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Home My WebLink AboutX2021-2816 - Permitsa�µ'raT City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Reouests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM 111vil111111111111111111111111111111111111111111 COMB Permit: X2021-2816 x 2 9 2 1 2 8 1 6 Project No : 2452-2021 Issued Date Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 320 EVENING CANYON RD NB Description: SFR NEW ELEVATOR, REMODEL (2) BATHROOMS, REPLACE SKYLIGHT AND REMOVE WINDOW 320 SF Legal Desc.: N TR 1116 LOT 67 yy � s [��i�' YAGHI SHUCRI I 112 E. CHAPMAN #D ORANGE CA 92866 Phone: 949-633-2505 Lic Exp Date: 01/31/2022 Phone: 714-997-9120 State Lic:C-043205 Code Edit : 2019 Worker's Compensation Insurance Designer: BEST CARL RAJ Type of Construction: V-B Carrier: STATE FUND Address: 320 EVENING CANYON Occupancy Group: R3/U Policy No: 1567497 NEWPORT NBEACH CA 92625 Added /New sq.ft. Bldg: 0 Expire: 10/01/2022 Phone: 916-633-2505 Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: � Phone: 916-765-6437 Phone: 949-633-2505 Phone: State Lic: IRVINE, CA 92604 Bus Lic: BT30073849 Construction Valuation: $62,000.00 Building Permit Fee: $905.00 Plan Check Fee: $787.35 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,995.10 PROCESSED BY: ZONING APPROVAL: Building Setbacks 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: / �arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $63.35 $36.20 $81.45 Plan Check Fee Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $787.35 Fee Due at Permit Issuance : $1,207.75 :'JBL.0 WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPR04AL 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 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 ON"Nion 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 L) 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 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 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). ❑ I 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 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 this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html. Signature of Property Owner or Authorized Agent QaW LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sections n0jthe Business and ProfesFJbnJC y I n ii tfajhforce and effect. License Class License No Date Contractor 2T'HOUSAND WORKERS' COMPENSATION DECLARATION WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,AND SHALLSUBJECTAN EMPLOYERTO CRIMINAL PENALTIESAND CIVILFINES UP TO ONE HUNDR DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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, forth pert mance of the work for which this permit is issued. Policy No. I have and will a tain workers' a+1 nsation insurance, a equired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol msurance carrier a p icy number re: y Carrier Expiration Dale �D -2— Name of Agent r Phone # ❑I certify that, in the performa of the or for which this permi 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 that, if I should become su c to h w r ////��o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j /r/1 ,�j Sig nature of Applicant'L� /r l�_�" '� I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 3097, Civil Code). .ender's Name Lenders Address iy 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 providecLis correct. I agree to comply with all applicable city and county ordina c and sta aws relating to building construction. I authorize representatives of this city or county to r t e 4 a t1 fo inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized A ent's Name I J� r to ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY L,TIONS PART 1101 TITLE 40 AND AQMD RULE 1403 \ _ PERMITEXPIRED ISUBM ED ASBESTCS NOTfICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED _ QM PERMITFINAL ASBESTOS NOTIF AT N IS NOT APPLICABLE TO CERTIFICATE OF PR OS�E�LL �D/v�''�' OLI ON I OCCUPANCYISSUED SIGNATV4 I _