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Home My WebLink AboutX2021-3048 - Permits. ra City dlfi wport Beach - Building Division II�IIIIIIII IIII III IIIIIIIIIIIIIII'I�I II II COMB Permit: X2021-3048 .�. 100 Civic Center Drive, Newport Beach, CA 92660 4 Project No: 2649-2021 F Permit Counter Phone (949)644-3288 u 4t Inspection Requests Phone (949)644-3255 f 6� p -sue �^1 NOISE r"«ors `* ..: Combination Type - BLDG PLUM NO CONSTRUCTION NOISE 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,S�Zµrda)t f E7ff .m. No work on Sundays or Holidays Job Address: 223 HELIOTROPE AVE NB 4�d91I @ 1'IC V� Description: DEMO SFR 1,080 SF (3 BEDROOMS) 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: R3 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $122.00 Plan Check Fee: $223.00 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: $2,031.98 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 Lie: 574104 Engineer: Lie Expire: 01/3112023 Address: Bus Lie: - BT30077160 Lie 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 %: Mechanical W Plumbing %: Rear: / Front: I Left: I Right: / irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Designer: Address: Phone: State Lie: AKBARPOURSAM 400 S RAMONA CORONA CA 92879 951-279-2830 State Lic:C-053038 Special Conditions: HAULER: UNIVERSAL BOBCAT NO CITY TREES ON SITE 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 Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 $0.00 $0.00 $27.00 $265.00 $1,127.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,031.98 PUBLIC WORKS APPROVAL: o PLAN CHECK BY: o _ --oAPPROVALTO ISSUE: ! o c o 0 O O J aV O O O O �U � O tG• 00 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 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 U 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 -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 legalh 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of D'vision 3 of the Business and Profe /D Code, and my Iicens II force and effect. License Class Q kC�al License No �4L 04- Da ll Contractor Signature 111IORKERS' COMPENSATION DECLARATION NARNING: 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 ,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 3erformance 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 Number ie of Agent certify that, in the performance of the work for which this if I should becomes subject workers' 0co(mpe1nrsatio IatureofApplicantR , Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ction 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat I O Cl ereby affirm under penalty of perjury that there is q corjstrdclibn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name 1 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 Iat g to b ilding construction. I authorize representatives of this city or coun t dt above -id tified r e Inspection purposes. nature of Property Owner or Authorized Agent int roperty Owner's or Authorized Agent's Nam TION DATE BY DEQ RATION OF CO PL N E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU IONS PARTOF LE 40 AND AQMD RULE PERMITEXPIRED LXI SUBM ED ASBESTOS NOTIFICA ONT ° • • e • • PERMITCINCELLED • • e.••• PERMIT EXTENDED ° ° • PERMITFINAL 1 (CATION IS NOT APPLICAB TO CERTIFICATE OF PROPOSE 10 • e • s • ess OCCUPANCYISSUED SIGNAT E e c o