HomeMy WebLinkAboutX2020-2393 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIIIICOMB Permit: X2020-2393
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 9 3 Project No: 1274-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date : 10121/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 1012212023 OR PERMIT WILL BE INVALID
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: 17 TELESCOPE NB
Description: SFR (ADDITIONAL SCOPE) MASTER BATHROOM REMODEL (257 SF)
Legal Desc.:
:-Owner:
REZAEI ALI
+Address:
17 TELESCOPE
Record Management:
NEWPORT COAST CA 92657
- Phone:
949.244-9415
Applicant:
LOOK HANNA
Address:
17985 SKY PARK CIR STE G
Hazardous Mat
IRVINE CA 92614
Phone:
714486-3318
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. 8. Garage: 0
No of Stories: 3
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $568.47
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ALLIED ENG. & FIRE PROTECTION
Address:
4824 SURREY DR
Architect:
CORONA DEL MAR, CA 92625
Phone:
714-932-4980
Con State Lie:
514420
Lie Expire:
07/31/2021
Bus Lic:
BT30061907
Lie Exp Date:
01/3112021
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
'arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17.22
$9.84
$22.14
Plan Check Fee
Planning Department -
Fire Department
.°mmA®
$46.25
Architect:
GUINA RICHARDO
SJH Trans:
Fire Plan Rev
Address:
17985 SKY PARK CIR #G
Public Works Department -
Park Dedication :
$0.00
IRVINE CA 92614
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Phone:
714-486.3318 State Lic:C030161
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$0.00
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Engineer:
TRAN JOHN DINH
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Address:
11251 GARDEBAIRE LN
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GARDEN GROVE CA 92841
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Phone:
714-815-2356 State Lic:C-062653 o m m m c o
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Designer:
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Address:
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Phone:
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Special Conditions:
DELTA 4 (REV20-1593)
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Planning Department -
Fire Department
Plan check Fee:
$46.25
Fair Share :
$0.00
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check,
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$260.27 Fee Due at Permit Issuance : $308.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: -
APPROVAL TO ISSUE:
Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$260.27 Fee Due at Permit Issuance : $308.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: -
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 applicable item(s)
fiction 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
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
�fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
)rovements 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
Droved 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
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor_ pursuant to the Contractors' Slate License Law).
I am exemptfrom licensure under the Contractors' State License Law for the following reason:
my signaturEb@IbVJ 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
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
Wlsjons Code.*is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
naWre of Prol72rry'Owner or Authorized Agent Date
IFVSED COINTRACTOR'S DECLARATION
rreby affirm �IMe� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Div' ion of the Business and Prof si s Code, and my license is in full force
LefTect. License Cess License No Date // Contractor Signature
DECLARATION
NGr 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 (5100,0001, IN ADDITION TO THE
oil COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
"ffirm urLder Bernalty of perjury one of the following declarations:
have and WilLmantain 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
"gnce of tlr rylgrk for which this permit is issued. Policy No.
ave and wilMrtreMtain 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
Tice carrier and policy number are:
Policy Number
ie of Agent _
Date
certify 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 workekCivil
mpensation aws of California, and agre
t, if I should become su Bet o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant 1�,,,,l�' ��� Dat ��✓
CLARATION REGAR INGtQRS.TR- CTION LENDING AGENCY
rreby affirm under pally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ode).
Ider's Name Lender's Address
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 1 have provided is correct.
I agree to comply with all applicable city and co u ty ordi antes and stale laws relating to building construction.
I authorize representatives of this city or cou�i(Y o er�teFthe abovfjJ,ntir�r r inspection purposes.
ACTION DATE BY V I RREEGGUART
ARATION IWI NS POCOMPLIANCE
630 TIITLE40AN AOMD RULE
PERMIT EXPIRED i i U&BMITTED ASBESTOS
PERMIT CANCELLED /�EPA
PERMITFINAL ASBEST NOTIFIQATION IS NOT APPLICABLE TO
CERTIFICATE OF CISED 0 I�jN �/��
OCCUPANCY ISSUED SIGNA RE: A _Ates% --'
OFFICE USE ONLY
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