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Home My WebLink AboutX2022-0322 - PermitsCity of Newport Beach - Building Division `X2022-0322` COMB Permit: X2022-0322 a� 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2275-2020 Permit Counter Phone(949)644-3288 rJ fi Inspection Requests Phone (949)644-3255 ' g �"� Issued Date : 0311012022 Combination Type - SFP y i 1 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311012025 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: 26 TIDAL SURF NB Description: SFR *ADDITIONAL SCOPE* REMOVE/REPLACE 1ST FLOOR DECK 218 SF Legal Desc.: TRACT NO 14859 LOT 47 AND POR LOT 46 Owner: BAGHERI ALI Contractor: RM BUILDERS LLC Address: 5 HOLLAND STE 201 Address: 2333 E COAST HWY, STE F IRVINE, CA 92618 CORONA DEL MAR CA 92625 Phone: 949-394-2737 Phone: 818-521.3651 Applicant: LOOK HANNA Con State Lic: 1067240 Address: 17985 SKY PARK CIR STE G Lic Expire: 07/31/2022 IRVINE CA 92614 Bus Lic: BT30073623 Phone: 714-486-3318 Lic Exp Date: 1113012022 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U 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: Flood Zone: X Valuation: $10 000.00 Building Permit Fee: $389.00 Plan Check Fee: $267.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.0c Hazardous Mat $0.00 Building Green Fee : $1.0t TOTAL FEE: $733.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9280240 Expire: 07/1712022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: GUINA RICHARDO Address: 17985 SKY PARK CIR #G IRVINE CA 92614 , Phone: 714-486-3318 State Lic:C030161 Engineer: TRAN JOHN DINH Address: 11251 GARDEBAIRE LN GARDEN GROVE CA 92841 Phone: 714-815-2356 State Lic:C-062653 Designer: Address: Phone: Special Conditions: REV22.0199 FIRE HAZ SEVERITY ZONE FUEL MOD/SPCL PROT AREA Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $319.00 Fire Department $52.00 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 Fee Due at Permit Issuance : $414.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ER 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 Se �tion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). f LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( ❑ 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 or sell a structure tk.a;' 'rave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I °rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le 3iongtu,a of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION ,Iereov affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 and 3"ect. License Class License No Date, 1*34 IVORXERS' COYPCNSATION DECLARATION VARNII.G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEA ;OST OF COMPENSA, IUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hPrehy affirm ui,Ler penalty of perjury one of the following declarations: 1 I.a✓e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director rIe rm3nce of tne'vork for which this permit is issued. Policy No. ndve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the ,,sa,ance carrior ars policy number are: :arrier Policy Number Jame of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any if I should become subje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall iature of Aoolicant hereby affirm under penalty of perjury that there is an ing agency for the performance of the work for ender's Name Lender's Address y 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 tA enter the above -identified property for inspection purposes. ignature of Property Owner or Authorized Agent. n Print Prooertv Owner's DATE BY I REGULA�TIONNS PART 61 OF TITLE 40 ANDD AOMD FEDE01` COTP-LIANCE WITH CODE OF RAL FOR PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED OM D ERMFICATEL 0� ,�1- D ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO C CERTIFICATE OF PROPOSED DEMOLITION � �J OCCUPANCY ISSUED / /�//�-- the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and 'calaw.html. Date IISIOP 3 o--f the Business and Professions Code and my license is in full force contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre 1 comply with those provisions. Date I this permit is issued (Section 3097, Civil Code). PF7xiPOM Name /Date