HomeMy WebLinkAboutX2019-3392 - Permitswly City of Newport Beach - Building Division
100 Civic
c Center Drive,
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
COMB Permit :X20, 9-3392
Newport Beach CA 92660
Permit Counter Phone(949)644-3268
Project No : 2345-2019
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
Issued Date: 10/24/2019
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 8:00
Job Address: 716 HELIOTROPE AVE NIB
p.m. No work on Sundays or Holidays
Description DEMO SFR 1032 SIP (2.BEDROOMS) 'STOP WORK*.:
Legal Desc.:
ICNOIS
TION Ei
,10 CONSTRUCTION
ONSTRV
CORONA DEL MAR BILK 735 LOT 18.
.I
LV 1 V �7
Owner 716 HELIOTROPE LLC Contractor
JFB PROPERTIES Architect:
Address: 716 HELIOTROPE AVE 'Address
23986ALISO
CREEK RD STE 112, ;Address:`
CDM CA 92625
Phone Phone:
r
LAGUNA NIGUEL CA 92677 �N'I THE WEEKEND
VVG KE
888-463-2111
LJ
- Phone. State Lia
Applicant. BAHRAMI JAMSHID :. Con State Lic:
Address: 716 HELIOTROPE AVE -
1045525
Engineer: CRAFT AUL DGMINICK
P i
Lic Expire:
CDM CA 92625 Bus Lic
10/3112020
Address: 8512 OXLEY CIR
Phone: 949-091.4947 : Lic Exp Date.
BT30064630
10/31/2019.:
HUNTINGTON BEACH CA 92646
Phone: 714-270.3311 .State Lic:S-008516
Code Edit: 2016 Worker's Compensation
Insurance
Designer
Type of Construction: V -B Carrier.
Occupancy Group:.
EXEMPT
Address: I
E CTO
R- i
R3111 Policy No:
no employees
Added /New sq.ft. Bldg 0 Expire:
Added /New sq. ft. Garage: 0
Phone:
No of Stories: 1 Building Setbacks
No of Units 1 No
Rear: /
Conditions: ACKNOWLEDGMENT RECIEVED
Bldg Height. 0
Front I
119-2869
Left. /
Right: /
JD DEMO TO HAUL
-
FlooBldgd Zone:
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
truction Valuation $8,000.00
ng Permit Fee: $103.00 Excise Tax
Check Fee::$206.00 '
$0.00
Planning Department - Fire Department
Additional Fee :
Plan Ckt $0.00 Grading Bonds Fee:
0. 00
$0.00
.$
-Plan check Fee.. $90.00 Fve ins ection:ime
p $0.00tigation
Fee:. $103.00 GradinPCC
[[PIan
Fair Share.
$0.00 Fire Plan Rev $0.009
SJH Trans:rd
Mana ement -
9 , $2.00 Grading Permit Fee:
.$0.00
$0.00
$0.00 Demolition Fee
Iri-lieu Housing Fee `. $0.00Building
Compliance $0.00 Grading PC Fee:
$0.00
Dept Adm $26.00y
Public Works Department -
Safety. $0.00 WO lnsp. Feer
$0.00
General Service...$210.00eismic
Park Dedication [. $0.00
Access : $0.00
-
Refund Deposit $1,127.00led
Hazardous Mat o .
$0.00 Electrical :
$0.00
P/W Plan Check :.. $0.00 Gradin B $0.00
0 Bond:
Building Green Fee $1.00 Mechanical %.
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
Plumbing %:
$9.27
$0.00
.$0.00
TOTAL FEE : $1,879.27 Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $1,879.27
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
-
PLAN CHECK BY: -.
GRADING APPROVAL:
APPROVAL TO ISSUE:.- C._a AAA
1
OWNER -BUILDER DECLARATION
State License Law for the reason(s) indicated below by the checkmark(s)m
.I have placed next to the applicable item(
I hereby affirm under penalty of perjury that I am exempt from the Contractors'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
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 Section7000)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).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 yearof 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. 1. must have resided for at least one year prior to completion of the improvements covered by this. permit I. cannot legal)
sella 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ate
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION �Iand
I herebyaffirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectti�ooi 70 ) p "G�' i f tConBtractogSignaturof si��s o an yllcense in full f
and effect. License Class License No ,6
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S'Ib0,0001, IN ADDITION TO THE
COST OF COMPENSATION, 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:
I have and will 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
rformance of the work for which this permit is issued. Policy No. o o w s
ave and i will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit s issued My workers' compensatio
nsurance carrier and policy number are: Expiration Date
Carrier Policy Number
Phone #
Name of Agent
❑I certify that, inthe perfor ance oft a wor f whic is. permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation Iswsbf Calrfornia, and agre
that, if I should become s 'act to the er a p ation provisions of Section 3700 of the Labor Code,.I shall forthwith comply with those provisions.
/7Cvl
Signature of ApplicanC.DECLARATION REG DINGCON UCTI L LNG AGENCYI hereby affirm under enalty of perju that there is a constructionlending agency for the performance of the work for which this permitis issued (Section 3 Code)
Lender'sName. Lender's Address
By my signature below, I certify to each. of the following: -
I am the property owner or authorized to act on the property ow e s behalf.
I have read this application and the information 11 have pr dad is orrect
I agree to comply with all applicable city and county ordi ce nd state ws relating to building construction
I authorize representatives of this city or county to ente a e -i e ' ed property for i tiompurposes. Date 2 -
Signature
Si nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY ECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -
REG TIONS PART 61 OFTITLE 40 AND AOMD RULE
3
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA -
PERMITEXTENDED QMD
PERMITFINAL n7L"'�-" A58ESTOSNO IF ATI N NOT LICABLE TO
CERTIFICATE OF ��f7o� .Fbr PROPOSED DE U I
OCCUPANCYISSUED "IL'L•� SIGNATURE: