HomeMy WebLinkAboutX2021-3301 - Permitsof Civic o cNewDport Beach , Newport _- Building Division
rive
enter
H , CA 92660
Permit Counter Phone (949)644-3288
U p Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-330
Project No : 2861-2021
Issued Date : 1210712021
Inspection Area AZ'
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/07/2024 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:
D
775 AVOCADO AVE NB
CC
RDSF
TKITCHEN
e�
LegallDesc.:
R 102 4LOT UNIT305 OFPRJET LOCATED ON AP 50-323-03
TOGETHER
Owner:
SHIRVANI HAMID Contractor:
OWNER/BLDR Architect:
Address:
775 AVOCADO AVE Address:
SHIRVANI HAMID Address: ,.
CORONA DEL MAR CA 92625
O/B AUTH ATT
Phone:
2021908-8808 Phone:
Phone: State Lic:
Applicant: SHIRVANI HAMID
Address: 775 AVOCADO AVE
CORONA DEL MAR CA 92625
Phone: 202/908-8808
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 24
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Valuation: $33,000.00
Building Permit Fee: $595.00
Plan Check Fee: $517.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$595.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,977.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: O/B
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: I
0
Engineer:
MOBED MEHDIABADI SASAN
Address:
3842 HENDRIX ST
IRVINE CA 92614
Phone:
310-433-7927 State Lic:C-075884
Designer:
Address:
Phone
Special Conditions:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$52.00
Fire Inspection:
$0.0,0
$0.00
Fair Share :
$0.00
Fire Plan Rev
$G:GO
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
$83.30
San Dist: $0.00
$65.45
NMUSD Fee: $0.00
$0.00
$53.55
$0.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$1,977.95
PUBLIC WORKS APPROVAL:
_
M,
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (_) all of or (_) 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
oyed for the purpose of sale).
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
ply 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).
❑ I am exempt from licensure 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 legalli
sell a structure that I have built as an owner -builder if it h of en 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 thi p o is sutq�mltted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent /1 ^ l Date /Z/ 71/ggl Z- I
LICENSED CONTRACTOR'S DECLARATION tv
I hereby affirm under penalty of perjury that I am licensed 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
land effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST OF COMPENS4-10.'I, DWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,hereby oirm under penalty of perjury one of the following declarations:
1 have and will maijltain 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 IN
ielformance of the work for which this permit is issued. Policy No,
have and will mrintain 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'
Dance carnei and policy number are:
Policy Number
Date
ne of. Agent Phone #
cartify 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
if I , hould becomo subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ra:Lr of Applicant Date_ _
CI ARATION PAC k tDING CONSTRUCTION LENDING AGENCY
reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider'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 provided is correct.
I agree to comply with all applicable city and county o di ances and state laws relating to building construction.
I authorize representatives of this city or county tr �he above -identified property for inspection purposes.
of Property Owner or Authorized
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
J)A_f +IUTA)BESTOS NOTIFICATION 15 NOTAPPLICABLE TO
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