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Home My WebLink AboutX2021-3284 - Permits1"r4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2021-3284 .y r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 2 8 4 Project No : 0626-2021 F n Permit Counter Phone (949)644-3288 u Yv Inspection Requests Phone (949)644-3255 Issued Date : 12/0612021 Combination Type - SFP MECH ELEC Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210612024 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 - PEX RE -PIPE & DUCTWORK Legal Desc Owner: MIRRAFATI BAYED 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: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation:_ Contractor: ELITE CONSTRUCTION & ENG Address: 23121 LA CADENA,#H-1 LAGUNA HILLS CA 92653 Phone: 949-699-3717 Con State Lic: 940597 Lic Expire: 05/31/2022 Bus Lic: BT30044500 Lic Exp Date: 08/31/2022 2019 Worker's Compensation Insurance V-B-SPR Carrier: EVERSET NATIONAL R3/U Policy No: 7600021744201 0 Expire: 0811012022 0 Building Setbacks Rear: / Front: I Left: / Right: / 1r Use Zone: Parking Spaces: 0 _ Building Permit Fee: $246.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $274.06 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: p� Address:=g Phone: State Lic: rn Engineer: MEHD17ADEHNASRABADI MOHAMMAD Address: 145 COTTONWOOD IRVINE, CA 92618 Phone: 949.554-7900 State Lic:C-085373 Designer: Address: Di Phone: Special Conditions: LANDSLIDE, SPECIAL FIRE, VHFHSZ Fire Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $17.22 San Dist: $0.00 Mechanical W $9.84 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $274.06 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: `Y OWNER -BUILDER 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 the 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 not 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ 1 am exempt from Iicensure 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 covered by this permit, I cannot legall, 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, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 O) of Division 3 of the Business and Pro s n de a lic is in full force and effect. License Class License No Dat ontrador Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG EO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 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 th oerformance of the work for which this permit is issued. Policy No. rhave and will mai workers' compensation insurance, as re uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compen prance carrier and lic number are: crier Poli r�% Expiration Date me of Agent Phone # certify that, in the performance of the k for which this permit is issued shall not employ any person in any manner so as to become subject to the workers' compel sation Taws of California, and t, if I should become subject t the work,elI ompeensation ovvlsiion,Is of ction 00 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant I bf 2f I I e CLARATION REGASTRUCTI N LENDING AGENCY n veby affirm under pe lty 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 county indinances and state laws relating c buil ing construction. I authorize representatives of this city or count t e er the ab ve-id " ied no r. pection purposes. Iature of Property Owner or Authorized Agent ' I' Print Property Owner's or Authorized A 'ION DATE BY DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RLATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EMENDED CERTIFICATE OF (o-12-:63 OCCUPANCY155UED SIG NOTIFICATION TO IS NOTAPPLICABLE TO e�_-6 —IV