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Home My WebLink AboutX2016-3604 - PermitsCity of Newport Beach - Building Division "'X20163604* COMB Permit: X2016-3604 d1 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1565-2016 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : 016 Inspection Arearea : 6 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. r Job Address: 19 HARCOURT NB Excise Tax: $0.00 Planning Department - Description: SFR ADD 792 SF REMODEL 186 SF $0.00 Additional Fee : $0.00 Plan check Fee : Legal Desc.: Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Owner: NASSERI AMIR Contractor: HEAVENLY CONSTRUCTION Architect: STEICHEN CHARLES D Address: 19 HARCOURT Address: 13282 ORANGE KNOLL DR Address: 2082 MICHELSON DR #1008 Grading Permit Fee: NEWPORT BEACH, CA 92657 In -lieu Housing Fee: SANTA ANA CA 92075 Building Dept Adm IRVINE CA 92612 Phone: Grading PC Fee: Phone: Public Works Department- Phone: 714.609-0742 State Lic:C013818 Applicant: STEICHEN CHARLES D Con State Lic: 873004 Engineer: MANI DEV Address: 2082 MICHELSON DR #1008 Lic Expire: 02/28/2018 Address: 3130 E WILLOW ST IRVINE CA 92612 Bus Lic: BR30067064 Electrical %: LONG BEACH CA 90803 Phone: 714.609.0742 Lic Exp Date: 11/30/2017 Phone: 562-597-8883 State Lic:C-062778 Code Edit : 2013 Type of Construction: VB Occupancy Group: R3/U Added /New/TI sq.ft. Bldg: 792 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9132671 Expire: 05/14/2017 Building Setbacks Rear: / Front: / Left: / Right: I Designer: Address: Phone: Special Conditions: LANDSLIDE AREA I: Building Permit Fee: $1,766.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : _ $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $137.87 SJH Trans : $0.00 Demolition Fee Record Management: $68.00 Grading Permit Fee: $820.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $30.28 Public Works Department- General Service CA Seismic Safety: $20.41 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access: $0.00 PAN Plan Check : $38.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $123.62 San Dist: $0.00 Building Green Fee : $7.00 Mechanical %: $70.64 NMUSD Fee: $1,457.28 Plumbing %: $158.94 TOTAL FEE : $4,698.04 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: ° _ 1PUBL48 WORKfi ARPROVAL: ZONING APPROVAL: ° Y ° o `P.l`AP C.AECK`E1Y: GRADING APPROVAL: APPROVAL TO ISSUE: oeo c ° coo mo ° c 4 EGO °G °O4 D G 60° 44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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(9) (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 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). ❑ 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 one year prior to completion of the improvements covered by this permit, I cannot legally 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 700 of Division 3 of a Business and Profess' n de•, and Ay lice eel In full force and effect. License Class License No �7'Z /i Date Contractor Signatur 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 DOL S ($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: :11 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 thi �e rmance of the ork\for which this permit is issued. Policy No. JI have and will m iotas 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' compensaticr nsurance carrier and olid number are: ;arrier olicy Nu Expiration Date Vame of Agent Phone # ❑1 certify that, in the performance of the work for h this permit is issued, I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agree hat, if I should become subject a orkerspensation provision 0-a"tr€tabor Code, I shall forthwith comply with those provisions. % signature of Applic t Dat )ECLARATION RE 1 G CONST CTION ND G AGENCY hereby affirm under penalt jury that there I struction 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 property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordman es and state laws relating to building construction. I authorize representatives of this city or county a bove-id n stied property for inspection purposes. / r 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Dat ACTION DATE BY DECLXAfION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED A5BFST06 NOTI FICAilON TO PERMITCANCELLED DEPA • • • • • • • • • All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITEXTENDED LJAQMD • • to in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINALt ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool. CERTIFICATEOF �✓ PROPOSED DEMOLITP44 ••• • • . ••• OCCUPANCY ISSUED SIGNATURE: