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Home My WebLink AboutX2021-3049 - Permitserrs$ 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 Combination Type - BLDG II �X 20 2IIII0 4 � II NO CONSTRUCTION NOISE COMB Permit: X2021-3049 Project No : 2649-2021 Issued Date : 11/09/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1110912024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Sat €r<ejno� . . to 6:00 p.m. No work on Sundays or Holidays Job Address: 223 HELIOTROPE AVE NB 99 6FI EK N D Description: DEMO DET GARAGE 9�&�f Legal Desc.: RESUB OF CORONA DEL MAR BLK 34 LOT 17 Owner: LATIF Address: 223 HELIOTROPE AV CDM CA 92625 Phone: Applicant: GANN BEVERLEY Address: 231 E ALESSANDRO BLVD #A465 RIVERSIDE CA 92508 Phone: 951-685-5314 Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Valuation: Building Permit Fee: $122.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $123.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LINDA SUE BROYLES Architect: Address: 231 E ALESSANDRO BLVD STE A465 Address: RIVERSIDE CA 92508 Phone: 951-685-5314 Phone: Con State Lic: 574104 Engineer: Lic Expire: 01/3112023 Address: Bus Lic: BT30077160 Lic Exp Date: 11/3012022 Phone: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: / Left: / Right: I parking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 State Lic: AKBARPOURSAM 400 S RAMONA CORONA CA 92879 951-279-2830 State Lic:C-053038 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share, SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 eoo oe 0o e oa oa 0 0 0 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $123.00 o - PU3a 6C WORKS APPROVAL: " a ka61 CHECK BY: APPROVAL TO ISSUE:- •' v eoo ® oe• ae 00 0 00 0 0 00 0 OWNER -BUILDER 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 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 I—) 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-Builderwill 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 Iegall,, 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,pperjuu��yy��Ih1��t I am licensed under provisions of Chapter 9(co9m�mencing with Section 700 ) of Division 3 of the Business and Profess" Code, and m e e in full force and effect. License Class i4 r (_.e%�1 License No �L�� C?y- Date l ontractor 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 0,0001, 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: ❑ 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 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: Policy le of Agent certify that, in the performance of the work for which � if I should become syMert to th�epwor ers'.,cto'mpennE iature of Applicant Jl D /& 4 Date t i$$ Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 4 it of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ICY �reby affirm under penalty of perjury that the' a aVDhstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civl ode). Ider'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 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 cou y ordinances and state laws re g to building construction. I authorize representatives of this city or county a bove= a ro I pection purposes. signature of Property Owner or Authorized Agent m2erty Owners or Authorized Ag ACTION DATE BY ECLARAfpN OF CO P NrE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f ( _ REGULATIO PART6�OF E40ANDAQMDRULE PERMIT EXPIREDI U I SUBMITTEIXASBESTOS NOTIFICATION TO PERMITC4NCELL LIEPA • • ••• s�• •�• PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NO FICATION IS NOT APPLICA13 CERTIFICATE OF q ( PROPOSED DE N OCCUPANCY ISSUED SIGNA7U 0 oyo Vo o _ o