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Home My WebLink AboutX2022-1186 - Permitswr,;.T City of Newport Beach - Building Division "X2022-1186* COMB Permit: X2022-1186 i 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2275-2021 Permit Counter Phone (949)644-3288 � o Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Issued Date : 04/25/2022 ._. Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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: 19 VINCENNES NB Description: DELTA 2 REVISION & ADD'L SCOPE: CAN LIGHTS THROUGHOUT, ELEC HEATERS @ PATIO. ADD SUB -PANEL. Legal Desc.: N TR 15717 LOT 41 Owner: GRI LAND DEVELOPMENT Contractor: TABIKHA INCORPORATED Architect: TEKSTRA MICHAEL Address: 10877 WILSHIRE BLVD STE 1402 Address: PO BOX 123 Address: 23103 LA CADENA DR #101 LOS ANGELES, CA 90024 CORONA CA LAGUNA HILLS CA 92653 a c Phone: Phone: 951-454-8709 Phone: 949-586-1050 State Lic:CO25197 Applicant: FAVIAN Address: Phone: Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Con State Lic: 876807 Lic Expire: 04130/2022 Bus Lic: ST30077422 Lic Exp Date: 1213112022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: 10 Front: 10 Left: 5 Right: 5 Engineer: Address: Phone: Designer: Address: Phone: ITANI RIAD ° 2459 228 M STREET TORRANCE CA 90501 310-897-2136 State Lic:C-055688 Special Conditions: IRWD o°cc^ n c°e oocc, Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 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: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $534.24 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $534.24 PROCESSED BY: G ZONING APPROVAL: C N C PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Ic 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 to 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 Irofessions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 7 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 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' State License Law). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly my signatur_ 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 legall) ell a structure that I nave 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 cfL,ss,ons 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 Propur.y Cwner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm urder p^,natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod nd Ivry/ icenseys In full force IA effect. License Class License No Date �O�/— 2S� 27 Contractor Signature VORKERS' COMPENSATION DECLARATION DARNINGFAILURF TO "F,URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE CST O' COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he•Ft`y affirm under penalty of perjury one of the following declarations: I have and will ma'gtain 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 the s.ij,r,,Lnce of the work for which this permit is issued. Policy No. nave and will main'ain 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: of Agent Policy Number Expiration Date Phone # 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 if I should become subject to the workers' gompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date XJX— 2 Z7- 2Z 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 3097 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 enter the ove- en le oparty for inspection purposes. 1r nature of Property Owner or Authorized Aqent x -'/p� Print Property Owners or Authorized Agent's Name X PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION TA PO MOLITION x FOR OFFICE USE ONLY Civil Code).