HomeMy WebLinkAboutX2017-3922 - Permits�vno� City of Newport Beach - Building Division IIIIIIIII��IIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2017-3922
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 3 9 2 2 Project No :2757-2017
F
Permit Counter Phone (949)644-3288
Ap6dalon Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date : 0 211 412 01 8
3zc 3 Inspection Area : 5
1C 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: 448 ISABELLA TER NB
Description: SFR -INTERIOR ALTERATIONS TO KITCHEN & BATHROOM (ENLARGE SHOWER) 150 SF
Legal Desc.: N TR 1237 LOT 151
Owner: ATAROD AJANG/ATAROD KIT
Contractor:
OWNER/BLDR
Architect:
Address: 448 ISABELLA TERRACE
Address:
ATAROD KIT
Address:
-
NFWPORT BEACH, CA 92660
Phone: 949-. '64959
Phone:
Phone:
State Lie:
Applicant: KAMKAR SAEED
Con State Lie:
OIB
Engineer:
RADVAR SHAHROKH
Address: 25431 CABOT RD STE164
Lie Expire:
Address:
5 HODGENVILLE
LAGUNA HILLS CA 92653
Bus Lie:
IRVINE CA 92620
Phone: 949-307-2723
Lie Exp Date:
Phone:
714-270-6780 State Lic:C-066139
Code Edit : 2016
Worker's Compensation Insurance
Designer:
KAMKAR SAEED
Type of Construction: V -S
Carrier:
Address:
25431 CABOT RD #104
Occupancy Group: R3/U
Policy No:
LAGUNA HILLS CA 92653
Added /New sq.ft. Bldg: 0
- Expire:
Phone:
949-307-2723
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions: Ole AUTH ATTACHED
No of Units : 1
Front: /
C2017-0163
Bldg Height: 0
Left: /
Bldg Sprinklers:
- Right: /
Flood Zone. X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Constructlon Valuation: $12:000.00
Building Permit Fee: $247.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $214.89 -
Additional Fee :
$0.00
Plan check Fee :
$37.50 Fire Inspection:
Overtime Plan Ck: $0.00
Grading. Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $247.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access: $0.00
PAN Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$17.29
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$9.88
NMUSD Fee:
$0.00
Plumbing %:
$22.23
TOTAL FEE: $800.79
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $226.29 Fee Due at Permit Issuance : $574.50
no ° `RUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: `c ° ° v < " °.•APPROVAL TO ISSUE:
0 o c
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 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 L) all of or L) 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
vements 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
imprbvibq for the purpose of sale).
❑ I 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
,LNto 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).
LJ 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 Iegalll
sell a structure that I have built as an owner -builder if it has not been constructed Jrbits 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 whe thi application is submitte r at t fol w' Web site:http://www.leginfo.ca.gov/calaw.html. — FG
Signature of Property Owner or Authorized Agent e i
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am 'censed 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
and effect. License Class License No Date \1� Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby .at6m: under penalty of perjury one of the following declarations:
1 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 the
3erformance of the work for which this permit is issued. Policy No.
:1I 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' compensatiol
nsurance carrier and policy number are:
,arrier Policy Number Expiration Date
Name of Agent Phone #
�1certify 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 agree
hatsf I should become__ subject to the workers'' pensatioonn/provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignatureof Applicant`X 27-1 /%Z
3ECLARATION REGA�DING CONSTRUCONSTRU N L I AGENCY
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 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 county to enter the ve-ide ifie pro a for inspection purposes. -%
3i nature of Property Owner or Authorized Agent =party Owner's or Authorized Agent's Name' (' ' / ` / "� Dat
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • u:. a ••• •••
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATIONT ` ••� • « `
PERMIT CANCELLED EPA ` :• ` ••
PERMIT EXTENDED 57 QAQmD
PERMITFINAL/// AS ESTOS NOTIFICATION I OTAPPLICABLE TO
CERTIFIC4TEOF ly PR POSED DEMOLITION ..�� ••e •�e ••• ••• •��
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