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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