HomeMy WebLinkAboutX2019-2140 - Permits1�Lr City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-2140
► 100 Civic Center Drive, Newport Beach, CA 92660. X 2 1 9 2 1 4 e Project No
�; _r Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Tk3aax"kx' Combination Type - SFP ELEC PLUM Issued Date
0
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 21 HARCOURT N8
Description: SFR MASTER BATHROOM REMODEL AND LIGHTING THROUGHOUT 200 SF *CITY STANDARD*
Legal Desc.: • • •.
Owner SUCHARD TALMORIANNA .Contractor: IRAJ PARSA Architect a • . ° • • • m o
Address: 21 HARCOURT Address: 24602 SELVA ROAD A Address:.
NEWPORT BEACH, CA 92657
Phone: - 916-317-4339
Applicant: HORZAD KATRIN
Address: 24602. SELVA RD
DANA POINT, CA 92629
Phone:. 714-600-2490
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
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:
Building Permit Fee:
$312.00
Plan Check Fee: $271.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $676.36
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
DANA POINT, CA 92629
Phone:
949.202.8223
Phone:
Con State Lie:
1018274
Engineer:
Lie Expire:
09/30/2020
.Address:
Bus Lic:
BT30067783
$0.00
Lie Exp Date:
06/3012020
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
EXEMPT
Address:
Policy No:
000•om
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Expire:
moeooe
Phone:
.Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$21.84
$0.00
$28.08
Planning Department -
4
State Lie:
State Lie:
Special Conditions: AUTH LETTER ATTACHED
Plan check Fee:
Fire Department
Fair Share
Fire Inspection:
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
Demolition Fee
Public Works Department-
Building Dept Adm
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $676.36
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:..
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
e•0 e
Refund Deposit
®
000
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $676.36
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:..
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0
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $676.36
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:..
OWNER -BUILDER DECLARATION -
hereby affirm under penalty of perjury that 1 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) "
:tion 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
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
'essions 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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).
1, 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
ly to an owner oiproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
*00'
I amexempt from licensure under the Contractors' State License Law for the following reason:
%%bnaturdb%I80 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 legallt
a Vructure Mitt 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
sessions Code,fs available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
Aure of Property Owner or Authorized Agent Date
P14SED COVMCTOR'S DECLARATION
r2tfy affirm ur646 penalty of perjj.Qf that I am licensed under provisions of for ommencing with Section 70/)of Division 3 of the Business and Profes 0 s title, an,y my lic is full force
�BIle�t. Licers� �C�lass License No 1 �-'ll� Date Contractor Signature t
RKERS' COMPENSATION lr4 ATION
NMG}"}FAILURE SSO SECyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOL ARS ($70 0 I, IN ADDITION TO THE
f OF yOMPEN.. IPAI"MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
JVMlhYaffirm under penalty of perjury one of the following declarations:
!�1Rave and $v.jll.�lr1illtain 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 the
rerformance 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' compensatiol
nsurance carrier and policy number are:
3arrier Policy Number Expiration Date
Vame of Agent Phone #
certify that, in the perf ce o the work or wh' h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agree
h f I should become bj t to t w ker com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G / U'
Signature of Applicant Date (/
IECLARATION REG ST 10 LEND A Y
hereby affirm under enalty of perjury t re 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, 1 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 ave p vi d is correct.
I agree to comply with all applicable city and co nt r ina es an to laws relati to building construction. .-
Iauthorizerepresentatives of this cit or coun t e art 's action purposes.
ii nature of Property Owner or Authorized Agen Print o ertp Owner's or Authorized A ant's le
ACTION DATE BY DECLAMATION OFC IA DULERAL FOR OFFICE USE ONLY
REGU TIONS PAR IOF 40ANOAQMORE
3
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITEXTENDED Z QMD
PERMIT FINAL ASBESTOS T ICA O NOT PLICABLE TO
CERTIFICATE OF NPR TI
OCCUPANCYIS5UED SICNA UR
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