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Home My WebLink AboutX2017-1944 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-194 X 2 0 1 7 1 9 4 4 No 0794-2016 of G 100 Civic Center Drive, Newport Beach, CA 92660 Project : - t Permit Counter Phone (949)644-3288 F SPRINKLERS u a Inspection Requests Phone (949)644-3255 Issued Date : 06/1912017 Combination Type - BLDG ELEC MECH REQUIRED qy% 110Z Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday -Friday 7 00 a m u 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: 6 TIMOR SEA NB Description: SFR "CHANGE OF CONTRACTOR* ADD 352 SF ENLARGE FAMn " ^^'-- - L, AND ADD 409 SF SECOND FLOOR DECK Legal Desc.: If applicable: Owner: SUMA PROPERTY LIMITED Contractor: PRO BUILDERS EXPRESS INC Architect: $O% Or ❑ 00% refUr•d '. Address: 6 TIMOER SEA .7'tAlt9f£$� 8 WA81ITr RI®D "-, �"�^�■ ,. NEWPORT COAST CA 92657 -- ---- -- ._ - - State Lic Phone: .� Lic: �7� y to whom: -T.{761U-Enee�: AHMADI MANSOUR Applicant: NICOLES SMITH INTERIORS/ANDREA e Address: 2894 S COAST HWY Lic Expire: 06/3012019 Address: 303 BROADWAY ST #209 .v LAGUNA BEACH CA 92651 \ i80Yi95Y6 eee�.e ra s132 a !' ~GUNA BEACH CA 92651 ,M Phone: 97B-473-6313 _ `-9990 State Li¢C-076370 - ~ -� NICOLE �� Code Edit: 2013 ' V B SPR - I M& �AMITH ! �rva CO ess: 2894 S COAST HWY L±---- Type of Construction: - Occupancy Group: R31 U Policy No: WC1247869100 LAGUNA BEACH CA 92657 s a Added /New sq.ft. Bldg: 352 Expire: 01/2912018 Phone: 949-715-9500 Added /New sq. ft. Garage: 0 -,--�` No of Stories: 2 _ ! _ . _ Snec I C di RSi'iPK&LVky4HSF-% 1 0-1 y+1 _ 3J" No of Units : 1 4..i LliaFa '! i.a ■ Left: / ®� X2016-1229 a R Bldg Height: 0 Bldg Sprinklers: Y - (V'dCrtI4h5t9rt�d) (no work started) t Flood Zone: X Use Zone: Parkin Sp aces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: Plan Check Fee: $0.00 Additional Fee: anning epa men - ire epa men $33.00 Plan check Fee : $0.00 sFl�'je q $0.0 InPIF'PI�f�• -reiPoiffir� -$9.68 $0.0 Overtime Plan Ck: $0.00 Grading Bonds- Pas. :2== �n en Investigation Fee: $0.00 Grading PC-CoilsuAaaU Record Management: $0.00 Grading Permit Fee: SAA so ^ u T_" - $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $111.06 Public Works Department- General Service $0.00 $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : PAN Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing N: $0,00 TOTAL FEE : $33.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00 / `PU3LIC WORKS APPROVAL: PROCESSED BY: - - . ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ,_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law-,(pr29 eWp(U icated 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 requi s�"qerit�eonr_oY4teirm�pdrnolish, 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 I�'7s"tifth�'�on ra [ors ta7reTicense 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 alleg •AffjryT[bI n 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 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 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). ❑ 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 legall: 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/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of jury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of Division 3 he Business and Prof sions de license is in full force and effect. License Class License No `-i �� 6 o Date Contractor Signatur iNORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CNIL FINES UP TO ONE HUNDRED THOUSAND 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. 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 th f6rmance of the work for which this permit is issued. Policy No. have and ill m Intain 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 trance came and�olicy numb re: Tier C u r Expiration Date _��2/ I IC me of Ag Phone # Tom^ certify that, in the perfo ante o 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 t, if I should become subj t to the kers' corrQnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dates F: CLARATION REGAADING COkNTRUCTION LENDING AGENCY / areby affirm under penalty of perjuty that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Ider'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 unty o nces.and st a aws relating to building construction. I authorize representatives of this city or county a ter th - ied property for inspection purposes. Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL- FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND A( RULE PERMIT EXPIRED _ _ _ LI I SUBMITTED ASBESTOS NOTIFICATICN TC PERMIT CANCELLED DEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTO NOTIFICAT NOTA LICABLE TO CERTIFICATE OF 53�—ZZ. PR POSED E ITIO I OCCUPANCY ISSUED Ur NGTI IRF• i �/