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HomeMy WebLinkAboutX2020-1629 - PermitsCity of Newport Beach - Building Division *X20201629" COMB Permit: X2020-1629 H 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1274-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 t; uet' Combination Type - SFP ELEC MECH PLUM Issued Date: 09/1712020 0 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/18/2023 OR PERMIT WILL 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 Holidays Job Address: 17 TELESCOPE NB ���® Description: SFR EXT REMODEL OF FRONT ENTRANCE, NEW SKYLIGHT. INTERIOR REMODEL OF KIT/FAM RM, UTILITY, MASTER BR. 1199 SF Legal Desc.: Owner: REZAEI ALI Contractor: ALLIED ENG. & FIRE PROTECTION Architect: GUINA RICHARDO Address: 17 TELESCOPE Address: 4824 SURREY DR Address: 17985 SKY PARK CIR #G Hazardous Mat NEWPORT COAST CA 92657 Building Green Fee : CORONA DEL MAR, CA 92625 $0.00 IRVINE CA 92614 Phone: 949-244-9415 Phone: 714-932-4980 Phone: 714-486-3318 State Lic:C030161 Applicant: LOOK HANNA Con State Lie: 514420 Engineer: TRAN JOHN DINH e • • • • e Address: 17985 SKY PARK CIR STE G Lie Expire: 0713112021 Address: 11251 GARDEBAIRE LN .... IRVINE CA 92614 Bus Lie: BT30061907 GARDEN GROVE CA 92841 o m m Phone: 714-486-3318 Lie Exp Date: 01/37/2021 Phone: m • e 714-875-2356 State Lic:C•062663 •••• e Code Edit: 2019 Type of Construction: We Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $1,837.00 Plan Check Fee: $1,598.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $60.00 Energy Compliance: $140.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $4,865.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I Parkins Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $128.59 $73.48 $165.33 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: VHFHSZ Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share: Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD-Fee. $0:00 0 0 oom000 0 oem o m me 0 mm m c o00 0000 0 0 $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $1,075.93 Fee Due at Permit Issuance: $3,789.91 PUBLIC WORKS APPROVAL:` - PLAN CHECK BY: APPROVAL TO ISSUE: e meemm� m <, ommo0 0 00000 cooeoo 0 0 c u 00000u 0 0 0000 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 0 oom000 0 oem o m me 0 mm m c o00 0000 0 0 $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $1,075.93 Fee Due at Permit Issuance: $3,789.91 PUBLIC WORKS APPROVAL:` - PLAN CHECK BY: APPROVAL TO ISSUE: e meemm� m <, ommo0 0 00000 cooeoo 0 0 c u 00000u 0 0 0000 LDER DECLARATION I hereby 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) action 7 31. 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 perm to e 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 Ifession ode) 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 movements 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 (roved for thepurpose 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 )ly 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 licensure under the Contractors' State License Law for the following reason: 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, 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.htmi. nature of Property Owner or Authorized Agent Date )ENSED C9N1PR?jCTOR'S DECLARATION neby affirm unde►penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seco 70 0) of Division 3 of the Bu �'rss and Profe ons Code, and rrryy license is in full force i,9fett. Licerae Class License No D � Contractp>�Signature q�� )RKERS' COIM�E�ISATION DECLARATION /// WING.FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE rTbP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :Tblaffirm L"OPpp lhalty of perjury one of the following declarations: I have and will r$raintain 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 tb"gpce of VV*Work for which this permit is issued. Policy No. and will 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' carrier and policy number are: �.. : Policy Number Expiration Date ,ertify that, inW �erformance of the work for which this permit is issued if I should become subject to the workers' compepeatim-,Kovisions of S of not employ any person in any manner so as to become subject to the X700 of the Labor Code, I shall forthwith comply with those provisions. compensation laws of California, and CLARATION RETBARDING CONSTRUCTION LENDING AGENC F - Ireby affirm under penalty of perjury that there is a constru ending 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 ea5bjA4,Ier IMowing: 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,c�ounty ordinances and state-Ia I authorize representatives of this city or cgfinty t iienter the above-ideR(ifiec 3i nature of Property Owner or Ai ACTION I DATE PERMITCANCELLED PERMIT EXTENDED to building construction. Ir inspection purposes. Print Prooertv Owner's or Authorized WITH CODE OF FEDERAL 40 AND AQMD RULE 1403 — El I SUBMITTED ASBESTOS NOTIFICATION TO CERTIFICATEOF t�'.1�-2� D SGNAOTURE:E ITft/' n ^.9 kSBESTOSNOT)FICATION IS PP OCCUPANCYISSUED nn L` FOR OFFICE USE ONLY f } n b � L Zr \ rk , 0 �o j �\ l � � •� 7k/} ®U�- \ // M J R J ! f � c - 13 �E�s± , Go C4 }/f ) C: cd E L 2)2n °ek ' a , 0 2 �\ •� 7k/} ®U�- \ M ; R J ! f � c - � 2)2n °ek •� 7k/} ®U�- � )�§ f M K OIL M K o D N y o M W > N a w ■ O ■ O C0 O r;. 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