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Home My WebLink AboutX2021-0570 - Permitsdip VYl (y�, City of Newport Beach - Building Division `X2021-057 `� 100 Civic Center Drive, Newport Beach, CA 92660 ®P��,a w b, Permit Counter Phone (949)644-3288 �A, �T Qj c. �F Inspection Requests Phone (949)644-3255 ,V �1 `:'a»<+''• Combination Type - SFP ELEC MECH PLUM \e, �5 / A n \ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS CT Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p . and Job Address: 6 NIGHT SKY NB Description: SFR CONV PATIO INTO LIVABLE SPACE (BREAKFAST NOOKX2. /RWIN] Legal Desc.: Owner: MIRRAFATI SAYED Address: 6 NIGHT SKY NEWPORT COAST CA 92657 Phone: 949-677-1698 Applicant. KHAMENEYAN MOHAMMAD Address: 28031 CASCABEL MISSION VIEJO CA 92692 Phone: 949-310-7324 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg Added /New sq. ft. Garage No of Stories: No of Units : Bldg Height: Bldg Sprinklers: COMB Permit: X2021-0570 Project No : 0526-2021 Issued Date 1. llaspeci n Area : 6 OUST BE CqMPLETED BY OR 8:00 a.nj.4o 6:00 p.m. No work on 650 SF (CONV CLOSET INTO m O Contra EL CONSTFl1CTI0N &LNG Architect: ZAdds: 121 LA t DENA,#H-1 Address: LAGUNA HILLS CA 92653 : 949-699-3717Phone: to Lic 940597 '=�Engineer: ire 05/3U2022 Address:PBT30044500 .y� VIp Date: 08/31/2021 �., Ph6ney 9�Workers Compensation Insurance o" asr h r „t HAN Carrier: EVERSET NATIONAL A''d$'res 28031 ,: Policy`rNo: 17600021744201 � nnicsr , \0 6",, E 4 08110/2021 Phone: VA 2g Building Se r �`1 eAsp� Special Left 0' OX ... s ne: Parkn9 Sace Fire H; 2019 V-B-SPR R3/U Construction Valuation: $101 140,. Nppd�� 'v' Building Permit Fee: $2,153.00;- Exci Ta t'�"Planning D arms Plan Check Fee: $1,695.75 ditio $R0100, �"\a OFrlan eck Fee' Overtime Plan Ck: $0.00 �g.G ing Bonds Fee: yIF' hare Investigation Fee: $0.00 .�Fa PC Cons t : $JH Tra Record Management: $44.00 `din ermit e, $ In -lieu ou ' g Fee: Energy Compliance: $70.80 Gr'a 4Ing Fee. $0.0 Publ' s Department - CA Seismic Safety : $0.00 W(i'p. e : $0.00 ar edication : $0.00 Disabled Access : $0.00 ' . _ P Plan Check: $$0.00 Hazardous Mat $0.00 Electrical. $}�0. n Dist : $0.00 Building Green Fee : $5.00 Mechanical, \��6.12 NMUSD Fee: $0.00 Plumbing %Ct' ` $193.77 TOTAL FEE: $4,627.15 PROCESSED BY: ZONING APPROVAL: 92618 rk State Lic: AREA =C FIRE PROT Fire Department $185.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Arlon General Service Refund Deposit Grading Bond:,;. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .s,. \PlanXeck Fee : $1,994.55 Fee Due at Permit Issuance : $2,632.60 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 ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contracl:Vs fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.,Any v more than five hundred dollars ($500). C I, as owner of the property, or my employees with wages as their sole compensation, will U all o uness and Professions Code: The Contractors' State License Law does not apply to an ner of kr k rty rovements are not intended or offered for sale. If, however, the building or improve. nt is sold Arthin BE roved for the purpose of sale). `/�, I, as owner of the property, am exclusively contracting with licensed Contractors to constryuct the project ly to an owner of property who builds or improves thereon, and who contracts for the prXects with a licen I am exempt faro licensure under the Contractors' State License Le ly my signature below I acknowledge that, except for my personal res' ell a structure that I have built as an owner -builder if it has not bee co 'rofessions Cod,-, is available upon request when this applicati is Sul signature of Property Owner or Authorized Agent .;CENSED CONTRACTOR'S DECLARATION N hereby affirm under penalty of perjury that I am licen underop sic rd effect. License Class U& a No indicated to 'by the chec arks) I have placed next to the applicable item(s) demoli�IIpp�� repair any ruct , prior to its issuance, also requires the applicant for rse (tCha ter 9 mmencin Ith Section 7000 of Division 3 of the Business and I P ) ieotleh 703t.5 by y applicant fo permit subjects the applicant to a civil penalty of s of the wor , and the structure is not int ( rough amp ees' or personal effort, builds of comps ion, the Owner -Builder will have the Business and Professions Code: The pursuant to the Contractors' Stal0% the folio g reason:',, ` in whi I must have reside at least one year prior to completion to its entirety by licenses: contractors. I understand that a copy of or at thefollowing Web site htl leginfo.ca.gov/calaw. htni\ of Chapter 9 (commencing with Section\7/001 of NORKERS'.CCJAPENSATION DECLAR ON ' ✓ -`F`y� �"' NARNIN3: FAILUr.E TO SECURE WORKERS' COMPE ATION COVE GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA ESACIVIL�15 UP TO ONI ,05 OF COMPENSATION, DAMAGES As PROVE FOR IN SECT 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. yV na eov affirm under, penalty of perju nE of the f owing declarations �,�o I have and w maintain a ificate,Q(�,E'bnsent to s f insure or workers' compensatiorY, issued by the Di of Industrial Relati s as*,$ le ormance of the wo: k for w h this eElfl�it is iss Poll IV have and will malhtai` rk ' compens n in'4 @once, as required by Section_3700 of the Labor Code, for the perfommane of the nZance carrier and policy be re: farrier + k ;plicy Number. plr In Date me of Agent '^s'.', 5" t I certify that, in the performance 0Y. yvo for which ';'a issued, I shall not It, if I should become upject to theEpers s of Section 3ZQl Inature of Applicant p hereby affirm under pLynTTy—of perjury that th _ `.a struction lends a�� `;_ fort erformargl the wor ender',, Name 4 der',,Addre ly my signature below, I certify to each of the follow�t; I am the property owner or authorized to act on thdpe own ehalf. I have read this application and the information I ha v .; rpvi is correct. I agree to comply with all applicable city and co ty or c to lawsrel ng to b ' in onstructior I authorize representatives of this city or cou ty enter t -ab identifie party for sp ion purposes. lignature of Property Owner or Authorized Aoent mt P(ODartv OwnE ACTION I DATE I — PERMITEXPIRED Ip b_Zy PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS EPA SIGNATURE: and or offered for sale (Section 7044, )roves the property, provided that the den of proving that it was not built or State License Law does not vents covered tnls permit, I cannot law, SectiC O of the Business and license is in full force ($U(1,000), IN ADDITION TO THE by Section 3700 of the Labor Code, for this permit is issued. My workers' so a oyforne subject to the workers' compensation laws of California, and agre t m rwith those provisions. Date GC- l6 - ZvZ j t this permit is issued (Section 3097, Civi Code). iDE OF FEDERAL I FOR OFFICE USE ONLY AQMD RULE `Ci7 TO Name Date