HomeMy WebLinkAboutX2020-2991 - Permits (2)IIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2020-2991
Project No : 2381-2020
Issued Date: 01/2012021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112112024 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: 4 BELFORT NB
Description: SFR KITCHEN REMODEL
Legal Desc.: N TR 14902 LOT 50
Owner: ZAMANI SHAHRAM
City of Newport Beach - Building Division
ELITE CONSTRUCTION 8. ENG
100 Civic Center Drive, Newport Beach, CA 92660
Fire Hazard Zone : N
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2020-2991
Project No : 2381-2020
Issued Date: 01/2012021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112112024 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: 4 BELFORT NB
Description: SFR KITCHEN REMODEL
Legal Desc.: N TR 14902 LOT 50
Owner: ZAMANI SHAHRAM
Contractor:
ELITE CONSTRUCTION 8. ENG
Architect:
Fire Hazard Zone : N
Address: 4 BELFORT
Address:
23121 LA CADENA, STE 1-2
Address:
NEWPORT BEACH, CA 92657
LAGUNA HILLS CA 92653
Phone: 949.554.7900
Phone:
949-699-3717
Phone:
State Lic:
Applicant: ZAMANI SHAHRAM
Con State Lic:
940597
Engineer:
MEHDIZADEHNASRABADI MOHAMMAD
Address: 4 BELFORT
Lic Expire:
0513112022
Address:
145 COTTONWOOD
NEWPORT BEACH, CA 92657
Bus Lic:
BT30044500
$0.00
IRVINE, CA 92618
Phone: 949-554.7900
Lic Exp Date:
0813112021
Phone:
949-554.7900 State Lic:C-085373
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
EVERSET NATIONAL
Address:
Grading Permit Fee:
Occupancy Group: R31U
Policy No:
7600021744201
$0.00
Building Dept Adm
Added /New sq.ft. Bldg: 0
Expire:
08/10/2021
Phone:
Public Works Department-
Added /New sq. ft. Garage: 0
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
No of Stories: 2
Building Setbacks
Rear: 10'
Special Conditions:
Refund Deposit
No of Units : 1
Disabled Access: $0.00
Front: 10'
PAN Plan Check :
Bldg Height: 0
Left: 5' -
$0.00
Hazardous Mat $0.00
Bldg Sprinklers:
-
Right: 5'
$0.00
Flood Zone:
Use Zone: PC53
Parkin S aces:
0
Fire Hazard Zone : N
Construction Valuation: $20.000.00
Building Permit Fee: $416.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $361.92
Additional Fee :
$0.00
Plan check Fee :
$46.25
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: $14.00
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 %:
$29.12
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$16.64
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$37.44
$0.00
TOTAL FEE : $922.37
Plan Check Fee
: $922.37
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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)
lection 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
is 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
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
nproved 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
p Iy 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:
'y 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
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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
nd effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 the
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
Date
ie of Agent rnuiie ^
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ender's Name Lender's Address
y 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.
!+ -f Dr...,e n,.,.,e — a„eh..rl,ed Anunt Print Prnnedv Owner's or Authorized ADent's Name
DATE RYI DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
LJAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
•Z�
"
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: