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Home My WebLink AboutX2015-1272 - PermitsR,.., City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2015-1272 c 100 Civic Cen?zr-0rive: Newport Beach, CA 92660 X 2 0 1 5 1 2 7 2 Project No: 0980-2015 °" `. rnitrCounter Phone (949)644-3288 1 F s Inspection Requests Phone (949)644-3255 �a, rrK�k* Combination Type - SFP ELEC MECH PLUM Issued Date: 08/31/2015 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Jab Address: 4721 CORTLAND DR NB INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Description: SFR ADD 705 SF/INT ALTERATION Legal Desc.: TR 3519 LOT 4 ALL -EX SWLY 1 FT-� r kd Owner: KHARAZMI MOHAMAD Contractor: KLASSIC ENGINEERING &CONST Arch' Address: 4721 CORTLAND DR Address: 250 S TUSTIN AVENUE rest: CORONA DEL MAR, CA 92625 ORANGE CA 92866 Phone: Phone: 714-522- �P'rt'k°t�llCc'x A „�O�a re�ic:. Applicant: ZOLFAGHARI LADAN WNW, t V Address: 82 HAVENWOOD Con S 759241 Engin S/0 OV OA 02/2812017 ®m 0 0 C' Top IRVINE CA 92614 Bus is BT 60 88/30/2016949-870-5584Phone: Phone: �off.�--Slate Ljo; °mO°o� omoc, b J'� Ki Code Edit: 2013 };y ; or er's Compensation roe . 4r� V' Type of Construction: V -B �" r: on D Qgner: ZOLFAGHARI DAN o o CC�� Address: 82 HAVEN o® Occupancy Group: R3/U 'kc9�No 5 IRVINE CA 92614 Added /New sq.ft. Bldg: 705 R' xpve. 16 - .Phone: 949-670-5564 Added /New sq. ft. Garage: 443. nyzL aNo of Stories: 1 ulldin acks Rear: 6 ecial Conditions: COASTAL EXEMPT >300' No of Units: 1 - Jgh - Bldg Height. 29 e Bldg Sprinklers: -Flood Zone: X Zon 16Spaces: 2 Fire Hazard Zo Construction Valuation: $127.520:00 - - t+(�l Building Permit Fee. $1,251.00 $0.00 Planning De rtme t- 0 1 l-1 r-y�,l'ito Department cC Plan Check Fee $9$0.00 0.72 Additional Fee : $0.00 Plan check �p Fire Inspection: $0.00 Overtime Plan Ck: Fair Share: $0.00 Fire Is $0.00 Investigation Fee: $0.00 GradiMCC ul ent 1 .0 SJH Trans : $0.00 DenrKPi ki Fee Record Management: $26 00 r Gr d✓& $0.00 t\ In-Iieu:Housing Fee : (- B1�it e d /- $0.00 Energy Compliance: $76 51 'j, Gr i �p�i.'u l Public Works Departm(s�ifAe cue/"` - $0.00 CA Seismic Safety: $1658 Wl dC�C `x'$0.00 Park Dedi $0.00 MSP' Refund Be p sit $0.00 Disabled Access : $0.00 \ an Check : $37.7 --� Hazardous Mat $0.00 lectrical W $87.57 San Dist, 9811.00 Building Green Fee : $6.00 echanical %: .55 NMU ....$1,297:Zb $0.00 Ot77./0: $125.10 $0.00 {t TOTAL FEE: $4,631.9&'1•:;, heck Fee: $970.47 Fee Due at Permit Issuance : $3,661.51 PROCESSED BY: 7 7 7 PUBLIC WORKS APPROVAL: ZONINGAPPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 a fca�ritem(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 rofessions 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). f the work, and the structure is not intended or offered for sale (Section 7044, I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions o usiness 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 nproved 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 does not pply 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: ar prior to completion of the improvements covered ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yethis permit, I can pplicable law, Section 7044 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 a4 of the usin 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://ww .leginfo.ca.gov/calaw.htmi. e signature of Property Owner or Authorized Agent .ICENSED CdiATRACTOR'S DECLARATION hereby affirm 084r -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect�-70 ) of Division 3 of the Business and Profes ode, and I se is fu rce IRO effIct. Ligghg9 CJpss License No _ fyate Contractor Signatu tORj(ERS' COWENSATION DECLARATION IAIiN No.. FAILURE T8 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HU DRED THOUSAND S 00,000), IN ADDITION TO THE '.OST OF COMPENSATIONf DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Reretiyaffirm nrrrrer penalty of perjury one of the following declarations: 1••ve and y.QljpV¢Itain 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 ,e, orm ce of the work for which this permit is issued. Policy No. ,fprye and will maintain workers' compensation insurance, as required b Se n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol 4suPa carriej•Dprj p$licy number are: a • - .Policy Number Expiration Date fA ent ••: •. - Phone# �lP• p g �l certify that, in the performan of th ork for which this pe i us , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subje o orkers' compens ns Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r— Dk_ Aua 3i -I> Signature of Applica _ _ _ _ ereby affirm under penalty of perjury that there is a cp6iry5tu rder's Name // my signature below, I certify to each of the following: I am the property owner or authorized to act on the property have read this application and the information I haveJ�Ov I agree to comply with all applicable city and county ofdi I authorize representatives of this city or cou ty to e r e (nature of Property Owner or Authorized Ag At.7 Mf 1)A7F FXPIRF/) 6CUP141JCYiS5UEO agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Adds?ss " behalf. 36 ar�d state laws re to building construction. Sot p for inspection purposes. Print Property Owner's or Authorized Agent's N;6 By/6�VFEDERAL �REGULATIONS PART btOFT/TLE[4Alm rS10MITT(1)AR1117.517ns EPA AgtfiD SIUNAf W&: