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Home My WebLink AboutX2019-3671 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3671 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 6 7 1 Project No : 2367-2018 ` Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 11/18/2019 &reaw Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Cotystruction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2501 BUNYA ST NB Description: RAISE PLATE LINE, AND ADD NEW ROOF, REMOVE AND REPLACE NEW ROOF FRAMING (X2018-2985) Legal Desc.: N TR 4893 LOT 69 Owner: TARKESHIAN KOMRON Address: 2501 BUNYA ST Record Management: NEWPORT BEACH, CA 92660 Phone: $56.00 Applicant: LIGHT CHRISTIAN R Address: 1401 QUAIL ST#120 i NEWPORT BEACH CA 92660 Phone: 949-851-8345 Code Edit: 2016 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $20.000.00 Building Permit Fee: $392.00 Plan Check Fee: $341.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor: THE FALBO COMPANY Address: 5100 CAMPUS DRIVE #200 Engineer: NEWPORT BEACH CA 92660 Phone: 949.794-9534 Con State Lic: 811059 Lic Expire: 0713112020 Bus Lic: BT03042976 Lic Exp Date: 0313112020 Worker's Compensation Insurance Cartier: CALIFORNIA INS CO Policy No: 4601141101 Expire: 0910112020 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 %: Rear: 6 Front: 20 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 II TOTAL FEE : $830.04 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: -- a c � c oco c a oc oc` o00 Architect: LIGHT CHRISTIAN R Address: 1401 QUAIL ST #120 Phone: Special Conditions: Planning Department - NEWPORT BEACH CA 92660 Phone: 949-851-8345 State Lic:CO22334 Engineer: SKUDLARSKI JASON Address: 9751 OLYMPIC DR In -lieu Housing Fee HUNTINGTON BEACH CA 92646 Phone: 949-752-1612 State Lic:C-067712 Designer: PM Plan Check, Address: San Dist: Phone: Special Conditions: 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 PM Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $830.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: O APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $830.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: O 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) 'action 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr If o Co my license is in full force nd effect. License Class License No Date - l' Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: erfohave 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 the erfo ance of the work for which this permit is issued. Policy No. !I ve 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' compensatior nsu nce carrier and policy number are: tier �--� -- , - - Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the performance of th or 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 agree hat, if I should become subject e w s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicantcz�Datq�_-_-�I�-1 7ECLARATION REGARDING CONSTRUCTION LENDING AGENCY IIYY hereby 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). _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 ordina ate laws relating to building construction. I authorize representatives of this city or county ve-identified property for inspection purposes. ^ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NamAZlC`i' — Datet( Lei- lk_ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO •. •. ••• • �:• PERMITCANCELLED LIEPA • : ••� PERMIT EXTENDED LIAQMD • ' : • • • • • • •' PERMITFINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �� M� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: • • • •