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Home My WebLink AboutX2016-1353 - PermitsCity of Newport Beach - Building Division 1 UOi;ivic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v. Inspection Requests Phohie (949)644-3255 ^n��s Combination Type - SFP ELEC COMB Permit: X2016-1353 Project No : 0980-2015 Issued Date : 05/10/2016 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 4721 CORTLAND OR NB Description: DELTA 2, ADD 33 SF (FAMILY RM) Legal Desc.: TR 3519 LOT 4 ALL -EX SWLY 1 FT. Owner: KHARAZMI MOHAMAD Address: 4721 CORTLAND DR CORONA DEL MAR, CA 92625 Phone: Applicant: SHIRALI KEVIN Address: 250 S TUSTIN AVE ORANGE CA 92866 Phone: 714-369.8389 y Code Edit : 201 Type of Construction: VB4ti�', Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: 0 "W - No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $5.94 00 Contractor: KLASSIC ENGINEERING & Address: 250 S TUSTIN AVENU ORANGE CA Phone: ,x7711'4.552-1 0 Con Stateo�_,759241 Bus Lic: g130052316 Lic Exp D . 08/30/2016 Carr ;tA 1��xPUFIs �P h t "kris 9backs Rear Building Permit Fee: $152.00 Exc Tax: $0.00 Plan Check Fee $132.24 nal Fee : Own Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consul t Record Management: $0.00 Gr g rr 1' Energy Compliance: $56.00 ra g P glS.n+,�"� CA Seismic Safety: $0.77 WO p, ee : rK t" 00 Disabled Access : $0.00 lU� Hazardous Mat $0.00 Electrical %: \ $10.64 Building Green Fee : $1.00 Mechanical %: --4"10 TOTAL FEE : $352.65 i+ PI F4 i PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: v1 A Y5``G rV f� `t �,�1 t' Phho�one:CC, r 131 )0 St a Lic: Q�ArR AHMAD ddress2 025 DDR, S7' 104 AGe HILLS CA 9130 E1h' r State to Designer: ZOLFAGHARI LADAN Ielo Address: 17 WOODLAND DR IRVINE CA 92604 Phone: Special Conditions: REV16-0581, DELTA 2 kel) {S!c 0 _ eFireJda'7ao rj Plannin De ani" wOC4�15' Plan ch ee : l00 $0.00 Fair Share $0.00 SJH Trans r:. $DAO JP4P0146using Fee :$0.00 i Public Works De a# ant - kil Paion : $0.00 Plan Check : .00 Park San Dist N eep $0.00 Fire Departm H Fier action: D ira Plan Rev �L uioa ral Service Refund Deposit Grading Bond: 0o c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $132.24 Fee Due at Permit Issuance : $220.41 PUBLIC WORKS APPROVAL: / 'I PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION — °a 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 hake placed next to the applicable (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�_e ` 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 Busihe�_. 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 or not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). ❑ 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 apply 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). ❑ 1 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 legal) sell 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 d Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm up8e1'%alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Divisl n 3 of the Business and Profession e, and m�1,,n �(orce agdeffeq. LicenE@Class License No Date '�P�-%6 Contractor Signature d61k RS' CC)NP8WSATION DECLARATION NABNINCG FAILUREI'O 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 C®S'ROF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 'Fypy& and will mai01ain 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 nce of the' wS`* for which this permit is issued. Policy No. Fave and will inalJStain workers' compensation insurance, as requir by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio WC4 carrier antl policy number are: carrier ' ' ' Policy Nu - Expiration Date !En1iy that, iQ tfkgdfforman of t work for which if I should become/sykfle t hZIrkers"compen lture of Applicant/ ued-, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date —� O —I>r CLARATION REGARDING CONSTRUCTION LEN I AGENCY :reby affirm under penalty of perjury that there is a nstruction lending agency for the ider's Name L 1 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. have read this application and the information I have pr ide 's correct agree to comply with all applicable city and county or r ces and stat a rplatir I authorize representatives of this city or county t r71' the abPve-ide Ifi pr not --re of Property Owner or Authnri7pd Anent of the work for which this permit is issued (Section 3097, Civil Code). Address to building construction. r inspection purposes. Jf Print Property Owners or Authorized Agent's Name ate gy DECLARATIONOFCOMPLUMEGNTHCODE OF FDAGttrtttJ5k.Uilff.T ACTAON DAT FEDERAL REGULATIONS PARTBf OF 71TLEAD AND At?I{4Qf3ULC4IlP7. ❑1SffrNMTWI)ASIYSTf)SW)TIrtCATV)M7). A[3 EPA r / Ll AQMD ASBESTOS NO WINISNOTMPCtC,+I TO POSEDUEMO - PFRrudt7FXPtRFf) P€j7MJTCAP1CLLU7D PERA41T EXT€NLIED FERMIT TWfA.L GEADFCATEG'F r SI{eMAt Uig OCCt/PANCVf35UED