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HomeMy WebLinkAboutX2022-1183 - PermitsCity of Newport Beach - Building Division "X2022-1183` 100 Civic Center Drive, Newport Beach, CA 92660 F i m Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 �.--t t' s h,, 1 +a Combination Type - BLDG COMB Permit: X2022-1183 Project No : 0626-2022 Issued Date : 06/16/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY OR PERMIT tMLL BE INVAL46 > �_ 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: 2615 BAMBOO ST NB - Description: SFR RETAINING WALL 84 LF X 6' HIGH INSIDE P/L WI 12 CAISSONS Legal Desc.: N TR 4892 LOT 60 ' Owner: GRAMIAN KEVIN/ANNETTE Contractor: OWNER/BLDR Architect: Address: 2615 BAMBOO ST Address: GRAMIAN ANNETTE Address: NEWPORT BEACH, CA 92660 O/B FORM ATTACHED Phone: 949-573-3093 Phone: 949-573-3093 Phone: Applicant: MANSHADI FARHAD Can State Lie: O/B Engineer: Address: 1800 E 16TH ST UNIT B Lie Expire: Address: SANTA ANA CA 92701 Bus Lic: Phone: 714-835-2800 Lie Exp Date: Phone: 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 : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $45 Building Permit Fee: $739.00 Plan Check Fee: $642.93 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Worker's Compensation Insurance Carrier: Policy No: Expire: 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: 6 Front: 10 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE : $1,445.93 Plan Check Fee PROCESSED BY: LS ) ZONING APPROVAL: MkN GRADING APPROVAL: :C I9 (0 State Lic: • - • - MANSHADIFARHAD 1800 E 16TH ST UNIT B SANTA ANA CA 92701 714-835-2800 State Lic:C-036840 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $694.93 Fee Due at Permit Issuance : $751.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: C►d0 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 .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 Tot more than five hundred dollars ($500). 11 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 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 m roved for the purpose of sale). y 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 Apple ro 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 m exempt I. cr.'Icensure 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 Iegall) sell a structure that , nave built as an owner -builder if it has no, been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Ccde, i3 available upon request when t is it 'oa�-er following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent '_iCENSED CONTRACTOR'S DECLARATION r 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 Code, and my license is in full force i•.0 ,if,cct. License Class License No Date Contractor Signature hORr(ERS' CnNIPENSATION 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 IE700,0001, 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, Jerformance 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 of Agent Date Icertify 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 agre iat, if I should become subject to th,g workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �n (► b (.�-oa Iignature of Applicant X 2 X Date IECLARATION REGA-Ell CONSTRUCTION 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). ender's Name Lender's Address ly 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. X I authorize representatives of this city or county to enttkr the above -identified property for inspection purposes. Iignature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name %�FYI/1YlY kfY l 1l/Ll/�Ll%1 Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED qM D PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF O/ ROPOSED DEMOLITAON OCCUPANCYISSUED SIGNATURE: -