HomeMy WebLinkAboutX2021-3026 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Tvoe - SFP ELEC MECH-PLUM
1111111111111111111111111011111111111111111111111111111111
PERMIT PIR A YS AFTER ISSUANCE OR OJECTS MU T BE COMPLETED BY
Con ruc f . ay - r day 7:00 a.m. to 6:30 p.m. and Saturday frgra,8�c`r%`d" F POW&
Job Address: 16 FERRAND B IIJJ
Description: SFR-INTERI AL F 1 O TA A S *STOP WORK* 121-3248
Legal Desc.: N TR 15935 L 93alm 'A
to whom:
Owner: KHAN
Address: 16 FEI
Phone:
Applicant:
Address:
Phone:
COMB Permit: X2021-3026
Project No : 2632-2021
�D Cont KA BARAY Architect: FARNSWORTH GE,
Address: 15375 BARRANCA PKWY, STE 106 Address: 192 TECHNOLOGY
T, CA 92657 I IRVINE CA 92618
,Tom n 7 l72 9 Phone: 949-585-9200
KARIM BAEZP.Y
S e is
9 74 Engineer:
15375 BARRAN
P O6 Li
1 012 Address:
IRVINE CA 9261
Bus Lic:
BT30077215
Code Edit: -'201
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg
Added /New sq. ft. Garage,i
No of Stories: 1,:
No of Units : 1
Bldg Height: 0"
Bldg Sprinklers:
Valuation:
Lic Exp Date: 11/30/2022 Phone:
Workers Com els
nsatio Insurance e l
ar /C EXEMPT s:
oli�l
Ex If , ,...(no workp§Wrted)
0
0 �jVork star$e�i�
Building Setbacks Rear: I Special Conditions:
Front: /
Building Permit Fee: $212.M
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$212.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
PROCESSED BY:
I'lLll�
TOTAL FEE: $707.84
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14.84
$8.48
$19.08
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
initials:
Date : 1111212021
tion Area : 6
WILL BE INVALID
or Holidays
U
Lic:C013992
Lic:
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
0
°
0
03JGG6
occo°°
o 0
G
a
� G
c
e
G.
°
°V
ooGo�a
0
0
s.mmoo•
., .. �>�
$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 : $707.84
_ 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law C a,' a ion 7000) of Division 3 of the Business and
Professions Code) or that he a ion o ec5`"iion 7031.5 by any applicant for a perm_ subjects the applicant to a civil penalty of
not more than five hundred d - lars ($500). Z eL—
I, as owner of the prdpertyj or f}I,p�yees with wages as their sole compensation, will do L) all of or (, port§ nQrr 1b1j a&the structure is not intent
>iness and ProfessionsLoge: T 1 IXers�ta caner o property who, through employees' or personal effort, builds of
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year,ef,cop}p��on (fag-6 nlbvdder,w�I�cga,,��g,e
)roved for the purpose; of sle). !VU/O iCtIAf PU'
I, as owner of the pno
ert . am clusivel ontra g li C t constru of (Section 7044, Business and Professions Code: The
fly to an owner of property h0 b ilds or i oves reo a o a r pr ' ct ith a li nsed Cqn ac r r nt to the Contractors' State Lic
I am exempt from I _ens
and ctors se L th Ito as C� ��
my signature below I-adkn I dge a except for my personal residence in which I must have resided for at least one year prior to completion of the improve)
a structure that I have?buIII as an owner- wilder if it has not been constructed in its entirety b licens tractors. understand that a copy of the applicable
ifessions Code, is aval)able� Pon n thi i r t i si www.leginfo.ca.gov/calaw.html.
nature of Property OWF!'er o Autigpr A t
hereby affirm under
nd effect. License
VORKERS' Cb'nfiR
4WIPIG:FAILURE TO SI
UST OF OOMPENSAt101
hereby affirm under
hI have and will IT
rlwce of CA64
Uve and will -me
Isurdcarrier and
.••..
aver
%Vr ofiAgent
I GerIjl'that, in Ve
Yap cif: �ghould t�e;on
iqnature of Applican
of
License No
DECLARATION
V COMPENSATION COVERAGE IS
this permit is
Sion 700 tvisiffln3 of the Business and Pro
DateZ///Contractor Signature
SHALL SUBJECT AN E TD INAL PENALTIES AND CIVIL�7NES UP 0 Q{JE DRED TH(
,Jy REST, ANDA RNEY FE I r �'�,+, �A di
IS' compensation, issued by tiF,y,.,gifP£le*b?fkn ipQe tilk�lons$ as provided for by
compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
or offered for sale (Section 7044,
)roves the property, provided that the
den of proving that it was not built or
State License Law does not
Law).
Section 7044 of the Business and
Date
license is in full force
DOLLARS ($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
compensation laws of California, and agre
Date/
CLARATION REGARDINGAONSUCTIDN 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 county ordinances and state Ipws relating to building construction.
I authorize representatives of this city or coun � �(It ,r Jrlyabov�jicjer�ifye�l,property for inspection purposes.
nature of ProDertv Owner or Authorized AD ILJJ(riJ J /S.�fK�j1�/ Print Prooertv Owner's or Authorized Anent's Name
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
comply with those provisions.
DATE BY DECLARATION OF II REGULATIONS PPA PART TCOMPLIAILT E 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION I&NOTA?PA.ICABLE TO