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Home My WebLink AboutS2022-0049 - Permits01Ew11,r,+ City of Newport Beach - Building Division II�III I I IIII III I 1111111111111111 IIIII I II 's 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 � i, 'fit•. ,,:....�� Job Address: 320 COLLINS AVE Floor: Suite: Description of Work:SFR PRE FAB SPA Inspector Area: 2 Legal Description: BALBOA ISLAND SEC 3 BLK 12 LOT 10 Owner: 320 COLLINS LLC Address: 90 S 400 W#M SALT LAKE CITY UT 84101 Phone: Applicant: UNITED CONTRACTORS Address: 3185 AIRWAY AVE D1 COSTA MESA, CA 92626 Phone: 949.945-0905 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $80,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $840.00 PROCESSED BY: ZONING Bldg: 1 Plan Check No: Code Edit: Contractor: UNITED CONTRACTORS Address: 3185 AIRWAY AVE D-1 COSTA MESA CA 92626 Phone: 949-945-0905 Con State Lic: 949005 Lic Expire: 0613012022 Bus Lic: ST30053869 Lic Exp Date: 01/3112023 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9119462 Expiration: 12/06/2022 FEES POOLPermit : S2022-0049 Project No : 2888-2021 Inspection Requests Phone (949)644-3255 to i. d i_'C 9 e - d. 2888-2021 2019 Architect: Address: ' • "" Phone: State Lic: Engineer: DEIHIMI AMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 Phone: 949-954-7244 State Lic:C-078194 Special Conditions: SUB CONTRACTOR AGREEMENT ATTACHED Issued Date: 0411312022 Record Management: $0.00 Water Quality -- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $aoo $0.00 Plan Check Fee : $396.00 Fee Due at Permit Issuance : $444.00 PLAN CHECKED BY:: APPROVALTOISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 is 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 of more than five hundred dollars ($500). 23172 PLAZA POINTE DR STE 145 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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, rovided 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 ias 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 aw 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 licensure 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 -sided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by tensed 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 'te:http::'/www.leginfo.c3.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 provisio of Chapter 9 (commencing with Sectio 7 0) of Division 3 of the Business and 'rotessiol and my isin f I force and effect. License Class License No Date Contractor 'ighaoure JORKE � Nl ATION DECLARATION 'ARNING: FAILURE TO SECMIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA D DOLLARS ($100,000), IN ADDITION TO THE '.03- Or COMPENSATION, DWAGES 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: I 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 ormance 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' compensa cgnce carrier and policy number are: Policy Number me of Agent Phone # Date I certify that, in the performan of the work for which s 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 It, if should betaVsujeche worker compe on p visions of Section 3700 of the Labor Code, I shall fonhwith comply with those provisions.InatureofApplica:CLARATION RESTRUC ION LENDING AGENCY areby affirm undeury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code). rider'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 Atdinances and s laws relating to building construction. I authorize representatives of this city or co t o er the a e-id fie property for inspection purposes. signature of Property Owner or Authorized Age t Print Property Owner's or Authorized Ag ACTION DATE BY1r*CLARATFON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED ACM POOLALARMS L'ASBES 1CATION 15 NOT AP I ABL)_ TO INSTALLED `' _ PROPOSED q(EMOJJITION. �. , � 4-13 --,-)