work for which this permit is issued (Section 3097, ivll Code). 3y my signature below, I certify to each of the following: 01 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 correc I agree to comply with all applicable city and county ordinances and to laws r building construction. I authorize representatives of this city or cou to enter the abo ntified o or inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owners or Authorized Ag ACTION DATE BY DECLARATI F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED I SUBMITTED ASBESTOS EPA f AQMD NOT Name z//