HomeMy WebLinkAboutX2021-2265 - PermitsCity of Newport Beach -Building Division 'X2021- ' COMB Permit: X2021-2265
100 Civic Center Drive, Newport Beach, CA 92660 SP E� Project No : 0526-2021
Permit Counter Phone (949)644-3288
-G Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date : Area
: 2021
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Inspection rea ,
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812512024 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: 6 NIGHT SKY NB '
Description: SFR CONV PATIO INTO LIVABLE SPACE273 SF. R/R WINDOWS, INTERIOR ALTERATION 650 SF (CONV CLOSET INTO SHOWER) *CHANGE OF CONTRACTOR*
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:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
273
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE: $38.00
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
OW N ER/BLDR
Address:
Phone:
Con State Lic:
O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Rear: 0'
Front: 10'
Left: 0'
Right: 0'
Use Zone: Parkinq Spaces: 0
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$38.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Architect
Address:
Phone:
State Lic:
Engineer:
MEHOIZADEHNASRABADI MOHAMMAD
Address:
145 COTTONWOOD
IRVINE, CA 92618
Phone:
949-554-7900 State Lic:C-085373
Designer:
KHAMENEYAN MOHAMMAD
Address:
28031 CASCABEL
MISSION VIEJO CA 92692
Phone:
949-310-7324
Special Conditions:
IRWD
LANDSLIDE AREA
VHFHSZ/SPEC FIRE PROT
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $38.00
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)
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
ie 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 Iicensure 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 rive hundred dollars ($500). '
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Idsiness 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
nprovemer,'s „la 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
r• roved for the purpose of sale).
pI ss cwrBr of tote 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 cf 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 f,am Iice nsure under the Contractors' State License Law forth following reason:
my sign cure blow 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 legaII,
ell a structure that I have built as an owner-buil tpr' it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of th usiness and
'rofessions Code, is available upon request when is a ation is submitted or at the following Web site: http://www.Ieginfo.ca.gov/calaw.html. /
'ignature of Prop3rt7 Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATI N
neree7y affirm jnHer penalty of perjury that I am lice Isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and y license is in full force
,w effect. License Class License No Date Contractor Signature
RKERS' 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 ATTORNEYS FEES.
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, forth
erformance 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'
urance carrier and policy number are:
Policy Number
of Agent
Date
I 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 agre
t, if I should becoms ject t I -forthwith comply with those provisions. q /
nature of Applicant _ Date % /`�/
CLARATION REGA C UCTION 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).
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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or cou D e^rer the above H purlanges
nature of Prooertv Owner or Authorize Print PmDerty Ownel
ACTION
DATE
BV
RATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
fPA
PERMIT EXTENDED
AQMD
PERMITFINAL
A ASBESTOS JOTIFJCATION IS NOT APPLICABLE TO
CERTIFICATEOF
�j,.1s
,'Q�-�'�
IPR C5ED
OCCUPANCYISSUED
SIGNA RE.
_