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Home My WebLink AboutX2021-2989 - PermitsCity of Newport Beach - Building Division IIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIII�II II COMB Permit: X2021-2989 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 9 a 9 Project No : 2595-2021 e Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 11/18/2021 Combination Type - SFP ELEC MECH PLUM Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111812024 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: 14 SCENIC BLUFF NB Description: SFR REMODEL 1,375 SF Legal Desc.: co Owner: CRYSTAL COVE 14 LLC Contractor: LC CUSTOM HOMES Architect: CONRAD JAMES Address: 14 SCENIC BLUFF Address: 1999 S COAST HWY #5 Address: 1550 S COAST HWY #201 NEWPORT COAST CA 92657 LAGUNA BEACH CA 92651 LAGUNA BEACH CA 92651 1 Phone: Phone: 949-339-9334 Phone: 949-233-8625 State Lic:C019888 Applicant: AHMADI MANSOUR Con State Lic: 1018138 Engineer: AHMADI MANSOUR Address: 32262 VIA DEL SOL Lic Expire: 09/30/2023 Address: 32262 VIA DEL SOL TRABUCO CANYON CA 92679 Bus Lic: BT30077269 TRABUCO CANYON CA 92679 Phone: 949-715-9990 Lic Exp Date: 11/30/2022 Phone: 949-715-9990 State Lic:C-076370 Do Code Edit : . 2019 Type of Construction: VB Occupancy Group: R3/U Added New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $1,297.00 Plan Check Fee: $1,128.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $52.00 Energy Compliance: $77.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat . $0.00 Building Green Fee : $5.00 TOTAL FEE : $2,870.79 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE INS Policy No: FLA01187902 Expire: 06/27/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $90.79 $51.88 $116.73 Designer: Address: Phone: Special Conditions: LANDSLIDE AREA Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W 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 $0.00 $0.00 Plan Check Fee : $1,121.83 Fee Due at Permit Issuance : $1,748.96 P691-IC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - A"1330VAL 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 -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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affrrn under penalty of perjury that I am licensed under provisions gf Ch gar 9.�Fo nencing with Section 0 ) o Dives o 3 ofthethe Business and Pr�fa to ode M Icense is in full force and effect. License Class License No / !'J �Y) i > tl Datek/ r� c-t Contractor Signatures A v 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 YIU rmance of th ork for which this permit is issued. Policy No. have and willmaf tain 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' compensatiol ance carrier d p licy nUrribertarA Carrier icy bar Expiration Date �iName of Agent Phone # I certify that, in the performance of th rk for which this per "t 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 that, if I should become s lect tot kers' compensate ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 f Signature of Applicant k`— DECLARATION REGRDIIIIITCOWMRUCTION LENDING GENCY I 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). Lender's Name Lender's Address By 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 cou ty ordinanps and state laws reI ' to building construction. 1 authorize representatives of this city Or couC�y' �g7 enter above-identifie rty for inspection purposes. /` /� T or,... %t (1—nar'e nr Aiifhnri od A, +-� nla, ACTION DATE BY I A N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGU jILATIO PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U ISUBMITT ASBESTOS NOTIFICATION 10 PERMIT CANCELLED EPA - PERMIT EXTENDED �N, MD PERMITFINAL ASBEST NOTIFICATION lSW APPLICABLE CERTIFICATE OF PROPOS D QLITIO i® OCCUPANCYISSUED SIGN RE: 'V ___2 I