HomeMy WebLinkAboutX2020-1853 - Permitsv 1'Vf•r1unli
City of Newport Beach - Building Division 'X2020-1853` COMB Permit: X2020-1853
100 Civic center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3266 Project No: 1411-2014
Inspection Requests Phone (949)644-3255
Combination Type - MFP Issued Date : 08/1712020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611812023 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: 617 POPPY AVE NB
Description: CORONA
DESCRIPTION CHANGEIDUPLEX TO CONDOS (617 8 617.5 POPPY AVE) INSPE^T^ R
Legal Desc.: CORONA DEL MAR BILK 643 LOT 17 9i J- f1 1`.dN
Owner:
KAVIANI AMIR
Address:
2769 VIA CAMPESINA
PALOS VERDES ESTATES CA 90274
Phone:
Applicant:
KAVIANI AMIR
Address.
2769 VIA CAMPESINA
PALOS VERDES ESTATES CA 90274
Phone
Code Edit
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: 4..
Construction
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
Contractor: O W NER/BLDR
Address: KAVIANI AMIR
Phone:
Con State Lic: OIB
Lic Expire:
Bus Lic:
Lic Exp Date:
2013 Worker's Compensation Insurance
VB-SPR Carrier:
R3/U Policy No:
0 Expire:
0
Building Setbacks
Rear: I
Front: /
Left: I
Right: I
Use Zone:
Parking Spaces:
$0.00
$0.00
Excise Tax:
$0.00
Additional Fee :
$37.00
$0.00
Grading Bonds Fee:
$0.00
$0.00
Grading PC Consultant:
$0.00
$0.00
Grading Permit Fee:
$0.00
$0.00
Grading PC Fee:
$0.00
$0.00
WO Insp. Fee:
$0.00
$0.00
$0.00
Electrical %:
$0.00
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $37.00
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: OWNER/BLDR AUTH ATTACHED
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
NM US Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $37.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: i( i�
$0:00
$0 00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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I hereby affirn under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) Indled below by the checkmark(s) I have placed next to the applicable Rem(s)
ction 7031.5, Business and Professions Code. Any city or County that requires a permit Iv construct, alter, improve, demolish, or repay 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 -aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessior Cac e) 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 fA a hundred dollars (S600). III
[,as owner of the property, or my employees with wages as their sole compensation, will do ( j all of or U portions of a work, and the structure is not intended or offered far sale (Section 7044.
Iusiness 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
ropmvaments are not intended c r offered for sale. If, hommr, the building or improvement is sold %Rhin one year of completion, the Owner -Builder will have the burden of proving that ff was not built or
X/ed for the purpose of sale).
as owner of the property, am exclusively contracting with ticensed Contractors to construct the project (Section 7044, Business and Professions Code: The Camradar� State License Law does not
ip ly In an avmor of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stata Liranlse Law).
I am exempt from licensure under the Contractors' State License Law for the following reason: I
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I Cannot legal[,,
ell a structure 11,at I have built as an timer -builder it It has not been constructed in its entirety by licensed Contractors. I un nd that a copy or the applicable law, S lion 7044 of the usiness and
'mfessions Code, is available upon recto en this applEcayey Is s �dted or al the owing Web �Ie;http://�'�legi II fio govIcalaw.himl. �r 0
:ignature of PraUerb Owner a Authorized nl ///hL�r�-�-.f ft �� 7 /�f } f a'�+'/"" to g `�
-ICENSED CCNTRACTOWS DECLARATION
�� I a
hereby affirm under penalty of perjury that I sm livened under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
VORKF.RR' COMPENSATION DECLARATION
IARNAM FAILLRE 10 SECURE wOWiwti' MNIPEHSATION Ca fERAGE 16 UNLAwFUL AMR SHALL SUBJECT AN 1APLOy9l TO CR AL PeNAIM AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IpospsD), IN ADD N TO THE
:DST a: wbPFNS.TIOR DAMAGES AS PROwpED TURar 6£CTION 31a6 aF THE LABORCOpE, INTEREar, ANp ATTORNEYS FEES.
hereby a�.m vl,der penalty of perjury one of the following declaalions:
I have and .111 maintain a certificate of consent to seH-insure for workers' compensation, issued by the Diredor
OCELnce of the work for which this permit is issued. Policy No.
hale ano will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
prance caner and policy number are:
ier Polley Number
1S.1 Pg=ht _
in the performance of the work for
RI
1 shall
in any
I shall
hrLby affirc. un ter penalty of perjury that there is a construction lending agency for the performance of the work for
Iders Name i..ender's Address
my signature telow, I certify to each of the following:
1 am the property owner or authorized to act an the property owner's behalf.
have read this application and the Infonnstlon I have provid
I agree to Comply with all applicable city and county anCCG and state laws ref Ing to building eonstmerion_
I authorize representatives of this CIV county �lepliarve-identified prop for Inspection purposes.
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ACTION
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PERMITEKFIRED
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PERMITCAFLCELLEV
PERMITFXTENOEG
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PERMIrFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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REGULATIONS PART 61 OFTITLE 40 AND ACIMD RULE
UASBESTOS NOTHRCATION IS NOTAPPLCABLE TO
PROPOSED DEMOLITION
or
Industrial Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued_ My workers'
Date
so as to become subject to the workers' Compensation laws of California, and egre
i comply with those provisions.
z-rJ
i this permit is issued (Section 3097, Civil Code)-
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