HomeMy WebLinkAboutX2022-1694 - Permits (3)r,& City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1694
100 Civic Center Drive, Newport Beach, CA 92660 X 2 e 2 2 1 6 9 4 Project No : 2487-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 06116I2022
Combination Type - BLDG Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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
Jab Address: 2206 ARALIA ST NS Z
Description: SFR (INSIDE P/L) 64 LF x ITHIGH R.W, 40 LF x 6' HIGH R.W. (NORTH & SOUTH SIDES) 95 LF x 6' CITY STD BLOCK WALL (INSIDE P/L)
Legal Desc.: N TR 4705 LOT 109
Owner:
SHAW KAMAO
Address:
2206 ARALIA ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
SAMSAMI ALI
Address:
28527 KLONDIKE DR
FOOTHILL RANCH, CA 92679
Phone:
949-307-2676
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
UNITED CONTRACTORS
Address:
3185 AIRWAY AVE D-1
COSTA MESA CA 92626
Phone:
949-945-0905
Con State Lic:
949005
Lic Expire:
06/30/2024
Bus Lic:
BT30053869
Lic Exp Date:
01/31/2023
2019 Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9119462
0 Expire:
12/06/2022
0
Building Setbacks
Rear: 6'
Front: 6'
Left: 6'
Right: 6'
x Use Zone:
Parking Spaces:
Construction Valuation: $53,000.00
Building Permit Fee: $833.00
Plan Check Fee: $724.71
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 :
$3.00
TOTAL FEE: $1,712.71
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
_0
Architect:
Address:
Phone:
State Lic:
Engineer:
DEIHIMI AMIR HOSSEIN
Address:
23172 PLAZA POINTE DR STE 145
LAGUNA HILLS CA 92653�
Phone:
949-954-7244 State Lic:C-078194
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$152.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical W
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$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
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,712.71
PUBLIC WORI'S APPROVAL:
PLAN CHECK BY:
APPR.OVA!.. 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions 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
not 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 L) 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 -Builder will have the burden of proving that it was not built or
improved 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
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 legal.
,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/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Di ir1ion 3 of the Business and Prof sio Code, a d y I' a in full force
and effect. License Class License No Date lQ—Z Contractor Sig natu
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 1Fa6LSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the fallowing declarations:
Vhave 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 ofthe Labor Code, for th,
ormance of the ork for which this permit is issued. Policy No.
have and will m i tain worke ' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
rance carrier and licy num r e:
Carrier �Po q umber Expiration Date
Name of Agent A Phone #
❑I certify that, in the performance of the work 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 agre4
that, if I should become subjeefit to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant_ Date 19—ItD-2Z-
DECLARATION REGARD CONSTRUCTION LENDING AGENCY
I hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
Lender's Name Lender's Address
By 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 vided is correct.
I agree to comply with all applicable city and county ordi nces and Ste WE relating to building construction.
I authorize representatives of this city or county t ter a abc ="der c gparty for inspection purposes. _1
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name A PAJO Date
ACTION DATE BY D RATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LD
R LATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 _
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA _
PERMIT EXTENDED qM D
PERMIT FINAL ( 2� ! ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF V PROPOSED DEMOLITION - -
OCCUPANCYISSUED SIGNATURE: I