HomeMy WebLinkAboutX2022-0741 - Permitsl �wno� City of Newport Beach - Building Division
- ; x 100 Civic Center Drive, Newport Beach, CA 92660
H r� Permit Counter Phone (949)644-3288
�.; Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0741
X 2 6 2 2 0 7 4 1 Project No : 2109-2020
Issued Date : 03114/2022
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/14/2025 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: 230 POPPY AVE NB
Description: DELTA 1 - ADD'L SCOPE- PRIMARY BATH REMODEL, EXPANSION OF ROOF DECK
Legal Desc.: N TR 673 BLK A LOT 24
Owner:
HABIBI AHMAD
Address:
230 POPPY AVE
CORONA DEL MAR,CA 92625
Phone:
Applicant:
HABIBI AHMAD
Address:
230 POPPY AVE
CORONA DEL MAR,CA 92625
Phone
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor: OWN ER/BLDR
Address:
Phone
Architect:
Address:
Phone:
State Lic:
O/B � Engineer: YAGHI SHUCRI 1
401 yrZp --oTc7 A Add OR NE. E CA 92N #D
\� �Fr ORANGE CA 92866
Wficne: 714-997-9120 State Lic:C-043205
Worker's Compensation Insurance A\r^' Designer:
Carrier: I �h� Address:
Policy No: CA
0 Expire:
0
Building Setbacks ar: �, Special Conditions:
Front: /
Left: /
Right: /
Use Zone: Pa Right:
Soaces� 0 Fire Hazard Zone
Building Permit Fee: $161.00
Plan Check Fee: $0.00
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 :
$1.00
Con State Lic
Lic Expire:
Bus Lic:
Lic Exp Date:
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:
$0.00
Park Dedication :
$0.00
PfW Plan Check :
$0.00
Electrical %:
$11.27
San Dist:
$0.00
Mechanical %:
$6.44
NMUSD Fee:
$0.00
Plumbing %:
$14.49
IITOTAL FEE: $194.20 Plan Check Fee
PROCESSED BY: -9 _ _ m
ZONING APPROVAL: cm✓
opt
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
$194.20 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
M
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
yaowner 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
s
a lto 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).
❑ am exempt from Iicensure under the Contractors' State License Law for the following reason:
By y signature below I acknowledge that, except for my per onal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
a structure that I have built as an owner -builder if it has t n con u ted in its et y 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 a li f n' sub itt d th f I g Web site:http://www.leginfo.ca.gov/calaw.html. ram/
Signature of Property Owner or Authorized Agent _ �af
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licensed under provisions bf Chapter 9 (c6eRmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
erformance of the work for which this permit is issued. Policy No.
have and will maintain 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'
rance carrier and policy number are,. — .
ier Policy Number Expiration Date
of Agent
ertify that, in the pi
if I should become
iture of Applicant
Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby 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).
.ender's Name Lender's Address
3y 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 rovided is correct. J a�
I agree to comply with all applicable city and coun y o din s a tat .laws re ing to building construction.
I authorize representatives of this city or county t er a bo de If' pr y for inspection purposes. lJ
3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name f
ACTION DATE BY DE LARATIO OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I__I I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
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