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Home My WebLink AboutX2019-3298 - Permits,�glvrray City of Newport Beach - Building Division o+ 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 ii +p Inspection Requests Phone (949)644-3255 r'�4JlOYp�s Combination Type - SFP ELEC PLUM 1111111111111111111111111111111111111111111111111 COMB Permit: X2019-3298 X 2 8 1 9 3 2 9 8 Project No : 2290-2019 Issued Date : 1011712019 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 36 VIA RUBINO NB Description: Legal Desc.: SFR KITCHENIMASTER BATHROOM REMODEL AND REPLACE EXISTING INTERIOR FIREPLACE N TR 15079 LOT 24 300 SF I �� Owner: MALKAMI SAMAN Contractor: WYSS GROUP Architect: Address: 36 VIA RUBINO Address: 196 TECHNOLOGY DR #J Address: , ' ' ' • ' NEWPORT BEACH, CA 92657 IRVINE CA 92618 - Phone: Phone: 949-325-5515 Phone: State Lic: Applicant: WYSS GROUP Con State Lie: 1015500 Engineer: Address: 196 TECHNOLOGY DR #J Lie Expire: 06130/2020 Address: ; IRVINE CA 92618 Bus Lie, BT30059571 Phone: 949.325-5515 Lie Exp Date: 06/30/2020 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: ULLMAN TOBIAS • ' ' ' Type of Construction: V-B Carrier: STATE COMP Address: 196 TECHNOLOGY DR STE J Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $60 Building Permit Fee: $833.00 Plan Check Fee: $724.71 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,741.99 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Policy No: 9209391 Expire: 0412712020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: I 0 IRVINE, CA 92618 Phone: 949-350-6758 , Special Conditions: LANDSLIDE AREA $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM/ Plan Check : $0.00 Grading Bond: $0.00 $58.31 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $74.97 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,741.99 PUBLIC WORKS APPROVAL: _ _ PLAN CHECK BY: APPROVAL TO ISSUE:�i 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 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 (_) all of or `) 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 Im roved 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature hPlnw', 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 cell 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 Orofess�ons Coco, it available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Pro^Pny Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Divi ion 3 of the Business and/DRED sions Code; and my license is in full force and erfect. Liccr.33 -!ass License No Date 13 Q I Contractor Sign WORKERS' COMPENSATION DECLARATION WARNINi: FAILUnE -.O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUHOUSAND DOLLARS ($100,000), IN ADDITION TO THE GCST 3F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I he;Lty affirm under penalty of perjury one of the following declarations: ❑ 1 have and ME T.aintam 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 pe nnance of the work for which this permit is issued. Policy No. y..thave 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' compensatiol Jn' sur�nce carrier and policy number are: Policy Number of Agent Date 3[ certify that, in the pert ante of the wok for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agree rat, if I should become s ject tD the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q ignature of Applicant Date i0 l l7' 1 1 IECLARATION REG DING 'CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). ender's Name Lender's Address ly 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 he provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. / I authorize representatives of this city or county to nter the above-identjied property for inspection purposes. / II I lOnature of Pronertv Owner or Authorized Agent Print Property Owner's or Authorized Aqent's Nam Rof`j k S C; /at, l ACTION DATE BY / DECLARATFON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QM D PERMITFINAL prW 5BEST05 TIFICATION IS NOTAPPyICABLE. TO CERTIFICATE OF PROP SEDD OLITION OCCUPANCY ISSUED O A RE• :: `� /.-