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Home My WebLink AboutX2019-3631 - Permits (2)wtv,r 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 +tea "sey+ Combination Type - MFP MECH MECH ELEC 'X2019-3631' COMB Permit: X2019-3631 Project No : 2492-2019 Issued Date : 02/13/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 27 LUCERNE NS Description: MFR ADD 371 SF, REMODEL 484 SF, DECK ADD 188 SF L D TR 9859 LOT 1 UNIT 35 OF PROJECT LOCATED ON AP 461 121 07 TOGETHER ega eee.. - Use Zone: Parking Spaces: 0 Fire Hazard Zone: N INSPECTOR Owner: ABDI FAMILY TRUST Contractor: DAN'S HOME IMPROVEMENTS Architect: Address: 27 LUCERNE Address: 338 S HAMBLEDON AVENUE Address: $2,088.00 ' NEWPORT BEACH, CA 92657 Phone: Phone: LA PUENTE CA 91744 626.482-5425 Phone: State Lic: PLICATE Additional Fee : $0.00 Plan check Fee: $240.00 Fire Inspection: -�' Applicant: DAVAR BAHRAM Con State Lic: 765486 Engineer: AHMADI MANSOUR $0.00 Address: 4 GENEVE Lic Expire: 0713112021 Address: 32262 VIA DEL SOL $0.00 NEWPORT BEACH, CA 92660 Bus Lic: BT30071827 TRABUCO CANYON CA 92679 Phone: 949400-0567 Lic Exp Date: 0212812021 Phone: 949-715-9990 State Lic:C-076370 Code Edit : 2016 Worker's Compensation Insurance Designer: $0.00 Public Works Department - Type of Construction: V -B Carrier: NO EMPLOYEES Address: $16.25 WQ Insp. Fee: Occupancy Group: R2/U Policy No: Refund Deposit $0.00 Disabled Access : Added /New sq.ft. Bldg: 371 Expire: Phone: Grading Bond: Added /New sq. ft. Garage: 0 Hazardous Mat $0.00 Electrical %: $146.16 San Dist: $874.00 No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: $5.00 No of Units : 4 $83.52 Front: 20' $0.00 Bldg Height: 0 Left: 3' $0.00 Bldg Sprinklers: N $0.00 Right: 3' Plan Check Fee : $6,653.42 Fee Due at Permit Issuance : Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $125.000.00 Building Permit Fee: $2,088.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,635.71 Additional Fee : $0.00 Plan check Fee: $240.00 Fire Inspection: $0.00 Overtime Plan Ck: $1,346.78 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: $48.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $87.50 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $16.25 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $82.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $146.16 San Dist: $874.00 Building Green Fee : $5.00 Mechanical %: $83.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $6,653.42 Plan Check Fee : $6,653.42 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally 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, priorto 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 L) 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). ❑ 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 Profess ions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. I 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 thI performance 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' rance carrier and policy number are: of Agent Policy Number Expiration Date Phone # 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY 6reby 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). ider's Name Lender's Address 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 enter the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Agent's Name 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 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL 2 y -DL i ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF .��„ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: