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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. 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