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Home My WebLink AboutX2022-0595 - Permits„w. , „� City of Newport Beach - Building Division COMB Permit: X2022 �`1 100 Civic Center Drive, Newport Beach, CA 92660 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II X 2 0 2 2 0 5 9 5 Project No : 2155-2021 4 •: Ij Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 `� , „ �� Combination Type - BLDG PLUM , e ,try y- ®tom; �p O Issued Date : 0310112022 i� S g- j Inspection Area : 2 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: 205 VIA EBOLI NB Description: DEMO DETACHED STRUCTURE 770 SF Legal Desc.: Owner: NIJJAR SANJEET Contractor: BUILDING WORX INC Architect: LINSDAY BRANDON R = Address: 4900 SANTA ANITA AVE, STE 2C Address: 130 GLENDORA AVE Address: 151 KALMUS DR #G-1 EL MONTE, CA 91731 GLENDORA, CA 91741 COSTA MESA, CA 92627 Phone: Phone: 909-373-7461 Phone: 714-754-4040 State Lic:C035799 Applicant: FRIEHAUF GAVIN Address: 151 KALMUS DR #G-1 COSTA MESA, CA 92627 Phone: 714-754-4040 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $161.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $176.49 PROCESSED BY: ZONING APPROVAL: Con State Lic: 901795 Lic Expire: 0813112022 Bus Lic: BT30040115 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: INS COMPANY OF THE WEST Policy No: WVE505581500 Expire: 06/0112022 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 %: GRADING APPROVAL: Rear: I Front: / Left: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.49 Plan Check Fee 0 Engineer: HAKIM FADY Address: 124 PEONY IRVINE CA 92618 Phone: 310-422-1536 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N State Lic:C-075736 , Planning Department - Fire Department Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $176.49 PUBLIC WORKS APPROVAL: PLAN CHECK BY: S APPROVAL TO ISSUE: _ �0 p 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 :he 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 Iicensure 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 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 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 Iicensure 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 sfnucture 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 Codeis w,ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm 1. Signature of Prvper.y Owner or Authorized Agent Date _ICEN3ED CONTRACTOR'S DECLARATION I hereby affirm ul,dE. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 Di sion 3 of the Business and Pro sions e-en a f E^is in full force and effect. Licence -;lass License No Date 'ZZ Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNINGFAILURE TO SEC JRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUeIECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS I$1 D0,0001, IN ADDITION TO THE J(LLT OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LeruLy affirm under penalty of perjury one of the following declarations: I have and wit' ma'ntain 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 r,ienorrnknce of the work for which this permit is issued. Policy No. I have and wi1S ,nain:ain 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' compensatioi ihrdfaoce carrier and policy number are: Policy Number Date me of Agent -none � I certify 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 It, if I should become subject to the we 1ppansatien provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. / (nature of Applicant / / /JET Date1 Z Z :CLARATION REG RIDING CONSTRUCTION LENDING AGENCY ereby 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). nder's Name Lender's Address 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 col n to ente - ed r erty for inspection purposes. ,�� % — mature of Prooertv Owner or Authorized Agent - Print Property Owner's or Authorized Agent's NameY 1 ,re D r F 5� Date lt� 7, ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL S�7'Z AS TOS N IFICATION IS NOT APPLICABLE TO CERTIFICATE OF /%oz" P R 0 P 0 5 EDDE LITIO OCCUPANCYISSUED ? SIGNATURE: (/