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Home My WebLink AboutX2021-2244 - Permits�,$arrkT City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2244 ;4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 2 4 4 Project No : 0085-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 � t Combination Type - BLDG PLUM Issued Date : Inspection Arearea :2021 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812412024 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: 20171 BAY VIEW AVE NB Description: DEMO SFR & GARAGE. 1162 SF. 3 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 1507 LOT 9 Owner: FARAH FARZIN & FARHAD Contractor: OWNER/BLDR Architect: Address: 3366 FUCHSIA ST Address: FARZIN FARAH Address: COSTA MESA, CA 92626 Phone: Phone: 714-791-9200 Phone: State Lic: Applicant: FARAH FARHAD Con State Lic: O/B Engineer: Address: 20171 BAY VIEW AVE Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 714-791-9200 Lic Exp Date: Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: GREENLEAF No of Units : 1 Front: / TO HAUL DEBRIS Bldg Height: 0 Left: / Bldg Sprinklers: Flood Zone: Use Zone: Right: / Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $21 000.00 q� 1 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire D$dat Plan Check Fee: $0.00 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 $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 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 : $2,137.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,137.00 PROCESSED BY: PUB,IG WOFKS APPROVAL: ZONING APPROVAL: AL ' 9 'd' \ PLAN CHECK BY: GRADING APPROVAL: ;.NF'ROJ4L i0 ISSUE: :- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 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 L) 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 ap 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). Vy I m exempt from licensure under the Contractors' State License Law for the following reason: 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 Code, is available upon request when nk4ed-eFat-the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Aga l A22 LICENSED CONTRACTOR'S DECLARAT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature RS' COMPENSATION DECLARATION ARMING: 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 OST OF COMPENSATION, 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 the erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # Y]I ertify 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 agree if I should become sub ec the workers zcoom ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant .'s Date DECLARATION REGA RUCTION LENDING AGENCY 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). Lender's Name Lender's Address By 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 Jaws relating to building construction. I authorize representatives of this city or county t r the above-i paapprty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date Z� ACTION DATE BY DECLA A ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBf 11TfEC ASBESTOS NOTIFICATION TO ° PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF 7 Qq OI LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DES,PTIG'N'.-�- OCCUPANCY ISSUED 161 I/I ///""" SIGNATURE-V T1J- I"ro I//_ . Ln rn CO ir CO ra ru O 0 O O O ra ..M ru I. ri 4 M1 L .S. Postal Service'" ERTIFIED MAIL° RECEIPT mestic Mail Only . .e.ry information, visit our website at www„��_ a r-nrct�r.�.:�..-_ ___ Q q rLl CO O O O O CO fL ru 0" ri O M1