HomeMy WebLinkAboutX2021-2379 - Permits$N"11Q4. City of Newport Beach - Building Division IIIIII IIIIIIIIIIIIIIIIIIII II
T 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 3 7 9
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B)
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.
Job Address: 114E OCEAN FRONT NB
Description: NEW SFR W/ ATTACHED GARAGE 227P'8 $G¢pgyF
Legal Desc.: EAST NEWPORT BILK 11 LOT 20
Owner: HEATHER HOMES LLC-
Address: 114 OCEAN FRONT E
NEWPORT BEACH, C{Ces re
Phone
Applicant: AZIZI MASUM M
Address: 4701 VON KARM
NEWPORT BEA(
Phone: 949.689-7999
Code Edit: 201
Type of Construction: V-B
Occupancy Group: R3/1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
�- `
A\t #156
CA P2660
Building Permit Fee: $4,309.00
Plan Check Fee: $2,905.00 0,
Overtime Plan Ck:
$0.¢0
Investigation Fee:
$0.'0
Record Management:
$114.0,0
Energy Compliance:
$303.0
CA Seismic Safety :
$57 4
Disabled Access :
$0 0A
Hazardous Mat
$0.00
Building Green Fee :
$18.00
COMB Permit: X2021-2379
Project No : 2060-2021
Issued Date : 04/05/2022
Inspection Area : 1
)512025 OR PERMIT WILL BE INVALID
work on Sundays or Holidays
�CpoPtdr
ntractor: A`Tf�lt Architect: AZIZ MASUM M
s: 201 SHIPYARD OV4Vr 21 IF ah6�lit ,e; 4701 VON KARMAN AV #1
v 1E '" 92663 NEW PORT BE
CA 26�
0 949 887-1777 RP,{) ne: 94 fo79 St el.
�" "1e11 r7 ❑ Su o er ❑ i un
Con tate 14 - �j n Engineer: MAN HADI FARHAD
Lrc Expvee;e+i( / 1�(� Address: 1800E 16TH ST UNIT B
Bu 4 i 'a y'$T �1056355 z; £- to y+%I1 s'i:11. 1
Lac Ex�r.Ddi 8191 Z2 Phone: SAN 35-2800 Sta L
Worker's Compensation Insurance _ Designer:
--Earner ` --.- EXEMPT Address:
Policy No NO.EMPLOYEES
>.` S °'•
Expire - Phone: se
Building Setbacks Rear: 15' Special Conditions:
Front: / 10'
Left: / S"
I _ Right: / i' _ 1
a iro �n 4 F `'P>rkinre Fnacec -o Fire Hazard Zone : N
Excise Tax:
$554.40
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading Permit Fee:
$973.00
Grading PC Fee: __$846.51.
Electrical %:
$301.63
Mechanical %:
$172.36
Plumbing %:
$387.81
Planning Department -
Plan check Fee :
$520.00
Fair Share:
_ $0_00_.....
_
SJH Trans: -
$0.00
In -lieu Housing Fee: -
$0:00
Public Works Department-
-
Park Dedication : $0.00
PAN Plan Check: $355.25
San Dist : $1,015.00
NMUSD Fee: $1,543.76
TOTAL FEE-:ti$14,527.76 Plan Check Fee : $4,506.51 Fee Due at
PROCESSED BY: _ _ PUBLIC WORKS APPROVAL:
ZONING APPROVAL: I/k PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Refund Dade
Grading Bond:
it Issuance
29
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10,021.25
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 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
IS 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
'rofessions 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
of more than five hundred dollars ($500).
7 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,
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
nprovements 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
nproved for the purpose of sale).
I, as owner of the property;:aar-vzohasivey=e>TI�d"etft -r o cons ruc a project (Section 7044, Business and Professions Code: a (.idlitractors' State License Law does not
pply to an owner of prop rty who builds or improv a o 7who ntracts for the projects with a licensed Contractor pursuant to the Contractors' State icegsg Law).
I am exempt from lice sure ��ddgg�. Contract ate�Ci nFe�L for the following reason: �f r'a �Icable: ' '
iy my signature below I a knov.A¢U'g'b4itzt, esl ence In wIiidh Imust have resided for at least one year prior to completion of the impr e : s covered by this permit, I cannot legal)
ell a structure that I have Lilt as an owner -builder If It has not been constructed In its entirety by licensed cont t 0yndg{�t thpgB�Qy a le la Section 7044 of the Business and
'rofessions Code, is avail ble when hca Is s Itt or II e ite:http��Rfo`.'dta./c�ln?flt`rr11.�
Iignature of Property Ow r or uthonze . gent d �. g. Date
.ICENSED CONTRAC OR'F DECL# AT[ % r a " d „�All ' v to K_
hereby affirm under pen y of ¢9�ry tha'f am II #�s,U �d,'r prl`(7r11s ofi ChaptE�.9:('comrie`rQeingitectfBll v" " smess an r ess Cod , an my license is in full force
nd effect. License Clas.; L License No Date Contractor Signature
VORKERS' COMPEN§ATION DECLARATION
L y��
'ARNING: FAILURE TO SECURIAWORH# ATIO GE IS LNLAWFLL AND SHALL SUBJECT AN EMPLdkER T RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THQUCA.NO DOLLARS ($100,000). IN ADDITION TO THE
DST OF COMPENSATION DAMAGES Pj$ DE 0.
R IN 706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. �
hereby affirm under penal) of R4?e ef the !owing declarations:
I have and will mair
'ormance of the work
have and will mainh
Trance carrier and Do
Agent _
y that, in the
of
a cWtifaannai cons self insure for workerscompensation, issued by the Director of Industrial Relations as provided
hich this permit is issued. Policy No.
insurance, as required by Section 3700
Ice of the worktfi�il'SC�r(k ttJII'li rD' d issued, I shall not employ any pers
to Ilk workers' compensation provisions of Section 3700 of the Labor Code, I
for the performance of the,work for which
hone #
Tfanner so as to be ome subject to the
forthwith comply with those provisions.
veby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ;this fie�rRl itri 1 issued
Ider's Name F lender'&Addtess—
my signature below, I cettify to each of the following ---
I am the property owner'd'f authonzeA6 ac or the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction.
I authorize representatives of this city or county to n er th ove-identified property for inspection purposes. r
nature of Prooertv Owner or Authorized Agent oC ___� Print Prooertv Owner's or Authorized Aoent's Nam,
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
(J
R.
I LII SUBMITTED ASBESTOS NOTIFICATION TO
_
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
E1AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
3700 of the Labor Code, for
mit is issued. My workers'
laws of California, and
Date