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Home My WebLink AboutX2021-2941 - Permitsa4i'rJy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2941 Newport Beach, CA 92660 .. F 100 Civic Center Drive, New X 2 0 2 1 2 9 4 1 p Project No : 2555-2021 Permit Counter Phone (949)644-3288 .. Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM Issued Date : Inspection Arearea :2022 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912025 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: 3 LOCHMOOR LN NB Description: SFR ADD 421 SF, REMODEL 387 SF & NEW BALCONIES 174 SF Legal Desc.: TR NO 7223 LOT 92 AND P M 35-5 PAR 2 Owner: CLINE DAVID/BARBARA Contractor: UNITED CONTRACTORS Architect: Address: 2102 E BALBOA BLVD Address: 3185 AIRWAY AVE D-1 Address: NEWPORT BEACH, CA 92661 COSTA MESA CA 92626 Phone: Phone: 949-945-0905 Phone: State Lic: Applicant: RICHART JASON Con State Lic: 949005 Engineer: DEIHIMI AMIR HOSSEIN Address: 1041 W 18TH ST (A106) Lic Expire: 06/30/2022 Address: 23172 PLAZA POINTE DR STE 145 COSTA MESA, CA 92627 Bus Lic: BT30053869 LAGUNA HILLS CA 92653 Phone: 949-422-9191 Lic Exp Date: 01/31/2023 Phone: 949-954-7244 State Lic C-078194 Code Edit : 2019 Worker's Compensation Insurance Designer: RICHART JASON Type of Construction: V-B Carrier: STATE FUND Address: 1041 W 18TH ST (Al 06) Occupancy Group: R3/U Policy No: 9119462 COSTA MESA, CA 92627 Added /New sq.ft. Bldg: 421 Expire: 1210612022 Phone: 949-422-9191 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 15 Special Conditions: LANDSLIDE AREA No of Units : 1 Front: 10 Bldg Height: 0 Left: 5 Bldg Sprinklers: N Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $167000.00 Building Permit Fee: $2,787.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,249.33 Additional Fee : $291.00 Plan check Fee : $208.00 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 : $40.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $116.90 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $21.71 WQ Insp. Fee: $0.00 Park Dedication : $0.00 -Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check: $101.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: -. $195.09 San Dist: $0.00 Building Green Fee : $7.00 Mechanical %: $111.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $250.83 $0.00 TOTAL FEE : $7,235.84 Plan Check Fee : $2,527.23 Fee Due at Permit Issuance : $4,708.61 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: A??RO'!AL TO ISSUE: 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 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 not more than five hundred dollars ($500). ❑ 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, 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 Iicensure 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 legall), 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.htmi. 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 700 of D isi 3 of the Business and Prof s 'e d my license is in full force and effect. License Class License No Date Z Contractor Signature WORKERS' 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 ($100,000), 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: 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 5rmance of the work for which this permit is issued. Policy No. have and will fain worker ' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol rance carrier a p 'cy nu ,era ier P 'Lumber Expiration Date Ie of Agent r Phone # certify that, in the performance of t e w rk f fthich 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 if I should become subj ct t rk s' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C� Iature of Applicant AMArIn KT vcn_no u _ nnu r nra vuniuc w1v1k111 hereby affirm under penalty of perjur that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender'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 cqrApt. I agree to comply with all applicable city and county ordi nces dPe'ified laws relating to building construction. I authorize representatives of this city or county t MET the o -i property for inspection purposes. - - 3ignature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Nam �n- ACTION I DATE I BY DEC RATION TF MPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED REG10 TIONS PART510F TITLE 40 AN D ACM D RU LE 1403 I SUBMI ED ASBESTOS NOTI F,ILATION TO LOSBESTOS y1OTIFICATION I510 APPLICABLE TO PROPOSED OLLF�(4-'^� I ! '