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Home My WebLink AboutF2021-0149 - Permits0000,010 City of Newport Beach - Building Division II� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0149 ��..;•ra 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 4 9 Project No : 2275-2020 Permit Counter Phone (949)644-3288 ��(.� x Inspection Requests Phone (949)644-3255 Job Address: 26 TIDAL SURF NB Description: SFR FUEL MODIFICAION (X2020-2858) Inspector Area: Fr VLF Legal Description: TRACT NO 14859 LOT 47 AND POR LOT 46 I Owner: BAGHERI ALI Contractor: RM BUILDERS LLC Architect: GUINA RICHARDO 0 Address: 26 TIDAL SURF Address: 2333 E COAST HWY, STE F Address: 17985 SKY PARK CIR #G L NEWPORT COAST, CA 92657 CORONA DEL MAR CA 92625 IRVINE CA 92614 f_T— Phone: 949-394-2737 Phone: 818-521-3651 Phone: 714.486-3318 State Lic: C030161 Applicant: LOOK HANNA Con State Lic: 1067240 Engineer: TRAN JOHN DINH € Address: 17985 SKY PARK CIR STE G Lic Expire: 07/31/2022 Address: 11251 GARDEBAIRE LN IRVINE CA 92614 Bus Lic: BT30073623 GARDEN GROVE CA 92841 Phone: 714-486-3318 Lic Exp Date: 11/30/2021 Phone: 714-815-2356 State Lic: C-062653 �i ..� eP Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP INS FUND Address: 6"7 Occupancy Group: U Policy No: 9280240 Added /New sq.ft. Bldg: 0 Expire: 07/17/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Issued Date: 09/22/2021 Special Conditions: LANDSLIDE, VHFHSZ No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $100.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $0.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 $0.00 Building Investigation Fee : Fire Plan Check Fee: $0.00 $120.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $132.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $252, Plan Check Fee : $0.00 Fee Due at Permit Issuance : $252.00 PROCESSED BY: O': HLR DEFARTMENT: PLAT! CHECFIEP 9Y:: ZONING APPROVAL: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE r7R LA qT VWLI9 INSPECTION ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reason (a) 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 U all of or (_) 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 im roved 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). ❑ I 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.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 7000) of Division 3 of the Business and Professions C d my license is in full farce and effect. �2 2 License Class License No Date Contractor Signatur INORKERS' 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. 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 thi 3ert�rmance of the work for which this permit is issued. Policy No. have and will (n lain worker 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 ar�d p ]icy nur ;5r, Ire: Number of Agent Date UI certify that, in the performance of)he 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 agree tat, if I should become sub ct to the vivo c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those or VI ns. ' �Q ignature of Applicant Dat qte�IECLARATION REGA ING RUCTION LENDING AGENCY hereby affirm under petialty 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). ender'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 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 A this city or county to e`rvtm er the a Ified property for inspection purposes. ,�T ignature of Property Owner or Authorized Agent V � - Print Property Owner's or Authorized Agent's NaeY Kftqt,� AC77ON DATE BY - DECLARATION OF COMPLIANCE MTH CODE OF PEDEoLV-RECULATICP.'S PART 51 OF TITLE40AND AQMD RULE 1403. - ❑ 13UB_M;TTEDASBESTOSNO77FICATIONTO: .. ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO ?20POSED DEMCUT,'C.\'. SI SNATLRE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CER, Fl CATEOF OCCUPANCYISSUED