The URL can be used to link to this page

Home My WebLink AboutX2021-2782 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 Combination Type -MFP *X2021-2782* COMB Permit: X2021-2782 Project No : 2418-2021 Issued Date: 10/13/2021 �a Inspection Area : 6 .PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1011312024 OR PERMIT IMLL 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: 2699 BUNGALOW PL NB Description: MFR REMODEL (REMOVE WALL BETWEEN LIVINGIDINING RM) 45 LF Legal Desc.: TRACT 15829 LOT 1 OF PROJECT 934-61 LOCATED ON AP 458-641-06 Owner: HAERI ARSALAN Contractor: CRC GROUP Architect: Address: 2699 BUNGALOW PL Address: 2416 N GLASSELL STREET Address: CORONA DEL MAR, CA 92625 ORANGE, CA 92865 Phone: Phone: 714-244.5235 Phone: State Lic: Applicant: KAWAJA JACK Con State Lic: 879133 Engineer: MOBED MEHDIABADI SASAN m ° ° ° % Address: 2416 N GLASSELL ST Lic Expire: 0613012022 Address: 3842 HENDRIX ST ORANGE CA 92865 Bus Lic: BT30076922 IRVINE CA 92614 ...... Phone: 714-244-5235 Lic Exp Date: 10130/2022 Phone: 310-433-7927 State Lic:C-075884 .... 0 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: Valuation: $7,500.00 Building Permit Fee: $212.00 Plan Check Fee: $184.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $467.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9264870 Expire: 1112612021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / Parkin SDaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 0 oeceoa 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $467.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ° a s 0 a° a ° om ° ee000 °oo°oo 0 °ooe• 0 0 ° o oo°o 0 eaa• 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) a (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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). I 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 improvement 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, Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw w.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONirf OiCTOR'S DECLARATION 1-he re��byy effirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of visio 3 0_ f the Business and Pr f ssi and eRlUt. Lic9nse'Cliss License No Date Contractor SI net ur WORKERS' CaIO MNSATION DECLARATION WARNING.: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE COST O: COMPEN AMO , IYAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:,et %bY¢ffirm under penalty of perjury one of the following declarations: :d by this p it, I cannot 7044 o Business and is in full force ($100,000(, IN ADDITION TO THE ..i have and ;016 aintain 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 �Igdnce of TM �fdtk for which this permit is issued. Policy No. N �heae and will maintain workers' compensation ins rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My (Orkers' compensa os � ! carrier anri policy number are: Garsisr.. Policy Number Expiration Date Name of Agent...... Phone # I certify that, in the performanc this permit is issued, I shall not employ any person in any manner so as to become subjectto the workers' compensatio I of Calif and ac WrkfrINhich that, if I should become b ct t wmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA DITSTRUCfflON LENDING AGENCY I hereby affirm under penaltry tha here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil od Lenders Name Lender's Address By my signature below, I certiff to each of the following: I am the property owner or authorized to act on the pya�c. I have read this application and the information I hav- I agree to comply with all applicable city and con ows relating to building construction.I authorize representatives of this city or county enproperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date l ACTION DATE BY .TIO F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LATIO PART 61 OFTITLE 40 ANDAQMD r;JJLE PERMITEXPIRED I SUBMITTED ASBESTOSN IFICATIONT PERMITCANCELLED EPA 41 PERMIT EMENDED AQMD PERMITFINAL "�g�2Z'-' �'�-'� ASBEST S OTIFI IS NOT LICABLE TO CERTIFICATE OF R SED OLIT11 OCCUPANCY ISSUED SIGNATURE: /