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Home My WebLink AboutX2019-3596 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3286 } _.. Inspection Requests Phone (949)644-3255 r-+z,rra> Combination Type - MFP it iiiiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 6i9 II COMB Permit: X2019-3 Project No: 2467-2019 Issued Date : 11/20/2019 Inspection Area : 5 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: 617 FERNLEAF AVE NB Description: MMFR -ADD SLIDING DOOR SYSTEM IN MSTR BDRM & LIVING ROOM & ADD JULIET BALCONY 6 SF � q � "0 Legal Desc.: CORONA DEL MAR TRACT BILK 532 PORS. OF LOTS 17 & 19 OF PROJECT 934-61 1�F ALA_ Owner: AIRTH BRIAN Contractor: OWNERIBLDR Architect: AHHr.=�- 517 FERNLEAF AVE AddreasTONYA NICHOLSON Address: CORONA DEL MAR, CA 92625 Phone Applicant: SULEIMANI BOB Address: 2178 CANYON DR COSTA MESA CA 92627 Phone: 818-481-9524 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $424.00 Plan Check Fee: $368.88 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE PROCESSED BY: ZONING APPROVAL: Phone Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: I Use Zone: Parkina Boa Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Pembina%: $0.00 Phone: State Lie: ' Engineer: CHRISTIANSEN SCOTT Address: 1003 WILSHIRE BLVD 202 , SANTA MONICA CA 90401 Phone: 310-395-7641 NOsOMSTRUOTION 14. Designer: ' Address: Phone ON THE WEEKE� Special Conditions: NOISE REDUCTION ZONE , AUTH ATTACHED „ 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 88 I Plan Check Fee: $229.68 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 1 APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $608.20 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 L) 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 imp ved 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 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 legal) 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 cvailable upon request whgnn thi�a? submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. „Signature of Property Owner or Authorized Agent- Dat i0 'LICENSED GUN f;ACTOR'S DECLARATIO 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 affect. License Class License No Date Contractor Signature IWIORKERS' COICIP'FNSATION DECLARATION 1WAWIING: 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 COST OF COMPENSA'rION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm uhaer penalty of perjury one of the following declarations: nl. Fate 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 oer,ormance ofA.e reor'c for which this petmitis issued. Policy No. I kav 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' compensatio ingvm.nce carrier anJ oilicy number are: arrier Policy Number Expiration Date Na of Agent Phone # I ce ify 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 agre that, I should become ss le�2E7�t�o/We workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IgnatureofApplicant N I V — / �,l Dat �� oiD DECLARATION REGA DWO CONSTRUCTION LENDING AGENCY I 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 laws relating to building construction. I authorize representatives of this city or county to ante identified property for inspection purposes. above- Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name Date ACTION DATE TREGULATIONS OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY S PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED PERMITFINAL .2 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF EM ONOCCUPANCYISSUED