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Home My WebLink Aboutx2019-2606 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F 'Y Permit Counter Phone (949)644-3288 sY Inspection Requests Phone (949)644-3255. Combination Type - SFP. MECH ELEC PLUM COMB Permit: X2019-2606 III'I��I I� I' Project No: Issued Date : 0811912019 Inspection Area : 4 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: 4 WINDSOR NIB Description: SFR;REMODEL 2,200 SF (KITCHEN, BATHROOMS & REMOVEIREPLACE FLOORING IN LIVING RM & BEDROOM) j Legal Desc.: N TR 10151 LOT 12 Owner: KHORRAMSHAHI VAHID DAVE Contractor. ORION TILE &STONE Architect: Address: 4 WINDSOR Address: 363 WEST VALLEY BLVD Address: ball NEWPORT BEACH, CA 92660 RIALTO CA 92376 Phone: Phone: 714-772-2300 Phone: State Lic: Applicant: CHANT LEVON Lon State Lic:. 976426 Engineer: ^ Address: 363 WEST VALLEY BLVD .Lic Expire: 09/30/2020 Address: ` J RIALTO CA 92376 Bus Lic: BT30068646 Phone: 714-772-2300 Lic Exp Date: 0813112020 Phone: State Lic Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: PEERLESS IDEMENITY INS Address: Occupancy Group: R31U Policy No: WC1072753 Added /New sq.ft. Bldg: 0 Expire: 10108/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: CITY STD PLAN No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone:. X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $100,000.00 Building Permit Fee: $1,113.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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: $2.00 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: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PIW Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $77.91 San Dist: $0.00 Building Green Fee : $4.00 - Mechanical %: $44.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $100.17. $0.00 TOTAL FEE : $1,341.60 Plan Check Fee • : $0.00 .?UBLIC Fee Due at Permit Issuance : $1,341.60 PROCESSED BY: r- V "J- - WORKS APPROVAL: 10, ZONING APPROVAL: V\J F J PLAN CHECK BY: GRADING APPROVAL: o ' 01APFROVAL.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 applicatde 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 is 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 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, ',usiness 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 n roved 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). I 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 legall, 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.govicalaw,htm]. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions4f Chapt 9 (com,,[nen g with Section 70 ) o Divi 1 3 of the Business and Profe sio Code, and my nse is in full force nd effect. License Class License No �/ . T/ � Date l%�9o� Contractor Signature i-�. �L4.Q: n,G� 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erformance of the work for which this permit is issued. Policy No. III have and will ' tain workers' compens bn insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi Isurance carrier a p icy number a �arrier M.gh Expiration Date lame of Agent Phone # 11 certify that, in the performance of the work for w is 's pe issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Iat, if I should become s ject to the w Skers' isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , ^ / ignature of Applicant 'ECLARATION REGARDING CON ION LENDING ACIENCY hereby affirm under penalty ory that there is 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 ce y to each of the f owing: 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,,amd la lating to building construction. I authorize representatives of this city or county to to 1i property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam XaL ACTION DATE BY RATION OF OMPLI NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS ART BI OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBPArFrED ASBESTOS NOTIFIgJ1ON TTd :• �• • ••• PERMITCANCELLED EPA • • a PERMIT EXTENDED QMD PERMIT FINAL ASBESTOS NOTIFICATION 15 NO ICAB O CERTIFICATE OF �ZZ P OPOSED E LITI • • • ••• • OCCUPANCY ISSUED SIGNATURE: e • + s e n •s o e o 0 rum moo a o0 om eee e