HomeMy WebLinkAboutX2021-2849 - PermitsCity of Newport Beach - Building Division `X2021-2849* COMB Permit : X2021-2849
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2487-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 06/01/2022
Combination Type - SFP ELEC MECH PLUM GRAD Inspection Area : 4
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:
2206 ARALIA ST NB
4�:�� '�•
Description:
SFR INTERIOR REMODEL 1724 SF & ADD 1752 SF
w
Legal Desc.:
N TR 4705 LOT 109
Owner:
SHAW KAMAO
Contractor:
UNITED CONTRACTORS Architect:
Address:
2206 ARALIA ST
Address:
3185 AIRWAY AVE D-1 Address:
CA 92626
NEWPORT BEACH, CA 92660
COSTA MESA
Phone:
State Lic:
Phone:
Phone:
949-945-0905
Applicant: SAMSAMI ALI
Con State Lic: 949005
Engineer:
Address:
DEIHIMI AMIR HOSSEIN
23172 PLAZA POINTE DR STE 145
Address: 28527 KLONDIKE DR
Lic Expire:
0613012022
LAGUNA HILLS CA 92653
- -
FOOTHILL RANCH, CA 92679
Bus Lic:
BT30053869
Phone:
949-954-7244 State Lic:C-078194'
Phone: 949-307-2676
Lic Exp Date:
01/31/2023
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Address:
SAMSAMI ALI
28527 KLONDIKE DR
- -
Type of Construction: V-B-SPR
Carrier:
STATE FUND
FOOTHILL RANCH, CA 92679
Occupancy Group: R3IU
Policy No:
Expire:
9119462
1210612022
Phone:
949-307-2676
Added /New sq.ft. Bldg: 1752
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: 6
Special Conditions:
P
'
No of Stories: 1
Front: 6
No of Units : 1
Left: 6
Bldg Height: 0
Right: 6
Bldg Sprinklers: Y
Use Zone:
Parking Spaces:
0 Fire Hazard
Zone : N
Flood Zone:
Construction Valuation: $1 000 000.00
Building Permit Fee: $7,326.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Fee : $208.00 Fire Inspection:
'
$0.00
Plan Check Fee: $6,014.43
Additional Fee :
$5B2.00
$0.00
check
Fair Share :
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Investigation Fee: $0.00
Record Management : $84.00
Grading Permit Fee:
$1,020.00
In -lieu Housing Fee :
$0.00 Building General DDeptti Adm
$$27.00
.00
Energy Compliance: $303.00
Grading PC Fee:
$887.40
Public Works Department - cation $0.00
Refund Deposit
$266.00
CA Seismic Safety: $130.00
WQ Insp. Fee:
$152.00
PAN Plan Check: $456.775
Grading Bond:
$0.00
Disabled Access: $0.00
$0.00
Electrical %:
$512.82
San Dist : $2,084.00
$0.00
Hazardous Mat
Building Green Fee : $40.00
Mechanical W
$293.04
NMUSD Fee: $3,238.40
$0.00
Plumbing %:
$659.34
Plan Check Fee
: $73926.83 Fee
Due at Permit Issuance :
$16,920.35
TOTAL FEE : $24,847.18
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 Iicensure 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).
❑ 1, 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, 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
apply 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).
❑ 1 am exempt from Iicensure 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 legall,
sell a structure that 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700O.Lof ivision 3 of the Business and Professions d y license is in full force
and effect. License Class License No Date 22 Contractor Signature
NORKERS' CORIPcENSATION DECLARATION
VA7nV10a. F9LURE TO Fe^I'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH AND DOLLARS ($i60,DOD), IN ADDITION TO THE :GIST OF CGMPENSA.10i1, DA:.IAGES As PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
he.aby affirm under penalty of perjury one of the following declarations:
1 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 the
glormance of the work .or which this permit is issued. Policy No.
and will mail tWn 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'
carrier ano pol,cy number are:
nc of Agent
c=' Ify that, in M& pt
if I should become
iature of Applicant_
Policy Number Expiration Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
_ ___ __ Date I'- 2 Z
1 VNV CIYVi
areby affirm under penal f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder'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 pr ided is correct.
I agree to comply with all applicable city and county or n as of state laws relating to building construction.
I authorize representatives of this city or county t}7t ab -identified property for inspection purposes.
nature of Property Owner or Authorized Age r Print Property Owner's or Authorized ADent's NRmP�� nna C P0
DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED ISUBMITTED. ASBESTOS NOTIFICATION TO
PERMIT CANCELLED DEPA
PERMIT EXTENDED QM D
PERMIT FINAL 10 j5 �Y� BESTOS NO
TIFICA �ONAPPLICA5E TO
CERTIFICATE OF OPOSED DEMOLIT
OCCUPANCYISSUED SIGNATURE:
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