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Home My WebLink AboutX2020-1854 - Permitsarae City of Newport Beach - Building Division a4' 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 fio w,n+`a Combination Type - SFP ELEC PLUM MECH IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�IIII II COMB Permit: X2020-1854 x 2 0 2 6 1 6 5 4 Project No: 1038-2020 Issued Date : 08/1712020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811812023 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: 14 MISSION BAY DR NB Description: SFR INTERIOR REMODEL AND ADDITION 669 SF & 21 SF Legal Desc.: N TR 7432 LOT 17 Owner: KHAZEI ARASH A Contractor: RICHARD LENIHAN CONST Address: 14 MISSION BAY DR Address: 14124 ARDIS AVE CA Seismic Safety: CORONA DEL MAR, CA 92625 Disabled Access: BELLFLOWER CA 90766 Phone: 949-975.0123 Phone: 562.773.5981 Applicant: TEALE MARK Con State Lic: 946274 Address: 2900 BRISTOL ST BLDG A203 Lic Expire: 04/30/2022 COSTA MESA CA 92626 Bus Lic: BT30047492 Phone: 949-975-0123 Lic Exp Date: 0413012021 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 21 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $1,089.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $61.00 CA Seismic Safety: $11.05 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $4.00 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9027228 Expire: 10128/2020 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: 10 Front: 6 Left: 5 Right: 5 $0.00 ($61.00) $0.00 $0.00 $0.00 $0.00 $0.00 $76.23 $43.56 $98.01 I� TOTAL FEE: $1,576.10 Plan Check Fee: PROCESSED BY: < ZONING APPROVAL: Architect: TEALE MARK Address: 2900 BRISTOL ST BLDG A203 COSTA MESA CA 92626 Phone: 949-975-0123 State Lic:CO22162 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-036840 Designer: Address: Phone Special Conditions: � 1 � S 1 EU 1 Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication: $0.00 PM Plan Check: $172.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $1,576.10 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ° t APPROVAL TO ISSUE: c vv oce r o.. o;° o00 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,576.10 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ° t APPROVAL TO ISSUE: c vv oce r o.. o;° o00 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 1e 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 iot more than five hundred dollars ($500). J 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, 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). 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 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' Slate License Law). J I 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 legaill 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.html. 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) o Division 3 of the Business and fe sto Code my lic rise i i ull force nd effect. License Class License No Date ^7�'1G Contractor Signat re VORKERS' COMPENSATION DECLARATION 'ARNING: 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 1$100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 4have 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 once of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Dale of Agent I 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 agre t, if I should become sub lLL,ectt4,,to he wor rs' co ens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� �/ nature of Applicant D �� ^ Zi _ li—C 2-0 CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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 30 7, 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 1 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 count t e er th above -id Ifie property for inspection purposes. ,,99 ,D r r't, / nature of Prooertv Owner or Authorized ADent Print Pronertv Owner's or Authorized ADent's Nam V9 (C" I ` 9 G/ � 41A "-Date 71 "f - 2VA ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U ISUBMITTED ASBESTOS NOTIFICATION TO . • i ,•'• ,y• ••' .•• - ••', '•� �• •� • ' ,.. • " •'• ' PERMIT CANCELLED EPA PERMIT EXTENDEDUAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEM 10 OCCUPANCYISSUED SIGNATUR