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Home My WebLink AboutX2017-2402 - PermitsCity of Newport Beach = Building Division 100-ivic Center Drive, Newport Beach, CA 92660 H & Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2017-2402 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllll II Project No: 0980-2015 Issued Date : 08/0212017 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: 4721 CORTLAND DR NB Description: SFR (CHANGE OF CONTRACTOR) ADD 705 SF I INT ALTERATION & DELTA 2, ADD 33 SF (FAMILY RM) (X2015 -1272/X2016-1353) , Legal Desc.: TR 3519 LOT 4 ALL -EX SWLY 1 FT- „ CT0,11 Owner: KHARAZMI MOHAMAD Contractor: OWNER/BLDR Architect. Address: 4721 CORTLAND DR Address: _ _.. Address: � d CORONA DEL MAR, CA 92625 _ —" `h �, i„'t.'�<r,. �''t,`�” 0 ,ttGve.,11A Phone: Phone: �ha{f: 1 �0 State Lic: omoe Applicant: KHARAZMI MOHAMAD Address: 4721 CORTLAND DR CORONA DEL MAR CA 92625 Phone: 949-395-7070 Code Edit : 2013 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 705 Added /New sq. ft. Garage: 443 No of Stories 1 No of Units: 1 Bldg Height. 29 Bldg Sprinklers: Flood Zone: X Construction Valuation: $0.00 Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee Con State Lic: -'69 Bus Lic: Lic Exp Carrier pQ` ' t�L No,q `$wld tY *too Rear Frogk tlY1t ess: ° ° • e 0 �5a Phoonq 'lk%omState Lic: ..... Designer: ZOLFAGHARILADAN. `mmem m Address: 82 HAVENWOOD IRVINE CA 92614 hone: 949.870-5584 - m 0 6 ecial Conditions: COASTAL EXEMPT>300'to A V] $0.00 cise T ` $0.00 Planning Depa A ee : $35.00 P Ian check F $0.00 Grading Bonds Fee: $0.00 air Share : $0.00 Grading PC Consultant : e 00 $ SJH Trans $0.00 Gradin mitna,: �,0. 0a\ In -lieu Housing Fee: $0.00 Gra g P eek; $QQ,QQRt'�p-'if) Public Works Departn $0.00 WO sp. ®tl� �dte0Z1' Park Dedic� on_'. $0.00(\N q Check $0.00 ctrical %:: $0.00 an Dist :' $0.00 chanical %: $10 NMUSI_Eee: -'I_ 11 TOTAL FEE . $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Fire Department $0.00 Fire Ins a 0.0( $0.00 - F' e, ,�✓ .0( bapt $0.00 e $0.00 Deposit $0.00 Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL, PLAN CHECK BY: APPROVAL TO ISSUE: e ° o•oaoo 0 ommoo °00000 0 ommoo 0 ° C 11 000000 0 0000 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 items) (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). 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, 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 mprovements 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 im 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 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 legally 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 and Professions Co(V, Vakpilable upon request whe t ' pplicat' n is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. , ignal of Property Owner or Authorized Agent Date a gICS"JED CONT4ACTOR`S DECLARA 1 hereby affirm undeopenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Professions Code, and my license s in full force Ad.effest. License Class License No Date Contractor Signature YORKERS' COMPENSATION DECLARATION IARNING.FAILURE TOSWURE 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 bSTOF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'r vb% ffirm and espenalty of perjury one of the following declarations: 2iilave and wil6maintain 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 'e4 "4nce of the wol for which this permit is issued. Policy No. �I ..... JI 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 ;suranoe carrier and policy number are: :.o Policy Number Expiration Date I Agent Phone # ce fy 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 1a I should become s/ubject t the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applica^� Date IECLARATION REgAR ING CONSTRUCTION LENDING 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 ly 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 tye above -identified property for inspection purposes. 1 A .. 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