HomeMy WebLinkAboutX2022-0191 - Permits,w City of Newport Beach - Building Division
• t� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v x Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
*X2022-0191*
COMB Permit: X2022-0191
Project No : 2418-2021
Issued Date : 01/2512022
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112512025 OR PERMIT
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
Job Address: 2699 BUNGALOW PL NB
Description: DELTA 1- REMODEL KITCHEN, BATHROOM AND LAUNDRY RM, PEX REPIPE *ADDITIONAL SCOPE"
Legal Desc.: TRACT 15829 LOT 1 OF PROJECT 934-61 LOCATED ON AP 458-641.06
Owner:
HAERI ARSALAN
Contractor:
CRC GROUP
Address:
2699 BUNGALOW PL
Address:
2416 N GLASSELL STREET
CORONA DEL MAR, CA 92625
ORANGE, CA 92865
Phone:
Phone:
714-244-5235
Applicant:
KAWAJA JACK
Con State Lie:
879133
Address:
2416 N GLASSELL ST
Lie Expire:
06130/2022
ORANGE CA 92865
Bus Lie:
BT30076922
Phone:
714-244-5235
Lie Exp Date:
10130/2022
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction
Building Permit Fee: $739.00
Plan Check Fee: $642.93
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$20.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,603.73
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9264870
Expire: 11/26/2022
Building Setbacks Rear: /
Front: /
Left: I
Right: /
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$51.73
Mechanical %:
$29.56
Plumbing %:
$66.51
Plan Check Fee
Architect:
Address:
Phone:
State Lie:
Engineer: MOBED MEHDIABADI SASAN
Address: 3842 HENDRIX ST ....
IRVINE CA 92614
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Phone: 310-433-7927 State Lic:C-075884 '-
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Designer:
Address: m • •°m
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Phone:
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Special Conditions: REV22-0104 m • • ••••
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0 Fire Hazard Zone : N
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Planning Department -
Fire Department
Plan check Fee : $52.00
Fire Inspection:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
SJH Trans : $0.00
Demolition Fee
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PNV Plan Check : $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance :
$1,603.73
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION 1 _,
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)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
rovements 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
roved 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
ply 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).
LJ I am exempt from licensurs 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
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, S
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
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) oily' 'or}yy�f the Business and Professions
and effect. License CCaass License No Date / Contractor Signature
yIgJ;IjgRS' COMPENSATION DECLARATION
&ARNING:•FAILUR!•IGSEEaRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO P
CAST OECOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I:ifty'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 Se
rfo ante of the wol for which this permit is issued. Policy No.
of the Busin and
ry lit his in full force
$190,000), IN ADDITION TO THE
A the Labor Code, for th
MIA 9®e, and 41 ItlaiPain 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'
ante carrier and policy number�./are: ff �e �• /I Policy Number
mama nAAnant • • • • / '
Date
eitiy that, in.the porforma e o t4elormwphich this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
?S should BegpMe s jet tc ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ature of Applican / Date_
., a ouniur_ nr_vury
hereby affirm under pen of 6rjury the here 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
3y my signature below, I certify o each of he following:
I am the property owner or uthorized to act on the
I have read this application and the in ormation I he
I agree to comply with all applicable city and county
I authorize representatives of this city or county o
signature of Property Owner or Authorized Agey_
ACTION I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
owners
led is cc
laws relating to building construction.
�;1,property for inspection purposes.�^�� ,
Print Prooertv Owner's or Authorized Agent's Name �d'q' �7"vwF Date
'OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
)S NOTIFICAT
DEMOLITION
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