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Home My WebLink AboutX2022-1644 - PermitsCity 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 - SFP PLUM IIIII�II�II��IIII�IIIIIIII�IIIIIIIII II COMB Permit: X2022-1644 Project No : 0617-2021 Issued Date : 06/2112022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2621 ALTA VISTA DR NB Description: DELTA 5 ADD (2) INT GAS FIREPLACES Legal Desc.: N TR 4893 LOT Ill Owner. Address: fy op ST �� Contractor: BRYAN PACIFIC BUILDERS Architect: (11-7 ( Po .gOx Address: 413 CALLE DELICADA Address: ` NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92672 Phone: Phone: 714-360-4488 Phone: State Lic: Applicant: KENT ART Address: 619 16TH ST HUNTINGTON BEACH, CA 92648 Phone: 714-272-1624 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $370.56 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 585047 Lic Expire: 02/29/2024 Bus Lic: BT30066161 Lic Exp Date: 11/30/2022 Workers Compensation Insurance Carrier: PREFERRED PROFESSIONAL INS Policy No: ON1212001 Expire: 12/1812022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: / Engineer: AZARIAN BEHROOZ Address: 24182 LA HERMOSA LAGUNA NIGUEL CA 92677 °°°°° Phone: 949-495-8822 State Uc:C-041732 oo°m Designer: Address: Phone: 00 0 o ao Special Conditions: a ... a . 0 Fire Hazard Zone : N 00 0 °o 0 0 0 $0.00 Planning Department - Fire Department 0 oa $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans, $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Band: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $14.49 $0.00 Plan Check Fee : $192.07 Fee Due at Permit Issuance : $178.49 ® PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0000• 0 aooa• aoa000 ° ° o a o a oaoo OWNER -BUILDER DECLARATION 1 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 items) 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 he 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 rot 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, 3usiness 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 mprovements 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 Tlproved 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 Ipply 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: 3y 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 legally ;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 3rofessions 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 70 0,), of Dixision 3 of the Business and Prof s ons orise is in full force Ind effect. Licer!Sb glass License No Date " Contractor Signature VORISERS' CUMPENSATION DECLARATION SARAM& FAILUri&VAGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS 3100,0001, IN ADDITION TO THE :DST OPCOMPEWATWW, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and Oill,rRontain 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 le¢ormence of the woFk for which this permit is issued. Policy No. u ve and `uM"aatain 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' compensatior Mu nee carrier and riblicy number are: Policy Number Date •I.oestity that, in theperformance of the work for h 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 aL jfJ%hould liecoiine.subject to the r r ' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . ` • • 111111 / � ignature of Applicant Date ECLARATION REG D NSStRUCCTI N LENDING AGENCY hereby 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 3097, Civil Code). ander's Name Lender's Address y 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--- I have read this application and the information 1 have provided is correct. /{ I agree to comply with all applicable city and county ordina es and state -laws relating to building construction. I authorize representatives of this city or county to enter ified property for inspection purposes. ionature of Prooertv Owner or Authorized ADentn/% _ Print Property Owner's or Authorized Agent's Name Date 6' — ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS EPA ASBESTOS PROPOSED[Al TO FOR OFFICE USE ONLY