HomeMy WebLinkAboutX2020-2547 - Permits�gvwtr,4 City of Newport Beach - Building Division *X2020-2547* COMB Permit: X2020-2547
e4 100 Civic Center Drive, Newport Beach, CA 92660
i p Project No :2001-2020
3 ?. . h Permit Counter Phone (949)644-3288
rj Inspection Requests Phone (949)644-3255
` ,u "' Combination Type - MFP ELEC MECH PLUM Issued Date : 11/24/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112512023 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: 503 MARGUERITE AVE NB
Description: MFR - KITCHEN & BATH REMODEL 280 SF, C/O WINDOWS THROUGHOUT **STOP WORK**
Legal Desc.: CORONA DEL MAR BILK 538 LOT 3
Owner: MEDALI GHOLAMREZA
Contractor:
OWNERIBLDR
Architect:
Address: 3136 E ABBEL LN
Address:
MEDALI GHOLAMREZA
Address:
ORANGE CA 92867
Building Permit Fee: $739.00
Excise Tax:
$0.00
Planning Department -
Z
Phone: 626-485-8277
Phone:
626-485.8277
Phone:
State Lici. C
Plan check Fee :
Applicant: MEDALI GHOLAMREZA
Con State Lic:
O/B
Engineer:
ZAKERI BEHZAD
$0.00
Address: 3136 E ABBEL LN
Lic Expire:
Fire Plan Rev
Address:
13628 FREEPORT RD
Grading PC Consultant :
ORANGE CA 92867
Bus Lic:
$0.00
Demolition Fee
SAN DIEGO CA 92129
Record Management: $26.00
Phone: 626.485-8277
Lic Exp Date:
In -lieu Housing Fee :
Phone:
714.600.0182 State Lic:C-08_ 70
$0.00
Code Edit: 2019
Type of Construction: VB
Worker's Compensation
Carrier:
Insurance
Designer:.
Address:
General Service
Occupancy Group: R3/U
Policy No:
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
.yq
Added /New sq.ft. Bldg: 0
Expire:
Disabled Access: $0.00
Phone:
Added /New sq. ft. Garage: 0
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
'
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
OWNERIBLDR AUTH ATTACHED`
Mechanical %:
No of Units : 2
NMUSD Fee: $0.00
Front: I
$0.00
Bldg Height: 0
$66.51
Left: I
$0.00
Bldg Sprinklers:
Right: I
: $2,604.23 Fee Due at Permit Issuance :
$0.00
Hood Gone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $45.000.00
Building Permit Fee: $739.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $642.93
Additional Fee :
$0.00
Plan check Fee :
$92.50
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: $739.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $26.00
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
P/W Plan Check : $215.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$51.73
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$29.56
NMUSD Fee: $0.00
$0.00
Plumbing %:
$66.51
$0.00
TOTAL FEE : $2,604.23
Plan Check Fee
: $2,604.23 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS 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).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (_) 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
Im 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
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).
0 1 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. Date
Signature of Property Owner or Authorized Agent
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 Division 3 of the Business and Professions Code, and my license is in full force
and 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 ($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 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 th
performance of the work for which this permit is issued. Policy No.
I 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
ne of Agent - ---
certify that, in the performance 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
I, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby 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).
lder'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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
(nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
:TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
CANCELLED
PERMITEXTENDED
PERMITFINAL GjZ1IZt .��
CERTIFICATE OF `
OCCUPANCYISSUED
ASBESTOS NOTIFICATION TO
0ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION