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Home My WebLink AboutX2021-3422 - Permits�eKpc,q, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u >•-w C Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2021--3422* COMB Permit: X2021 Project No : 2994-2021 Issued Date : 02/28/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212812025 OR PERMIT 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 Job Address: 32 TWILIGHT BLUFF NB Description: SFR DEMO (E) SPA Legal Desc.: Owner: KASHANI HAND Address: 32 TWILIGHT BLUFF NEWPORT COAST CA 92657 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 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: Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $513.02 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor. BLUE FOUNTAIN POOLS AND SPAS INC Architect: Address: 1151 S GRAND AVE Address: GLENDORA CA 91740 Phone: 909-6484882 Phone: Con State Lic: 1004554 Engineer: Lic Expire: 06/30/2023 Address: Bus Lic: BT30065960 Lic Exp Date: 02/28/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP, INS Address: Policy No: 9231003 Expire: 05/0812022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 State Lic LACHERTODD 1201 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 State Lic:C-067656 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $266.02 Fee Due at Permit Issuance : $247.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 :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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 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 legally 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 7000) of D'is o 3 of the Business and Pro a sions o�nyis in full force and effect. License Class License No Date 2 ZContractor Sign e 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 15100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm,gnder penalty of perjury one of the following declarations: ❑ 1 hzve and ',ill 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 3pdrmance of the wo-k for which this permit is issued. Policy No. 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' carrier, and policy number are: ie of Agent __ ce!Ury that, in the B , if I should bedom natur3 of Applics, Policy Number Expiration Date this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y Date�- 20/Z� MPPATIONREGAF�DU ONSTRUCTION LENDING AGENCY Irebv affirm antler pen lty 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). Ider's Name '' 4 Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on t pro rty o ner's a If. I have read this application and the informatio have d is IT t. I agree to comply with all applicable city and ounty o r Z r/, inces nd ate laws re ting to building construction. I authorize representatives of this city or co my a er t e ov I ntif roperty for inspection purposes. nnfure of Pmnertv Owner or Authorized Ana t Print ProDerty Owners or Authorized Agent's Name ACTION GATE BY REGULATIONS PA T0MPLIANCE 61 OF TITLE 40TAND ODE OF AQMD RULE FOR OFFICE USE ONLY PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL 21 J� LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: