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Home My WebLink AboutX2022-0562 - Permits (3)City of Newport Beach - Building Division .. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .,. . Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Pa. 1 ^a IRS r -^yr4 COMB Permit: X2022 Project No: 2155-2021 Issued Date : 03/01/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112025 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: 205 VIA EBOLI NB Description: DEMO SFR (4 BEDROOMS) 2232 SF Legal Desc.: Owner: NIJJAR SANJEET Contractor: BUILDING WORX INC Architect: LINSDAY BRANDON R Address: 4900 SANTA ANITA AVE, STE 2C Address: 130 GLENDORA AVE Address: 151 KALMUS DR #G-1 EL MONTE, CA 91731 GLENDORA, CA 91741 COSTA MESA, CA 92627 , Phone: Phone: 909-373-7461 Phone: 714-754-4040 State Lic:C035799 Applicant: FRIEHAUF GAVIN Con State Lic: 901795 Engineer: HAKIM FADY ' Address: 151 KALMUS DR #G-1 Lic Expire: 08/31/2022 Address: 124 PEONY COSTA MESA, CA 92627 Bus Lic: BT30040115 IRVINE CA 92618 ' Phone: 714-754-4040 Lic Exp Date: 07/3112022 Phone: 310-422-1536 State Li¢C-075736 ' Code Edit: 2019 Worker's Compensation Insurance Designer: , Type of Construction: Carrier: INS COMPANY OF THE WEST Address: ; Occupancy Group: R3/U Policy No: WVE505581500 - Added /New sq.ft. Bldg: 0 Expire: 06/01/2022 Phone: Added /New sq. ft. Garage: 0 . No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $122.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,117.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,117.98 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: I"�.{"��/-,, PLAN CHECK BY: GRADING APPROVAL: ��j� 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 applicabl6 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 ;he 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 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). I am exempt from i,censure 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 at least one year prior to completion of the improvements covered by this permit, 1 cannot Iegall� seli a st ucture that I nrve 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.html. 3ig.iatu.e of Property Owner or Authorized Agent Date LICENSED CCt;TCACTOR'S DECLARATION I hereby affirm unLe- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! 7000) f vision 3 of the Business and Prof sions Code .� full force and efrect. License Class License No Cat Z Contractor Signature WORKRS' COMPENSATION DECLARATION WARNING: FAILURETO 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 JLflT C: JOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ande. penalty of perjury one of the following declarations: I ha,,e 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 pEnorroance of the worK for which this permit is issued. Policy No. ? 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' compensatio Afttance carrier and policy number are: Policy Number Date 'ame of Agent I 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 agre tat, if I should become subject to the workers' com a aali rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II // ignature of ApplicanK 4 Dated % �Z 2 IECLARATION REGARDIt CONSTRUCTION LENDING AGENCY // \\ — 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 ly 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/yo enter rop rty for inspection purposes. ^ +�'' r — Unnnhire of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Nam I �"�+r 1Jc D DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I NJ AQM U PERMIT FINAL -�.s Z� p �w AS STOS NO IF ATION IS NOT CERTIFICATE OF F'o�" PROPOSED DEM ION OCCUPANCY ISSUED 7 SIGNATURE: