HomeMy WebLinkAboutx2020-1640 - Permits#�$wro City of Newport Beach - Building Division IIIIVIIIIIIII�III�I��IIVIII�IIIIIIIIIIIII�III� II COMB Permit: X2020-1640
100 Civic Center Drive, Newport Beach, CA 92660 P Project No : 1227-2018
Permit Counter Phone (949)644-3288
u $ Inspection Requests Phone (949)6443255
�xy�ron + Combination Type - BLDG PLUM Issued Date: 07/2012020
0
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/21/2023 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: 508 ACACIA AVE NB
Description: DEMO REAR UNIT W/ GARAGE BELOW. 2 BEDROOM, 1471 SF. SEWER CAP INCLUDED
Legal Desc.: CORONA DEL MAR BLK 529 LOT 10
Owner:
AFSHAR RAMIN & SETAREH
Contractor.
RAV CO ENGINEERING INC
Architect:
Address:
508 ACACIA AVE
Address:
27661 HOMESTEAD RD
Address:
CORONA DEL MAR, CA 92625
LAGUNA NIGUEL CA 92677
Phone:
Phone:
949-338.4320
Phone: State Lie:
Applicant:
AFSHAR SETAREH & RAMIN
Con State Lie:
815853
Engineer:
Address:
27661 HOMESTEAD RD
Lie Expire:
0713112022
Address:
LAGUNA NIGUEL CA 92677
Bus Lie:
BT30042982
Phone: .
949338-4320
Lie Exp Date:
0413012021
Phone: State Lie:
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/1.1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Building Permit Fee: $114.00
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: $125.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1830322
Expire: 0710112021
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: /
Front: /
Left: /
Right: /
Parkinc Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.26
Plan Check Fee
Designer: `y
Address:I IQ
Phone: NO CONSTRUCTION NOISE
Special Conditions: X2020-1639
Fire
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
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
Woe
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $125.26
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
I hereby affirm under penalty Of perjury that 1 am exempt from the Contractors' state License Law for the reason(s) Indicated below by the oheckmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its Issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a parmn subjects the appficam to a civic penalty Of
not more than five hundred dollars ($EDO),
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all or or t) portions Of the work, and the structure is not Intended or offered for safe (Seclion 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through amployees' or personal effort, builds or improves the properly, provided that the
Improvements are not intended or Offered for sale. if, however, the building or improvement is sold within one year of compialon, the Owner -Builder vA7i have the burden of proving that it was not built or
fffin roved for the purpose of sale).
1, as owner of the property, am exclusrvely contracting with ficerrsed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply f@ an Owner of property who builds or Improves thereon, and who contracts for tine projects with a licensed Contractor pursuant to Me GontmctOrs' State License Law).
1 am exempt from IICeRSUFa under the COMTaCtOrS' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in wNch I must bwe resided for at least. one year prior to completion of the improvements covered by this pefin I cannot Wgsdh
self -a structure that I have buill as an owner -budder it It has not been constructed in its entirety by Licensed contractors. I understand that a copy of !he applicable law, Section 7044 Of me Business and
Professions Code, is available upon request when this application is submitted or at the following web site:mtpYhvww,leginfo.ca.govfcwaw.htmi.
Signature of Property Owner or Authoraed Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of �I,,�teerrj�ury that I am licensed under provisions of Chapter 9 (commencing with SecU 7000j of D"Ni ion 3 of the Business and ProfassiOg1��Code, antl m ILGn� is in f€Iti tome
ono erceCL License Gass A Gy (� License No $l�$ ? Dat t Contractor Slgnalu&/ /
ORKERS' COMPENSATION_DECLARATION
ARMNG: FAILURE TO SECURE WORKERS COWENSATION COVERAGES UNLAWFUL AND SHALL SUBJECT ANENPLOYER TO CF NINAL PEMI.TI SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIAFS($IOa000A IN ADDIT;MTO THE
ccSTUFCONKNSATI WAGESAS PROIDEDFORIN SECTION 5700 OFTHELAROR CODE, INTEREST, ANDATTORNEYBFEES
1 hereby am NY of perjury one of the following declarations:
1 It Intain a Certificate of Consent to self -insure for Workers' compensation, issued by the Director of Industrial Relations a5 provided for by Section 3700 of the Labor Code, for fit
�,n, 0 work for which this permit is issuad. Policy No.
all, I have and will maintain workers' compensation Insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
insurande carrier and! policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify trial, in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, H i should become sutg�ct {othe warke�' tb Iepsa.Don provisions of Seat
3700 of the Labor Code, I shag forthwith comply with those provisions.
of
of
DaX— 77/ZO/Z0
I hereby affirm under penalCy 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}.
Lender's Name Landers Address
By my signature below, t 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 Me information I have provided Is correct
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I auth dzZ repress niatives of this city or courtly tg erpt the above-'Ijjentitle"TWeny for inspection purposes.
REGULATIONS PART fit OF TITLE 40AND ACr VID RULE
1403
CEHTIFICATEOF
OCCUPANCYIMED
FOR OFFICE USE ONLY