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Home My WebLink AboutX2022-1038 - Permitswwtq,�; City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 p Permit Counter phone (949)644-3288 c;. Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM *X2022-1038* COMB Permit: X2022-1038 Project No : 0381-2021 Issued Date : 04/08/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410812025 OR PERMIT WIL BE INVALID 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 s-ays Job Address: 1206 PEMBROKE LN NB Description: DEMO SFR W/ATT GAR 1607 SF 3 BEDROOMS (CR & R TO HAUL DEBRIS) ? Legal Desc.: Owner: N TR 3607 LOT 8 KALEM LLC Contractor: AMPLE CONSTRUCTION Architect: Address: 2 GARDENIA Address: 3857 BURCH ST #333 Address: Je IRVINE, CA 92620 NEWPORT BEACH, CA 92660 Phone: Phone: 714-454-4305 Phone: State Lic: Applicant: KARAASLAN ISAAC Con State Lic: 957060 Engineer: MCCANN MAXWELL Address: 6 MONTREAL Lic Expire: 01/31/2023 Address: 1541 W AMERIGE AVE ALISO VIEJO CA 92656 Bus Lic: BT30057810 FULLERTON AVE CA 92833 Phone: 714-454-4305 Lic Exp Date: 0613012022 Phone: 714-803-6954 State Lic:C-077614 Code Edit: 2019 Worker's Compensation Insurance Designer: - Type of Construction: Carrier: BUSINESS ALLIANCE Address: „ Occupancy Group: R3/1.1 Policy No: G120328939113 -• Added /New sq.ft. Bldg: 0 Expire: 0911512022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HAULER RECEIPTS No of Units: 1 Front: / ATTACHED Bldg Height: 0 Left: / Bldg Sprinklers: Right: / ' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N - Construction Valuation: $15 000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee : $104.00 Fire Inspection: -• $0.08 , , , Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev .$0.20 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,444.98 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,444.98 PROCESSED BY: PUBLIC WORKS APPROVAL: 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 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 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 Iegalh 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) If D11 ision 3 of the Business and Profession nd my licence is in full force and effect. License Class License No Date / Contractor Signature =—G WORKERS' COMPENSATION DECLARATION —11 NARNING: FAILURE'. C LEZURE 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 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: U I have and wil' :n3: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 LeCarm-.nce of the work for which this permit is issued. Policy No. have and wii, r,a.ntain 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' compensatic, :range carrier a.id policy number are: Tier _ Policy Number Expiration Date TIP. d, Agent Phone # LE.tfy that, in the performance of the work for w ich 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 I, if I should becon* subje o tXe workrs' c eensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J , � nawre of AppJicar[t /O/ Date �U'I � CLARATIOFJ RE3A DING O TRUCTIO ENDING AGENCY :reby 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). Ider'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 coupty ordinances and state laws relating to building construction. I authorize representatives of this city or cou to ent ove-ide `ied property for inspection purposes. nature of Prooertv Owner or Authorized AD nt ..�� Print Property Owner's or Authorized Agent's Name ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF -COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SIGNATURE: TIO N TO NOTIFICATION IS NOTAPPLICABLE TO FOR OFFICE USE ONLY