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HomeMy WebLinkAboutF2021-0433 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r,. aSx to '/�ivaian Job Address: 240 MORNING CANYON RD NB /1 Inspector Area: `10 Owner: ZIARI MOHAMMADBAGHER Address: 240 MORNING CANYON RD CORONA DEL MAR CA 92625 Phone: Applicant: BAKHSIAN ALI Address: 9889 S SANTA MONICA BLVD #205 BEVERLY HILLS CA 90212 Phone: 310-734-7735 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V-B R3/U 0 0 F0II0 43��� II Description: SFR -FUEL MODIFICATION (X2021-1281) Legal Description: N TR 1116 LOT 88 Contractor: MILLENNIUM STONEWURKS Address: 1015 EAST RAYMOND WAY ANAHEIM CA 92801 Phone: 714-926-3761 Con State Lic: 893761 Lic Expire: 04/30/2023 Bus Lic: BT30076665 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: No Employees Expire: 2 Issued Date: 09/2212021 0 Setback- Front: Rear: N Left: Right: FEES Construction Valuation: $0.00 Building PC Fee: $222.00 Fire Residential Alarm PC Fee Building Overtime PC Fee: $0.00 Planning Counter Review: Building Extention Fee : $0.00 Planning Zoning PC Fee Building Investigation Fee : $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; Building Permit Fee : $269.00 TOTAL FEE : $491.00 Plan Check Fee PROCESSED BY: 0 ov s e o e° ZONING APPROVAL: FIRE APPROVAL: T'W Architect: Address: Phone: FIRE Permit: F2021-0433 Project No : 1118-2021 Inspection Requests Phone (949)644-3255 State Lic: Engineer: ESMAILI OMID Address: 79 CLOUDCREST ALSO VIEJO CA 92656 Phone: State Lic: C-087027 Designer: Address: Phone: Special Conditions: " $0.00 Records Management : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $491.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: 0ou 000 000 o°m 0 o c o ° ° ° °. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION °e� ®eo ® o ee ae eoe 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 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 to 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 of more than five hundred dollars ($500). 1 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 70 . lusiness 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 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 licensure 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 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.html. signature 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 Profession e, and m e is in full force nd effect. .icense Class License No Date 22 Z/ Contractor Signat VORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 IN 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 of Agent - Phone# Date 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 become subject to the workers' compens dad-erov15146&�f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date L G CLARATION REGARDING bONSTORCTION LENDING AGE :reby affirm under penalty of perju hat ther ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider'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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and sta Eipg to building construction. I authorize representatives of this city or count • to nta� iHa ••� �•+e�.,.d v or inspection purposes. \ ,r �-,,q (nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name Y €L l 6" Date ACTION DATE 8Y £LARAT€ONOFCOMPLIANCE tMTH CODEOF FOR OFFICE USEONLY FEDERAL REGULATIOIVSPART61 OF TITLE40A40. AQMDRULEI401 : • _ PERMITEXPIRED ❑€SUBMITTEDASBESTOSNOT€FICAT€ONTO.: • ❑ EPA ❑ AQMD • • • . s • • • •• • �,� PERMITCANCELLED PERA41TEXTENDED ❑ ASBESTOS NOTIFICATtONISNOTAPPLICABLETO PROPOSED DEMOLITION. �:• • •. .,. .,. �.. :•. • • • • e• PERNfITFINAL CERTIFICA TEOF SIGNATURE: • • • s OCCUPANCYISSUED