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Home My WebLink AboutX2019-0537 - Permits11'u City of Newport Beach - Building°piva§Pofi ®°® IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2019-0537 100 Civic Center Drive, Newport Beach, CA 9060. X 2 0 1 9. 0 5 3 7 Project No :0390-2019 Permit Counter Phone (949)644-3288 ° e ° ° ° ® ... ee Inspection Requests Phone (949)644-3255 - sa Type ME t4eP Combination T e - SFP ELEC L•t!M Issued Date : 05/0612019 4t°x14sv' Cr °... e ° °. Inspection Area : 5 PtHWTS EXPIRE TV -DAYS rAFTER2SSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 plan.earld Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address:. 514 POINSETTIA AVE NB Description: SFR -ADD LAUNDRY RM & POWDER RM 68 SF, DEMO & REBUILD GAR 413 SF, REM KIT & BATHS 166 SF, REROOF W/METAL ROOF 22 SOS, CLASS "B" SIDING & WINDOW C/O Legal Desc.: CORONA DEL MAR BLK 543 LOT 16 Owner ZEINEH HACK & TERESA Contractor: N I V CONSTRUCTION Architect: WEN FRANK H Address: 514 POINSETTIA AVE Address:. 150 N AVENIDA SEGOVIA Address: 1691 WESTCLIFF DR NEWPORT CA 92625 ANAHEIM CA 92808 NEWPORT BEACH CA 92660 Phone: 619-600-9939 Phone: 949-606.6895 Phone: 949-642-5212 State Lic:CO21825 Applicant: WEN FRANK H Con State Lie: 929624 Engineer: HOUSHMAND MOHSEN Address: 1691 WESTCLIFF DR Lie Expire: 03/31/2021 Address: 4400 CAMPUS DR #A NEWPORT BEACH CA 92660 Bus Lie: BT30044187 NEWPORT BEACH CA 92660 Phone: 949-642-5212 Lie Exp Date: 0713112019 Phone: 949-752.1612 State Lie C-042283 Code Edit: 2016. Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: EXEMPT .Address: Occupancy Group: R3/U Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: - 68 Expire: Phone: Added /New sq. ft. Garage: 178 No of Stories: 2 Building Setbacks Rear: IS' Special Conditions: No of Units: 1 Front: /Zo' Bldg Height 0 Lek: /a - -a Bldg Sprinklers: N .Right: 13' Flood Zone: X Use Zone: - Parking Spaces: 0 Fire Hazard Zone : N - Construction Valuation: $200.000.00. - Building Permit Fee: $1,897.00_ Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,575.31 Additional Fee: $0.00 Plan check Fee: $160.00 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: $52.00 `Energy Grading Permit Fee: $0.00 In -lieu Housing Fee :. $0.00 Building Dept Adm $24.00 Compliance: $140.00 Grading PC Fee: $0.00 Public Works Department- General Service $197.00 CA Seismic Safety: $26.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check : $165.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %:. $132.79 San Dist: $0.00 'Building Green Fee : $8.00 Mechanical %: $75.88 NMUSD Fee: $0.00 $0.00 Plumbing%: $170.73 $0.00 TOTAL FEE : $5,187.71 Plan Check Fee: $1,875.31 Fee Due at Permit Issuance : $3,312.40 PROCESSED BY; PUBLIC WORKS APPROVAL: ZONING APPROVAL: t/Y v -" PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: / OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for tir rbasonjs)mdcateF1'brflgyv by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, altep,fmplbOe, 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' Stale 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 S eclion 7Q31.5 by any irfpycant 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 Qr•(') pcytions Df thg,4org, andthe-stWture 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 propeett w hg,- brougll amplo9ees' or jfersonal 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 1 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.htmi. 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 7 0) of !via on 3 of the Business and Prof ssion; ode, and my license is in full force and effect. License Class License No a Contractor Sig(a WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 ��p--elllrformance of the work for which this permit is issued. Policy No. pJI 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' compensatiol insurance carrier and policy number are: carver Policy Number Expiration Date ne fAgent ' ""- -ce 'fy 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 agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nal re of Applicant ARATION REGA I G ONSTRUCTION LENDING AGENCY :reby affirm under p nalt 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 ter thg a4ove-identified property for inspection purposes. . w // nature of Prooertv Owner or Authorized Agent A /�/'o'---- Pnnt Property Owner's or Authorized Agents Na ea Date ACTION DATE BY "RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED If L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I 0EPA CERF104iE OF 0-PERMITFINA �7-Z/9❑IROPOSE GNATUREMOL TICA�NIS NOT APPLICABLE TO OCCUPANCY ISSUED _ 1