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HomeMy WebLinkAboutX2020-2447 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-24 7 ti 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 4 4 7 Project No: 1955-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date :0412112021 Combination Type - SFP MECH ELEC PLUM Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/21/2024 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: 519 DAHLIA AVE NB Description: SFR REMODEL 460 SF (KITCHEN & (3) BATHROOMS) , CHANGE OUT (E) WINDOWSIDOORS, Legal Desc.: CORONA DEL MAR BLK 531 LOT 19 Owner: MOSHAYEDI MANOUCHEHR Contractor: ESTES CONSTRUCTION Architecsoi, `° Address: 2505 IN COAST HWY #201 Address: P O BOX 2992 A*d„gfe� NEWPORTT BEACH CA 92663 COSTA MESA CA \\ Phone: Phone: 7141848-0307�Phone: State Lic: Applicant: HOWELL GREG Con State Lic: 687207 `'` Engineer®ges6TH E Address: 20561 SUBURBIA LN Lic Expire: HUNTINGTON BEACH CA 92646 Bus Lic: 0313112022 �+ Address' #B BT30072620 SANTA NA A 92705tate Phone: 714-963-4600 Lic Exp Date: 08I31I2021 LiaC-030407 Code Edit: 2019 Worker's Compensation Insurance 0% Designer: Type of Construction: VB Carrier: SECURITY NATIONAL Address: Occupancy Group: R31U Policy No: SWC1283134 Added /New sq.ft. Bldg: 0 Expire: 0310112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: HIGH DENSITY No of Units : 1 Front: I Bldg Height: 0 Left: / w ��' Bldg Sprinklers: N Right: I ii VV Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N 1NSP Construction Valuation: $75,000.00 Building Permit Fee: $1,009.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $877.83 Additional Fee : $0.00 Plan check Fee : $46.25 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 : $16.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $70.63 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $40.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $90.81 $0.00 TOTAL FEE : $2,214.88 Plan Check Fee : $924.08 Fee Due at Permit Issuance : $1,290.80 PROCESSED BY: _ _ _ PUBLIC WORKS APPROVAL: 1 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 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). ❑ I, 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, 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). ❑ 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://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty f pequy7t I am licensed under provisions of Cha ter 9 ( mmencing with Section 70001 of 'vision 3 of the Business 9nd Profe io Cody, an my li nse is in full force and effect. License Class / /7 License No �n F% �Z O Date/%, 4' Z I — / Contractor Signature NORKERS' 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 ($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. 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 IN once of the work for which this permit is issued. Policy No. I ha a 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 ns r ce carrier and policy number are: ..arrier Policy Number Expiration Date Vame of Agent Phone # ❑I certify that, in the performa a of the wo)t for ich is 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 subjec a workers' c n n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,f �/ �7 Signature of Applicant DateA —/_ )ECLARATION REGA G NSTRUC ION LENDING AGENCY `q . 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: %'%� am the property owner or authorized to act on the grope wner's bah l✓ r�� I have read this application and the information 1 hav rovided is corr t. I agree to comply with all applicable city and count ord' ces and la s relating to building construction. I authorize representatives of this city or county to en r th bove-id party for inspection purposes. -�/ %/ Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name Dad— G� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXP/RED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA , PERMIT EXTENDED QMD i ERMITFINAL C7 .��Zj 1t� ASBESTOS NOT CA ON IS O APPL ABLE TO CERTIFICATE OF —1 �l PROPOSED DE OCCUPANCY ISSUED SIGNATURik