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Home My WebLink AboutX2020-1165 - Permits (2)�rvrk City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y^J F Permit Counter Phone (949)644.3288 Inspection Requests Phone (949)644-3255 "�tyr�iux:= Combination Type - BLDG PLUM 11Illlllllllllllllliilllllllllllllllllllllllllllllll 11 INSPECTOR COMB Permit: X2020-1165 Project No : 2877-2019 Issued Date: 05/18/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/19/2023 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 ob Address: 3110 THIRD AVE NB iescription: DEMO (1) DETACHED UNIT 600 SF W/l BEDROOM Z egal Desc.: Q Iwner. HAERI SEANISHADI Contractor OWNER/BLDR Architect: DAKTERIS KARL FRANCIS n ,ddress: 600 JASMINE AVE Address: HAERI SEAN Address: 1960 SAN BURNO O NEWPORT BEACH CA 92625 NEWPORT BEACH CA 92660 O d 3 a z 'hone: Phone: Phone: 949-702-3573 State Lio:CO21769 applicant: DAKTERIS KARL FRANCIS Con State Lic: CIS Engineer: ROSS SCOTT WILLIAM STREET #B� Cn ,ddress: 1960 SAN BURNO NEWPORT BEACH CA 92660 Lic Expire: Bus Lic: Address: 1800 E 16TH SANTA ANA CA 92701 'hone: 949-702-3573 Lic Exp Date: Phone: 714-835-2800 State Lic:C-045309 , :ode Edit: 2019 Workers Compensation Insurance Designer: 'ype of Construction: Carrier: Address: �D., 0. )ccupancy Group: U Policy No: _Z, added /New sq.ft. Bldg: 0 Expire: Phone: ' added /New sq. ft. Garage: 0 ;� to of Stories: 0 Building Setbacks Rear: I Special Conditions: HIGH DENSITY AREA , ,' ,O' to of Units: 1 Front: / lldg Height: 0 Left: I Ildg Sprinklers: Right: I 'load Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $6.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.27 $0.00 TOTAL FEE : $113.27 Plan Check Fee : $113.27 Fee Due at Permit Issuance : $0.00 zROCESSED BY: PUBLIC WORKS APPROVAL: �^-1 CONING APPROVAL: ✓ PLAN CHECK BY: SPA-_\ 3RADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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 items) 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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 got more than five hundred dollars ($500). 1 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 forsake (Section 7044, tusiness 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, providedthatthe nprovements 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 n roved for the purpose of sale). 1, 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 pply 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 ficensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rufessions Code, is available upon request when this applicatior at th following Wegslte:http://Www.leginfo.ca.govfcaiaw.himi. signature of Property Owner or Authorized Agent Xo ! _ Date 5/18/2020 T, .ICENSED CONTRACTOR'S DECLARATION1 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 Prcfessions Cgde, and my lipense is in full force; and effect. License Class License No Date Contractor Signature (/Zj y PORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND oDLLARS (Stag000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OFTHE LABOR CODE, MTEREST, AND ATTORNEWS 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, forth erformance of the work for which this permit is Issued. Policy No. have and will maintainworkers' 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: ie of Agent certifythat, in the peI fortnanc f the work if shouldbecome subject t e workers' iature of Applicant 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 laws of California, and atlon provisions of Section 3700 of the Labor Code, I shag forthwith comply with those provisions. aeby affirm under penalty of perjury that there is a construction lending agency for the per ider's Name Lender's my signature below, 1 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 l have provided is correct. I agree to comply with all applicable city and county ordin c s and state laws relating to 1 authorize representatives of this city or county to enter t above4de 19 ro nature of Property Owner or Authorized Anent " PERMIT Dpts 5/18,/2020 — armance of the work for which this permit is issued (Section 3097, Civil Cade). Address __ construction. n purposes. DATE I BY ... I DECIPARATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE40 AND AgMD RULE PERMIT FINAL I ` CERTIFICATE OF OCCUPANCYISSUED p IiL„(ASBESfOS NOTIFICATION IS NOT APPLICA9LE TO K/` Panpncrn ncnnni iT,nni i-r /I