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Home My WebLink AboutX2019-2857 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2857 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 8 5 7 Project No : 2602-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date: 0911212019 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 423 ORCHID AVE NB Description: MFR DESCRIPTION CHANGE, DUPLEX TO CONDO (X2017-3720). Legal Desc.: CORONA DEL MAR BLK 441 LOT 15 U.U. Owner. MANSOURIAN NOZARISANEI NEDA Contractor: ARMIN CORP Architect: TEALE MARK Address: PO BOX 4095 Address: 3943 IRVINE BLVD #22 Address: 2900. BRISTOL ST BLDG A203 SCOTTDALE AZ 85261 IRVINE CA 92602 COSTA MESA CA 92626 Phone: Phone: 714.595.7673 Phone: 949-975-0123 State Lic:CO22162 Applicant: TEALE MARK/DEMI Con State Lie: 826987 Engineer: HAKIM FADY Address: 2900 BRISTOL ST BLDG A203 Lie Expire: 11/3 012 01 9 Address: 124 PEONY UJ COSTA MESA CA 92626 Bus Lie: BT30055974 IRVINE CA 92618 ry Phone: 949-975-0123 Lie Exp Date: 07131/2020 Phone: 310-422-1536 State Lic:C-075736 L(((.►��+iii Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: WC EXEMPT Address: Occupancy Group: R31U Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I Special Conditions: No of Units : 2 Front: I Bldg Height: 0 Left: / - Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: ParkinN, Spaces: 0 Fire Hazard Zone- N _ Construction Valuation: $0.00 _ Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 ! Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication `. $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee $0.00. Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $35.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00 o m� + V PROCESSED BY:� - e PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: NVt aN.9 ` ` oBtl 4 /,i Ut,n ' ` APPROVAL TO ISSUE: \ Ilii Gu 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 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 Irofessions 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). 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, lusiness 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 n roved for the purpose of sale). I, 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 d,J,s not only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant totheContractors' State License Law). ] I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Iegalh, ell 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 - 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.loginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70W) of Division 3 of the Business and Profs to C de, and m license is in full force nd effect. License Class License No � G q $ '-} Date Contractor Signatuf)r�� YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,000), IN ADDITION TO THE OST 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 %formance of the work forwhich this permit is issued. Policy No. have andaintain 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 carri t a d policy numberjai;e: _ Date ne of Again ,� e ',.A%. Z! f Phone u 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 agre I, if I should become�suu ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant XI R✓ \ iJa 112 (ol CLARATION REGAING COQ NSTRUCTION LENDING AGENCY veby 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 Cade). 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 ordinances and state laws relating to building construction. I authorize representatives of this city or count t me he as ove-Ideenntified property for inspection purposes. t1/ 1l� nature of Property Owner or Authorized ADent / ✓ �-� � Print Property Owner's or Authorized Agent's Naif� )AY&A kyl, —„ D ACTION PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 1403 __ ..• ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMO ITION .{� •• ••• • • • ••• ItiSIGNATURE: 1h11 + . • . • V • • • • a e ••• ••• • • •• •• •••