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Home My WebLink AboutX2021-3219 - Permitsti., rt City of Newport Beach - Building Division 100 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-32,9 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 3 2 1 s In.. Permit Counter Phone (949)644-3288 Project No ,+ .. Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date : 11/29/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS Construction Hours: Monday - Friday 7:00 a.m. MUST BE COMPLETED BY to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 11/29/2024 OR PERMIT WILL BE INVALID No Job Address: 1429 DOLPHIN TER NS p.m. work on Sundays or Holidays Description: SFR RE -STUCCO EXTERIOR OF HOUSE Legal Desc.: N TR 2334 LOT 11 Owner: MONSHIZADEH RAMIN Contractor: OWNER/BLDR Architect: Address: 1429 DOLPHIN TER Address: Address: CORONA DEL MAR, CA 92625 Phone: Phone: Phone: State Lic: Applicant: MONSHIZADEH RAMIN Can State Lic: 018 Engineer: Address: 1429 DOLPHIN TER Lic Expire: Address: CORONA DEL MAR, CA 92625 Bus Lic: Phone: 714-920-7177 Lic Exp Date: Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 1 Building Setbacks No of Units : 1 Rear: I Special Conditions: O/B AUTH ATTACHED Bldg Height: 0 Front: / Left: / Bldg Sprinklers: Right: / - Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Valuation: $15.000.00 - Permit Fee: $331.00 Excise Tax: eck Fee: $0.00 $0.00 Planning Department - Fire Department Fction Additional Fee : e Plan Ck: $0.00 Grading Bonds Fee: $0.00 $0.00 Plan check Fee : $0.00 Fire Inspection: P '�'�" -' �$0.00 ation Fee: $0.00 Grading PC Consultant : $0.00 Fair Share : $0.00 SJH Trans : $0.00 Fire Plan Rev Demolition Fee Management : $0.00 Grading Permit Fee: Compliance: $0.00 $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: mic Safety : $0.00 WQ Insp. Fee: $0.00 $0.00 Public Works Department - General Service $0.00 d Access : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 ous Mat $0.00 Electrical %:$0.00 PAN Plan Check : $0.00 San Dist: $0.00 Grading Bond: $0.00 g Green Fee : $1.00 Mechanical %: $0.00 NMUSO Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $332.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $332.00 J PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 , or rep y they heccture, P) I have placed next to the q Tres the item(s) for (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structure, prior to its issuance, also re wires tMe gpp' 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). ❑I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 if\provemen 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 e or the purpose of sale). 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: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for s one y ar prior to cc of the impro• sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed ntractors. I un rstand t py of the applicab Professions Code, is available upon reque when thi placation is submitted or at the following Web a! htt p://www.Is o.ca. w.html. Signature of Property Owner or Authorized A en LICENSED CONTRACTOR'S DECLA ION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate tion 7000) of Division 3 of tContractor Signature and effect. License Class License No rents covered by this permit, I cannot legal law, S tion 7044 of the Business and ate N\�2�t�2i Code, and my license is in full force 1ORKERS' COMPENSATION DECLARATION OSTIOF COMPENSATION, URMAGES AS S' COMPE FOR IIN N COVER 3G 61S UNLAWFUL, AND 0F THE LABOR CODE, SHALL SUBJECT AND N EMPL ATTORNEYTO S. CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'Iao,o00), IN ADDITION TO THE ROVIDED INT t,eruluy affirm under uenalty of perjury one of the following declarations: on, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, 7 I have and will maintain a certificate of consent to self -insure for workers' compensatifor th erformance of the work for which this permit is issued. Policy No. ]I have and will na.ntain 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' compensation �srrnnce carrier and policy number are: Expiration Date ;�ricr Policy Number --- Phone # rig of Agent _ bce r<ify that, !� thr performance of a work for wh' this Is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agree t, if , should become sub' ct to a workers' co a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. oat 3ipnatur o pNljcar )ECLARATI EG.',RDIN CONSTRU ION LENDING AGENCY hereby a Irm Cinder 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 prope ner' behalf. I have read this application and the information I hav rovida is orrec I agree to comply with all applicable city and cou ordinances laws relating to building construction. I authorize representatives of this Ity, or coun nter the -Identified property for inspection purposes. _ — . _ _ -_ _- . �, Print Property Owners or Authorize Ag s Name ACTION DATE BY DECLARATION OF IREGULATIONS PART0MPLIANCE WITH CODE OF 61 OFTITLE 40 AND AQMD RULE AL FOR OFFICE USE ASBESTOS NOTIFICATION TO PERMIT EXTENDEU I I PERMITFINAL SBESTOS NOTIFICATI TAP LICABLE TO CERTIFICATE OF �~' PROI O DEMOUTI OCCUPANCY ISSUED RE: