HomeMy WebLinkAboutX2020-2991 - Permits4w'roA City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
U.. Xti Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
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COMB Permit: X2020-2991
Project No : 2381-2020
Issued Date : 01/20/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/2112024 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: 4 BELFORT NIS
Description: SFR INTERIOR REMODEL (KITCHEN, LAUNDRY RM, MASTER BEDROOM) 300 SF ■
Legal Desc.: N TR 14902 LOT 50 - f1
Owner:
ZAMANI SHAHRAM
Address:
4 BELFORT
Record Management:
NEWPORT BEACH, CA 92657
Phone:
949-554.7900
Applicant:
ZAMANI SHAHRAM
Address:
4 BELFORT
Hazardous Mat
NEWPORT BEACH, CA 92657
Phone:
949-554-7900
Code Edit : 2019
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $922.37
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ELITE CONSTRUCTION & ENG
Address:
23121 LA CADENA, STE 1-2
Fair Share :.
LAGUNA HILLS CA 92653
Phone:
949-699-3717
Con State Lie:
940597
Lie Expire:
05131/2022
Bus Lie:
BT30044600
Lie Exp Date:
08/31/2021
Worker's Compensation Insurance
Carrier: EVERSET NATIONAL
Policy No: 7600021744201
Expire: 08110/2021
Building Setbacks
PC53
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 10'
Left: 5'
Right: 5'
Parkins Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29.12
$16.64
$37.44
Plan Check Fee
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
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State Lie: °
MEHDIZADEHNASRABADI MOHAMMAA • ,
145 COTTONWOOD °
IRVINE, CA 92618 `
949.554-7900 State Lio:C-085373`....
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Special Conditions:
Hazard
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share :.
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$799.33 Fee Due at Permit Issuance : $123.04
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$799.33 Fee Due at Permit Issuance : $123.04
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
ction 7031.5, Business and Professions Cade: 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess, 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
Irovements 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
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
)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' State License Law).
I am exempt frOm4licensum under the Contractors' State License Law for the following reason:
my signature i
stlwi racknowiedge 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 Iegall)
'SLC ura thaj 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
ifessidns Codepie e4lable upon request when this application is submitted or at the following Web site:hftp:tlw .feginfo.ca.govtmlaw.hlml.
gature of Property Ofter or Authorized Agent Date
.BNSED CONTRACTOR'S DECLARATION
:regy affirm antler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio O) of Division 3 of the Business and Pro o otle nd my license is in -full force
f gf�ect. Lice License No Date Contractor Signature
)VJKERS' CG PAPJ=NSATION DECLARATION
;r Ik FAILURE 70 $V6RE 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 AOD1710N TO THE
iQF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Me%affirm under penalty of perjury one of the following declarations:
1 have ane UJIl-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 th
it"ance of the work for which this permit Is issued. Policy No.
.have and WQPmabltain 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' compensatioi
brance carrier and policy number are:
"der Policy Number Expiration Date
of Agent
If I
in the performance of 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 agre
becom s )ect orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date 1 /20/2021
CLARATION REGARDMG CONSTRUCTION LENDING AGENCY
,mby 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).
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 I have provided is correct.
I agree to comply with all applicable city and county a nces and state laws relating to building construction.
I authorize representatives of this city or cou e e ab e -identified property for inspection purposes.,JOf3 $ilO0Sht8fl 1 /20/21
Inature of Property Ower or Authorized Agent Print Property Owner's or Authorized Agents Name Da
:TION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY _
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
PERMITFINAL ..'L 2,' ��L OPOSEDDE TCA r GOTAPPUCABLE TO
CERTIFICATE OF ii
VROCCUPANCYISSUED SIGNATURE: T