HomeMy WebLinkAboutX2021-2307 - PermitsCity of Newport Beach - Building Division
Job Address
Description:
Legal Desc.:
Owner:
Address:
Phone:
Applicant:
Address:
Phone
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
v
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11
OR PERMIT M
INVA
PERMIT EXPIRES
Construction Hours: Mondays Friday 7000 a.m. toA6:30 p.mE an
ConstruCCIt d Saturday from 8500 a.m. to6 00 p.m. No3work on Sundays or Ho 'days LID
6 POINT LOMA DR NB
SFR *ADDITIONAL SCOPE* REMOVE SLAB AND LOWER FIRST FLOOR
N TR 7432 LOT 32
IIIII�X 2 0 21 2 3 07 IIII
COMB Permit: X2021-2307
Project No : 0336-2020
SADEGHIMOHSEN
6 POINT LOMA DR
CORONA DEL MAR, CA 92625
KAMKAR SAEED
25431 CABOT RD #104
LAGUNA HILLS CA 92653
949-307-2723
Code Edit:
2019
Type of Construction:
V-B
occupancy Group:
R3/U
Added /New sq.ft. Bldg:
Added INew sq. ft. Garage:
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee: $799.00
Plan Check Fee: $695.13
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$32.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,655.63
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Issued Date : 08/30/2021
Inspection Area : 6
Contractor:
SUNPEAK CONSTRUCTION
Architect:
Address:
1401 QUAIL ST,
STE 105
Address:
NEWPORT BEACH CA 92660
State Lic:
Phone:
949-475-0601
Phone:
0
Con State Lic:
553434
Engineer:
Address:
ZANDIEH ARASH
763 ELDORADO BLVD 2123
( ,
v
Lic Expire:
01/31/2023
BROOMFIELD CO 80021
Bus Lic:
BT01083001
Phone:
State Lic:C-082
Lic Exp Date:
07131/2022
......
Worker's Compensation
Insurance
Designer:
KAMKAR SAEED
Carrier:
EMPLOYEE SVC GRP
Address:
LAGUNA HILLS CA 9 653
Policy No:
WC475840208
Expire:
1213112021
Phone:
..�
Building Setbacks
Rear: 47-42
Special Conditions:
REV21-0708
•a®°,�a
Front: 6
Left: 5
°®°�•°
Use Zone:
Right: 5
Parking Spaces:
0
Fire Hazard Zone : N
°• •
Excise Tax:
$0.00
Planning Department
-
Fire Department
$52.00 Fire Inspection:
0 0•
Additional Fee :
($127.50)
Plan check Fee :
$0.00 Fire Plan Rev
° $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Demolition Fee
Grading PC Consultant :
$0.00
SJH Trans :
In -lieu Housing Fee:
$0.00 Building Deptti
Grading Permit Fee:
$0.00
$0.00
Public Works Department -
edm
General
$0.00
$0.00
Grading PC Fee:
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Grading Bond:
$0.00
Plan check:
$203 00
Electrical %:
$0.00
San Dist;
$0.00
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$1,655.63
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
®eoo•s
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)
action 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 ro art
Business and Professions Code: The Copt acto s' oyees with
eaLice sges ase Law does not apply r sole tto an owner fion, will do Ualro fe r U portions of t
Improvements are not intended or offered for sale. If, however, the building or improvement is sold prop one year of comp
improved for the purpose of sale).within
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
❑apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
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 y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I une
Professions Code, is available upon request when this application is submitted or at the following Web site:http://
Signature of Property Owner or Authorized Agent www.leginf
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme and ff
work, and the structure is not intended or offered for sale (Section 7044,
)Ioyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a Copy of the applicable law, Section\044 of the Business and
Date
n e ect. License Class ncing with Section 70of ulvlsion 3 ofe Business and Profe ions Code, and / license is in full force
LC
License No Date /G/2ontractor Signature
NORKERS' COMPENSATION DECLARATION i
VARNING: FAILURE TO SEGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OLLARS (E100,000), IN ADDITION TO THE
:DST OFF OMPENSAA",, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'I"naffirm urtderpenalty of perjury one of the following declarations:
J 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 thi
we
o.th�work for which this permit is issued. Policy No.
avc and iVan 'poll n 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' compensatior
uraBce carrier and policy number are:
exiei ..... Policy Number
e" fAgent • Expiration Date
Hhone #
Lsignature
ty that, ip the,gpAorman o th ork for whit is 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 ogre
IShould b� �Om subject wor IS' tom sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
fe of Apj
RATION Ft DING CONSTRUC LENDING AGENCY_���� J
y affirm under penalty of perjury t are is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
's Name Lender's Address
ignature below, I certify to of the following the property owner or authorized to act on the propert nets behalf.
ve read this application and the informationhaveprovide correctree to comply with all applicable city and county ordinances a state la relating to building construction.
thorize representatives of this city or countj4to enter the above -
re of Property Owner or Authorized Agent/ d property for inspection purposes.
Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLA OF COMPLIANCE WITH C OFr-F-oc`RAL
RE O ART 61 OF TITLE 40 AND AQM RULE\ FOR OFFICE USE ONLY
PERMIT
PERMIT
NOTIFICATION TO
OCCUPANCYIOSSUED ROPOSED DEN OLITI N ION IS
NOT
TO