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Home My WebLink AboutX2021-1208 - Permitsy�,wrr�4,h City of Newport Beach - Building Division COMB Permit: X2021-1208 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0431'293'I Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 05/14/2021 Combination Type - SFP Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/14/2024 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 ofdolidays Job Address: 330 LA JOLLA DR NB Description: Legal Desc.: SFR -REPLACE SIDING AROUND WINDOWS ONLY N TR 444 LOT 65 8 ��C Owner: Address: PATRICK ED Contractor: 330 LA JOLLA DR Address: ASHMORE CONSTRUCTION CO Architect: 1413 E CHAPMAN AVE Address: ;bi3;i NEWPORT BEACH, CA 92663 ORANGE CA 92866 Phone: 949-375-2755 Phone: 714-633-2795 Phone: State Lic: Applicant: NUTT GREG Address: 7071 HEIL AVE HUNTINGTON BEACH CA 92647 Phone: 714-310-1189 Code Edit: 2019 Type of Construction: VB 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: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $247.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 731065 Lic Expire: 12/31/2022 Bus Lic: BT30057335 Lic Exp Date: 11/30/2021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1846449 Expire: 04/01/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: / Engineer: DEIHIMI AMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 Phone: 949-954.7244 State Lic:C-078194 3 Designer: Address: Phone: Special Conditions: OK TO ISSUE PER CHAD >> Fire Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $247.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 is 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 j o 1 'gt16p of the Business and Professs'r• nd ense Is In full force nd effect. Lic^nse Clnss License No Dat I (/ Contractor Signature/ CORKERS' COMPENSATION DECLARATION ,ARNING. FAI WRL TC SEC JRE 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 VST OF COMPENbATION, 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: -11 1Fove and AT :T.3'itain 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 pff_ante of the worK for which this permit is issued. Policy No. ,avR 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' a..ce carrier and policy number are: .le, ne o, Agent eertfy that, it the p' If I should oeconle 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 agre .kers' cam ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Datej/ IECLARATION REGA DDING 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 '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 to ante above -identified property for inspection purposes. .1 n , �,^ ^ /�/// 'ionature of Prooertv Owner or Authorized ADent �� Print Prooertv Owner's or Authorized ADent's Name � llt + r0M4_,11_ 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 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED E EPA PERMIT EXTENDED QMD PERMITFINAL ESTOSNOTIFICAT OTA LICABLE TO CERTIFICATEOF / OPOSED DE OLI OCCUPANCYISSUED f/Y SIGNATURE: