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Home My WebLink AboutX2022-0095 - Permits�p;'h rr14,a City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F # Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 c:�".11yp Combination Type - SFP MECH ELEC PLUM GRAD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0095 Project No : 0112-2022 Issued Date : 05/2012022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 03/24/2025 OR PE - - iLL BE i^".ALID 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 Su ys or Holi,� ays Job Address: 1942 GALAXY DR NB Description: SFR ADDITION 271 SF / REMODEL 976 SF Legal Desc.: N TR 4224 LOT 18 Owner: MOSHAYEDI MANOUCH Address: 255 W COAST HWY NEWPORT BEACH, CA 92663 Phone: Applicant: SAMSAMI ALI Address: 1401 QUAIL ST #120 NEWPORT BEACH CA 92660 Phone: 949-851-8345 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 271 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: X Contractor: TONY VALENTINE CONST INC Address: 567 SAN NICOLAS DR NEWPORT BEACH CA92660 Phone: 949-723-6449 Con State Lic: 467553 Lic Expire: 04/30/2024 Bus Lic: BT30071132 Lic Exp Date: 02/28/2023 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 07/01/2022 Building Setbacks Rear: 6 Front: 10 Left: 6 Right: 6 01 Architect: LIGHT CHRISTIAN R Address: 1401 QUAIL ST #120 Phone: NEWPORT BEACH CA 92660 949-851.8345 State Lic:CO22334 Engineer: SKUDLARSKI JASON JAMES 0 Address: 9751 OLMPIC DR -J Phone: HUNTINGTON BEACH CA 92646 714-496-6772 State Lic:C067712 Designer: Address: Phone: Special Conditions: Construction Valuation: $1.000.000.00 Building Permit Fee: $5,692.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $4,776.68 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $62.00 Grading Permit Fee: $237.00 In -lieu Housing Fee: Energy Compliance: $303.00 Grading PC Fee: $199.00 Public Works Department - CA Seismic Safety: $130.00 WQ Iri Fee: $152.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check : $507.50 Hazardous Mat $0.00 Electrical %: $398.44 San Dist: $0.00 Building Green Fee : $40.00 Mechanical %: $227.68 NMUSD Fee: $0.00 Plumbing %: $512.28 TOTAL FEE: $14,301.58 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: LANDSLIDE RISK Fire Department $208.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $5,287.68 Fee Due at Permit Issuance : $9,013.90 PUBLIC^WORMS APPROVAL: PLAN CHECK BY: APPROVAL 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 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 (_) 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-Builderwill 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Professions Code, ajnse is in full force 0 and effect. License Class License No Date 9 - 11 Contractor Signatures WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES 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 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: ❑ 1 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 pq rmance of the work for which this permit is issued. Policy No. 1 have and will maintain workers' ensation insurance, atrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol insurance carrier nd licy num r are: )arrier Expiration Date Jame of Agent Phone # :1I certify that, in the performance of the rk 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 hat, if I should become subj ct to the wor ' compensation provisio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >ignature of Applicant Date . �^ ZP — Zy )ECLARATION REGAR CONSTRU N LENDING AGENCY hereby affirm under perpity 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). -ender's Name Lender's Address 3y 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 t a er the abov = tifie erty for ins ion purposes. (1 r y I r signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMI D ASBESTOS NUTIFICPTION TO _ PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMITFINAL r I/I �L ASBESTOS 40TIFICATION IS NOT PPLICABLE TO CERTIFICATEOF PROPOSED D OUT N OCCUPANCY ISSUED SIGNATUR .