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Home My WebLink AboutX2020-1929 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-1929 (9) 100 Civic Center Drive, New ort Beach, CA 92660 X 2 0 2 0 1 9 2 9 p Project No : 1543-2020 Permit Counter Phone (949)fi44-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 10123/;020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012412023 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: 2720 PEBBLE DR NB Description: SFR -REMODEL KITCHEN, LAUNDRY, BATHS (4), DOOR & WINDOW CIO THROUGHOUT, DEMO WALLS 3919 SF '�� Legal Desc.: N TR 3660 LOT 44 Owner: SHOKRIAN MAHIN LUSHBAUGH WILLIAM Address: 2720 PEBBLE DR CORONA DEL MAR, CA 92625 Phone: 949-278-1187 Applicant: LUSHBAUGH WILLIAM Address: 17191 CITRON IRVINE, CA 92612 Phone: 949-584-2166 Code Edit : 2019 Type of Construction: VB Occupancy Group: R31U 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: Flood Zone: X 11 Construction Valuation: $40 Building Permit Fee: $3,037.00 Plan Check Fee: $2,642.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $280.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $16.00 TOTAL FEE: $8,000.59 19:uP1�.Y.9�r1-Yli ZONING APPROVAL: Contractor: AMERICAN DESIGN &CONSTRUCTION Architect: CT®{q Address: 4519 FIRESTONE BLVD STE B Address: 17191 CITRON SOUTH GATE, CA 90280 IRVINE, CA 92612 Phone: 323-567-0557 Phone: 949-584-2166 State Lic:CO24887 Con State Lic: 1066281 Engineer: JAMIL BASHAR S Lic Expire: Address: t� MRUCTION Bus Lic: BT3007331 BT30073311 Nr7'fj1%!kl/r$'� �Cb1�9NA�C��Bfl WORE! Lic Exp Date: 1013112021 Phone: 714-883-4124 State Lic:C-083129 - - Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: 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: 1 Front: / Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $212.59 $121.48 $273.33 Designer: Ad dress: ON SATURDAYS Phone: Special Conditions: 5 - 4 BEDROOMS 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee : $370.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Public Works Department - General Service Park Dedication : $0.00 Refund Deposit PAN Plan Check : $215.00 Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 f 00 16.50 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee: $2,922.19 Fee Due at Permit Issuance : $5,078.40 PUBLIC WORKS 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 im 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 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). LJ I 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:ltw .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty-Q{pep ury that I am lice sea under provisions of Ch pter 9 (commgncing with Se 'on 0) of Di ision 3 of,{hg Business and Pro 'ons and my license is in full force and effect. License Class 1� _ `l„-- �-r�z-� License No (i �a % `� f D �� - gntractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURr-C -CCJRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND LLARS ($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. h.s:cty affirm unda, 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 performance of the work for which this permit is issued. Policy No. have and wall 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' raPce carrier and policy number are: r of Agent rti,y that, in. the if I should becol9 Policy Number Date work 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions / 7nn�m I n— ZSO % G 2. U CLARAT19N.8.ECf5kDIN NS UCTION LENDING AGENCY U areby 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). Ides s Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county rdinances aws relating to building con tion. I authorize representatives of this ci or county to a above -identified property for inspection purpose . ff Signature of Property Owner or Aut Age - -- Print Property Owner' or Authon g 's Na 'I l0 a ACTION DATE j RY DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FORD ICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFIC4TEOF OCCUPANCY ISSUED NOTIFICATION TO t V�YvF V IS NOT APPLICABLE TO U41 City of NewportBeach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2020-1929 Project No : 1543-2020 Issued Date : 10/2312020 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012412023 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: 2720 PEBBLE DR NB Description: SFR -REMODEL KITCHEN, LAUNDRY, BATHS (4), DOOR & WINDOW CIO THROUGHOUT, DEMO WALLS 3919 SF INCLUDES SERVICE UPGRADE Legal Desc.: N TR 3660 LOT 44 Owner: SHOKRIAN MAHIN LUSHBAUGH WILLIAM Address: 2720 PEBBLE DR CORONA DEL MAR, CA 92625 Phone: 949-278-1187 Applicant: LUSHBAUGH WILLIAM Address: 17191 CITRON IRVINE, CA 92612 Phone: 949-584-2166 Code Edit Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers. Contractor: AMERICAN DESIGN & CONSTRUCTION Address: 4519 FIRESTONE BLVD STE B Address: SOUTH GATE, CA 90280 Phone: 323-567-0557 Phone: Con State Lic: 1066281 Lic Expire: 06/30/2022 Bus Lic: BT30073311 Lic Exp Date: 1013112021 2019 Workers Compensation Insurance VB Carrier: EXEMPT R3/U Policy No: 0 Expire: 0 Building Setbacks Rear: / Front: I Left: I Right: I Engineer: Address: Phone: Designer: Address: Phone: Architect 17191 CITRON IRVINE, CA 92612 949-584-2166 JAMIL BASHAR S 751 SHASTA DR CORONA CA 92881 714-883-4124 State Lic:CO24887 State Lic:C-083129 Special Conditions: 5 - 4 BEDROOMS HOW cone: A Use Lone: ParKing Spaces: 0 Fire Hazard Zone: N Construction Valuation: $400,000.00 Building Permit Fee: $3,037.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,642.19 Additional Fee : $0.00 Plan check Fee : $370.00 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: $24.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $280.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check: $215.00 Grading Bond: $0.00 Hazardous Mal $0.00 Electrical %: $212.59 San Dist: $0.00 Building Green Fee : $16.00 Mechanical %: $121.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $273.33 $0.00 TOTAL FEE : $8,000.59 Plan Check Fee : $8,000.59 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS 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). [11, 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). [11, 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). ❑ I 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.htmi. 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) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 I$100,0001, IN ADDITION TO THE COST 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 the Derformance of the work for which this permit is issued. Policy No. ❑1 have 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' compensatiol insurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Dale CLARATION REGARDING CONSTRUCTION LENDING AGENCY 3reby 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). lder'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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of PmnP.rtv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED PERMITFINAL y'� ^' UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF j7 sx-iI V PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: