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HomeMy WebLinkAboutX2020-2649 - Permitsr City of Newport Beach - Building Division 1S't 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .., Inspection Requests Phone (949)644-3255 °�ara�5u�1" Combination Type - MFP ELEC MECH PLUM GRAD IIIIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII�III COMB Permit: X2020-2649 x 2 0 2 9 2 6 4 9 Project No : 2279-2019 Issued Date: 11116/2020 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/17/2023 OR PERMIT WILL BE INVALID Construction DescriptionsJob Adres. DUPLEX TO CO716 NDO E NB urs: 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 gra li Legal Desc.: CORONA DEL MAR BLK 735 LOT 18 j ��ie y ® Owner: BAHRAMI JAMI Contractor: JFB PROPERTIES Architect: GOETZ ANDREW Address: 716 HELIOTROPE AVE Address: 23986 ALSO CREEK RD STE 112 Address: 2855 E COAST HWY #234 CDM CA 92625 LAGUNA NIGUEL CA 92577 CORONA DEL MAR CA 92525 ®° • • o ° Phone: Phone: 888-463-2111 Phone: 949-673-3152 State Lic:C018499 Applicant: GOETZ ANDREW Con State Lic: 1045525 Engineer: o ° ° ° ° ° Address: 2855 E COAST HWY #234 Lic Expire: 10/31/2022 Address: , ° ° • ° CDM CA 92625 Bus Lic: BT30064830 Phone: 949-673-3152 Lic Exp Date: 10/3112021 Phone: State Lic: • • • o Code Edit: 2016 Worker's Compensation Insurance Designer: _ • • ° °• o Type of Construction: V -B -SPR Carrier: EXEMPT Address: ° ° ° ° ® • ° ° ° ° ° Occupancy Group: R3/U Policy No: no employees Added /New sq.ft. Bldg: 2956 Expire: Phone: ° ° ° ®•°°oo ° Added /New sq. ft. Garage: 385 e • ° ° „ ° No of Stories: 3 Building Setbacks Rear: 5' Special Conditions: HIGH DENSITY AREA No of Units: 2 Front: 20' •O°°°• °...... Bldg Height: 0 Left: 3' .... Bldg Sprinklers: Y Right: 3' Flood Zone: X Use Zone: R-2 Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $37.00 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 $0.00 Energy Compliance: $0.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $37.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING 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) Iction 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 - 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 Ifessions 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 applicantfor a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall) a structure h®t"I"time built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Ifessions Co e, Is available upon request when this application is submitted or at the following Web site:hltp:/Lwww.leginfo.ca.gov/calaw.html. yaty$ of Property Owner or Authorized Agent ate TENSED COWMCTOR'S DECLARATION geby"affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) vi of the Business and Pr f ssion a se is in full force I effect. License Class License No Date 1 Contractor Signatur ).RKFRS' CI3MF6SATION DECLARATION 2NINS: FAILURE TO�rSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE iJyF;COMPENgA`hJAy .y�MAGES AS PROVIDED FOR IN SECTION 5703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,Wylaffirm uAder"planalty 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 th formance of the wwirkfor which this permit is issued. Policy No. .. ' 1191?y and will"rpaiptain 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' compensatiol maince carrier an d policy number are: Tier Policy Number Expiration Date ne of Agent Phone n certify that, in the performance of t o f 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 , 'f 1 should become u act to the Ise ompensions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 7 Date 2 CLARATION REGA IN N T 1 LENDING AGENCY weby affirm under p ally of ped that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C i 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 pri I have read this application and the information I have I agree to comply with all applicable city and cnt oI I authorize representatives of this city or count enl; DATE I BY PERMIT EMENDED PERMIT FINAL CERTIFICATE OF tj OCCUPANCYISSUED behalf. f" state laws relating to building construction. re dentified property for i ection purposes. / -- Print Property Owner's or Authorized Ag OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND, RULE I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION