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Home My WebLink AboutX2021-0388 - Permitsuwl.,�fi City of Newport Beach - Building Division *X2021 - d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 g•.. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJEF Construction Hours: Monday -Friday 7:00 a.m. to 6:30 porn. andsaaturda. Job Address: 1206 PEMBROKE LN NB Description: NEW SFRIGAR 3306/477 SF (ON EXISTING FOUNDATION) J Legal Desc.: N TR 3607 LOT 8 Owner: KALEM LLC Address: 2 GARDENIA IRVINE, CA 92620 Phone: Applicant: KARAASLAN ISAAC Address: 6 MONTREAL ALSO VIEJO CA 92656 Phone: 714-454-4305 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 3306 Added /New sq. ft. Garage: 477 No of Stories: 1 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Construction Valu\5,855.00 Building Permit FePlan Check Fee: Overtime Plan CkInvestigation Fee:Record Managem Energy Compliance: $3Q9,Q0 CA Seismic Safety : $82.3y2' Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $26.00 TOTAL FEE: $1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: J r AWLE Co`0YF 3857 BUR ST Plydne: 714-454-4305�r=' T BE OOMPLETW B to 6:00 N' Architect: Address: 92660 Phone: r Engineer: ANN MA Addi s: 541 W AME ULLERTON Ph 14-900-369i r.,a Excise $794.43 ems: Planning Additio e $O.l V Plan c ding ee: $ Fair g PC nsultant : $0. SJ a erm it Fee: .0 Ci� eu G di Fee: 46.5- P lic p. Fee : ,315�� Park Electrical% �. ,�4409.85Q� S D' Mechani '� $234.2n lumb $526. a2�__ /1 P n C P,�ohe: •e `J Special C ditio 27 COMB Permit: X2021-0388 Project No : 0381-2021 Issued Date : 0410812022 Inspection Area : 3 5 OR PERMIT WILL BE INVALID on Sundays or Holidays 3 / 0 Dep ment - W Fire Department T,�' hec ee : _ $520.00 Fire Inspection: b e : $0.00 Fire Plan Rev rans : $0.00 Demolition Fee Hou n a: $0.00 Building Dept Adm s partment- General Service ad tion : $0.00 Refund Deposit Check: $406.00 Grading Bond: $1,016.00 Fee: $3,126.16 4 71 —_ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,866.24 Fee Due at Permit Issuance : $13,826.18 PUBLIC WORKS APPROVAL: W Ny PLAN CHECK BY: 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 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 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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). I I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 legall, 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.html. signature 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 700 of Division 3 of the Business and Pro ons Co e, nd my lic ee is in full force nd effect. License Class License No Date �1Z'Znntractor Signature _ IIORKERS' COM,DFNSATION DECLARATION 'PPNW ' FAILURF Try 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 DST OF ;OMPENSATICN, DAMAGES 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 �%fon'oance of the woi,<for which this permit is issued. Policy No. and wi!' ma'.ntain 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' carrier and oulicy number are: Policy Number o` Agent Date certify that, ir, Ine ffarformance 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 if I should bucon.E suu ct to/tftg work sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant Date hereby 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). ender's Name Lender's Address y 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. I 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 er t ove-identified property for inspection purposes. ignature of Property Owner or Authorized Agent 2 a — s Print Property Owner's or Authorized Agent's Name _ //��}�:,�_ e�/�y�.-:/j/(.� Date PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF IREGULATIONS PPART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT AWfUCABLE TO