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Home My WebLink AboutX2021-1588 - Permits04" City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-1588 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 1 5 a s Project NO : 1395-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255Combination T e - SFP ELEC MECH PLUM Issued Date : rea : 2021 YP Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY2g44a@i PERMIT WI BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to ' o work on Sundays or olidays Job Address: 1948 SANTIAGO DR NB Description: SFR INT KITCHEN REMODEL & FIR STUCCO AND SIDING, REMOVE UNPERMITTED, 1S7* E YARD (50 SF) ST a S I21-1725 Legal Desc.: N TR 4224 LOT 306 �, app"liI, 0 0{Un U Owner: MAN BAYSEDE DHR R SHAYEDI Address r 0 O CBLDR HAYEDI Add , sto% of 100 /0 r CORONA DEL MAR, CA 92 ATT Q Phone: Ph 1 �: Phone: ��Qm'. State Lic: ®ate: - w to Applicant: MANOUCHEHR MOSHAYED Con State Lc :'O/B T. _ sneer: Address: 2121 BAYSIDE OR Lic Expire °r Address: CORONA DEL MAR, CA 9262 Twi Bus Lic Phone: Lic Exp Date:"' QQe : State Lic: Code Edit:2019 -, Worker's Compensation Insurance ;,F erType of Construction: V-8 Carrier" s: Occupancy Group: R3/U Policw: No +' ;. Added /New sq.ft. Bldg: 0 xpir ` V' Phone: , Added /New sq. ft. Garage: 0 ,wa,�,� ' ° No of Stories. 2 uild Set Rear. 6 Special Cond$rons: No of Units : 1 Front. 20Bldg Bldg Sprinklers: klers: 0 Right: 6 _((�o W�iK $tart�di .. 8 rIa v Flood Zone: X U Zon 5 e : Fire zard Zone: N Construction Valuation: $40,000.00 Building Permit Fee: $679.00 cise f`fr fl��$H+b�rt2d� Planning Department- �yr a fP" Plan Check Fee: $590.73 ditio at Fee : \ $0.00 Plan cheek F' $46.25 �1l�F'�ire Ins $0.00 Overtime Plan Ck: $0.00 G ding Bonds Fee: $0.00 are : ev $0.00 Investigation Fee: $0.00 Or ing PC Consultant : $0.0 SJH Trans : Demolition Fee Record Management : $2.00 Gr in Fee: 0.00 In-' sing Fe $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Gra in�e: $0.00 ublic artment - General Service $0.00 CA Seismic Safety: $0.00 WQ nsp. Fee: r Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Elect at %: $47.53 San Dist: $0.00 Building Green Fee : $2.00 Mach /°: $27.16 NMUSD Fee: $0.00 $0.00 Plumbing %: $61.11 $0.00 TOTAL FEE : $1,455.78 Plan Check Fee : $636.98 Fee Due at Permit Issuance : $818.80 PROCESSED BY: h f PUBLIC WORKS APPROVAL: "'tiBi3 APPROVAL: Y V PLAN CHECK BY: DING APPROVAL: APPROVAL TO ISSUE: r 1 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 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 ine 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 Onalty 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 (_) all of or U 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 gimprovements 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 ro for the purpose of sale). s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Con ' tat y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Co ense Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in wh' I mu - r a least one year prior to completippn��of )he improvements coverIt, sell a structure that 1 have built as an owner -builder if it has not been n Ir y licensed contractors. I unders #d,�� ICON; applicable law, SectionProfessions Code, is available upon request when W Is subm d the wi eb site:http:// info.ca�o5l'd'alffw.html. Signature of Property Owner or Authorize gent O fefl�a o LICENSED CONTRACTOR'S DECL,RATION I hereby affirm under penalty of perjury th I am license�a ovlsions of Chapter 9 (commencing with Seehon'%OOaj of Division 3 of the Business and Professions Code and effect Lloense Class License No Date Contr ctor Signature WORKERS' COMPENSATION DECL RATION =,o yyyyyy��,,,,,,` t0 WY'or� ✓JARNIN : FAILUCE -0 SEURE WORKERS' COMPE ATIOtd COVERAGEfe UN L FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR COST OF COMPENSATION, DAMAGES AS PROVIDED R IN SECTION 3706' F TH ABOR CODE INTEREST,_AND ATTORNEY'S FEES I hereby affirm under penalty of perjury one of the following dlarations: _ too I NNW n I have and will mcintain a certificate of consent to self insure for workers' !,orertsation, issued by the Directonof Id..:. trial Relations as provided for by Section 3700 oe, Fnmlance of the work for which this permit is issued, Policy No. Scve and will maintain workers' compen bon insurance, as required by Section 3700 of the Later Cpdei�W411e Wormance of the work for which thispermit is Issued. insurance carrier and policy number are: a.r B- c` Agent, Ldrf-fy that, in the performance of the work fir which this .f I should vucon,e subject to the workers' mpe0satlu iature of Applicant A ►tV Heby affirm under penalty of perjury that there Ider's Name my signature below, I certify to each of the folk I am the property owner or authorized to act e I have read this application and the informatio I agree to comply with all applicable city and c I authorize representatives of this city or coun ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Number -'- " Date nit is issued, I shall not employ any. erson in any ann so� gesalInL�SuuDjecfto the workers' con . Ins of �$c 37r-g- of the Lager Code, I shall comply with thogg pL {�) .,a 4p,.11 Date_ In leda ( gansyv�m^th€p fformance of the work for which this permit is issued See Lender's Address Insq. 9nI is owner's beha ordinances OF COMPLIANCE WITH CODE OF FEDE1 PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO )S NOTIFICATION IS DEMOLITION FOR OFFICE USE ONLY :,License Law does not ts permit, I cannot legalh AI the Business and �- 4- Z `� 2 my_license is in full force i (61A0001, IN ADDITION TO THE .p f f'ff9, Labor Code, for th y'_workers' compensatiol Aq6alifornia, and agre fmf o