The URL can be used to link to this page

Home My WebLink AboutX2021-3243 - PermitsCity of Newport Beach - Building Division .f 'l 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP 111111111111111111111p11111111111111111111111p111�11COMB Permit: X2021-3243 Project No: 0526-2021 Issued Date : 12/0112021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210112024 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 N8 Description: SFR DELTA 4, REMODEL 300 SF (UPSTAIRS), NEW GUARDRAILS (REV21-1689) Legal Desc.: SUBJECT TO EXiERIQIR Owner: MIRRAFATI SAYED Contractor: OWNER/BLDR Architect: V111LDFIR2E Address: 6 NIGHT SKY NEWPORT COAST CA 92657 Address: MIRRAFATI SAYED Address: NWC I& C O Phone: 949-677-1698 Phone: 949-677-1698 Phone:=q Applicant: KHAMENEYAN MOHAMMAD Con State Lid: O/B Engineer: MEHDIZADPHNASRABADI MOHAMMAD - 1 o Address: 28031 CASCABEL Lic Expire: Address: 145 COTTONWOOD ,., MISSION VIEJO CA 92692 Bus Lic: IRVINE, CA 92618 0 Phone: 949-310-7324 Lic Exp Date: Phone: 949-554-7900 State Lic:C-085373 Code Edit: 2019 Workers Compensation Insurance Designer: l'A Type of Construction: V-BSPR Carrier: Address: �,.../ Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: FIRE HAZARD, FUEL MOD. & No of Units : 1 Front: / SPECIAL FIRE, LANDSLIDE Bldg Height: 0 Left: / AREA Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : ($331,00) Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $16.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0,00 Refund Deposit $0,10 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $39.07 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $39.07 PUBLIC V:Oi2Ko APPRON�AL: PLAN CHECK BY: .1PPZOV,Ai,Tq 7Ui3ra:' 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 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 (_) 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 Mrrl Ere 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 imp for the purpose of sale), s 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 a _ 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: 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 legally sell a structure that I have built as an owner -builder' it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section J044 of the Business and Professions Code, is available upon request whP is aaef+c�tion is auhmitted or Blithe following Web site:http://www.leginfo.ca.gov/Galaw.html. 0 I „ / i 2 Signature of Property Owner or Authorized Agent !�� Da LICENSED CONTRACTOR'S DECLARAT — I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section - Df Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' -COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thl performance of the work for which this permit is issued. Policy No. :1I 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' compensatio nsurance carrier and policy number are: ;arrier Policy Number Expiration Date dame of Agent Phone # 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 ha , if I should become s bject tot orkers' c ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican D�y�2�� ZI )ECLARATION RE R ON LENDING AGENCY hereby affirm unde penalty of perjury that there is a construction lending agency for the performance of the worn for which this permit is issued (Section 3097, Civil ode). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: 1 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 a ab a property for inspection purposes. signature of Property Owner or Authorized Agent— Print Property Owners or Authorized Agent's N e v�/�✓`/n Day ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE LATI 5 PART 61 OFTITLE40 ANDAQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 11 TO IS NOTAPPLICABLE TO