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Home My WebLink AboutX2020-2883 - Permitstnr City of Newport Beach - Building Division 'X2020-2883* COMB Permit: X2020-2883 100 Civic Center Drive, Newport Beach, CA 92660 _ Project No : 2295-2020 Permit Counter Phone (949)644-3288 3 z 6 R r" 77 u Inspection Requests Phone 949 644-3255 Issued Date : 04/27I2021 Combination Type - BLDG ELEC Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/27/2024 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: 1829 PORT SHEFFIELD PL NB Description: DEMO (E) SFR W/ ATT GARAGE 3,242 SF (3 BEDROOMS) Legal Desc.: N TR 6620 LOT 14 Owner: 1829 PORT SHEFFIELD LLC Contractor: OWNER/BLDR Architect: Address: 1101 QUAIL ST Address: ELKAYAM AM] Address: NEWPORT BEACH CA 92660 Phone: Phone: 949-204-7272 Phone: State Lie: Applicant: KOHANIM NEGIN Con State Lie: 0/8 Engineer: DE LEON CYNTHIA > > Address: 4337 WOODMAN AVE Lie Expire: Address: 347 S ROBERTSON BLVD SHERMAN OAKS CA Bus Lie: BEVERLY HILL CA 90211 '.... , Phone: 818-522-6212 Lie Exp Date: Phone: 3110-659-0871 State Lic:C-031604 ' Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: , Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: , .. Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditio is: CERT MAIL RECEIPTS - No of Units: 1 Front: / ATTACHED Bldg Height: 0 Left: / (1) CITY TREE ON SITE Bldg Sprinklers: N Right: I - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zor e : N Y� _ Construction Valuation: $10,000.00 Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $227.50 Additional Fee : $0.00 Plan check Fee : $138.75 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 $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $8.40 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 : $2,436.65 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $2,436.65 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: � GRADING APPROVAL: APPROVAL 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 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 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 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-Builderwill have the burden of proving that it was not built or i proved 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 ,ppo 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner -builder if it has not been constructed i IS 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 whe tr�hifapplication.1s u itte r the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent V Date LICENSED COtITRACTOR'S DECLARATI(V4 I hereby affirm u�ider peroalty of perjury that I am licensed under provis4s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force mid effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 I$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 hPreby affirm unoec penalty of perjury one of the following declarations: I ;a.ve 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 p.-fcrrance of f'Ie,work for which this permit is issued. Policy No. I nave 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' j.&r_,: carrier and policy number are: Policy Number Date mie of Agent _ Phone S I certify that, in the b6rformance 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 It, if I should become su ject to the workers' compensation p o ' io s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ]nature of Applicant D I ICI I :CLARATION REGA IN ONSTRUCTION LENDKI3,40EWY ereby affirm under penalty of perjury that there is a conshfictig4i lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 ccLunj ordinances and state laws relating to building construction. I authorize representatives of this city or county enter the above-iden' d ropany for inspection purposes. `j(/ ►qI [ ' I � mature of Prooertv Owner or Authorized Aoent %/1 Print Property Owner's or Authorized Agent's Name / \ 4r Y I kPiAlM Dar/ � ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY REGULATIONS 1403 I SUBMITTI EPA AQMD A EST PROPOSED ON SIGNATURE: i PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO rV I T;l