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Home My WebLink AboutX2019-3661 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 + Permit Counter Phone 949 644-3288 ( ) v Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3661 X 2 0 1 9 3 6 6 1 Project No : 2514-2019 Issued Date: 11/14/2019 Inspection Area : 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: 11 CRESTWOOD DR NB Description: SFR DETACHED STRUCTURE FOR FUTURE SOLAR PANELS Legal Desc.: INTR 9860 LOT 32 INSPECTOR Owner: ARESH TRUST Contractor: OWNERIBLDR Architect: LIGHT CHRISTIAN R Address: PO BOX 8595 Address: ZAAL ARESH Address: 1401 QUAIL ST #120 NEWPORT BEACH, CA 92658 NEWPORT BEACH CA 92660 Phone: Phone: Phone: 949-851-8345 State Lic:CO22334 Applicant: WOOD BRIAN Con State Lic: Ole Engineer: MOKHTAR TAREK Address: 1401 QUAIL ST #120 Lic Expire: Address: 31645 S COAST HWY NEWPORT BEACH, CA 92660 - Bus Lic: LAGUNA BEACH CA 92651 Phone: 949-851-8345 Lic Exp Date: Phone: 949-499-6254 State Lic:S-004189 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 , No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: OWNER/BLDR ATTACHED No of Units : 1 Front: 5' Bldg Height: 0 Left: 5' Bldg Sprinklers: Right: 5' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $48,000.00 Building Permit Fee: $724.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $629.88 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $18.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety, $6.24 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Band: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,420.12 Plan Check Fee : $669.88 Fee Due at Permit Issuance : $750.24 PROCESSED BY: PUBLIC WORKS APPROVAL: I ZONING APPROVAL: / V PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: l 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 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 6,alpenalty 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 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 d for the purpose of sale). 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 bpply'tv 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). U I am exempt from Iicensure under the Contractors' State License Law for the following reason: 8y my signature below I acknowledge that, except for m p 'rso sidence in which I must have resided for at least one year prior to completion of the improvements coveredby this permit, I cannot legal) sell a structure that I ha-e built as an owner -builder if i as no e n constructed in its used contractors. I understand that a copy of the applicable law, Section 044 of the Busin ss and Prnfscsinns Code is available upon request when thi appli ti is or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. 11 jj y Signature of Propelry Owner or Authorized Agent Date/ L l I l l LICENSED CONTRACTOR'S DECLARATIO I here] affirm under penalty of perjury that I am I' ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force anrt effnct. Licerisn C'srss License No Date Contractor Signature COMPENSATION DECLARATION IOC: FAILURE TO S:CURE 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 OF GOMPENSATIOw, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I hav3 and rIi'I m irtain 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 'ormance of the work for which this permit is issued. Policy No. :i-%a and wi:l 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' compensa Trance carrier and policy number are: rier Policy Number Expiration Date of Agent JI certify that, in the/nalty ante a 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 agree tat, if I should becomct t he ork compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of ApplicanDate IECLARATION REGCO UCTION LENDING AGENCY hereby affirm underof erj that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y 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.�S�y I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o inan s and a to building construction. //�/ 1� I authorize representatives of this city or county to ter a bove= of property for ins n purposes. / v'� / i ionnture of Pmnerty Owner or Authorized ADent Print Prooerty Owner's or Authorized Aoent's Name Date ACTION DATE BY / DEGYARATION 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 PERMIT CANCELLED OEPA PERMIT EXTENDED QMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED II-'► ZZ ^ D.ti �n BEST NOTIFIC TAPPLICABLE TO pROPO ED EMOLIT SIGNATU