HomeMy WebLinkAboutX2021-3082 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Y Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFPPLUM
'X2021 3082`
COMB Permit: X2021-3082
Project No :
Issued Date: 11/1212021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111212024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7.00 a.m. to 6:30 p.m. and Saturdayfrom 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 16 MORNING VIEW DR NB
Description: SFR KITCHEN, BATHROOM REMODEL, PEX REPIPE AND DRYWALL REPAIR 500 SF
Legal Desc.: N TR 14038 LOT 6
Owner: SHARIFI AMIR
Address: 16 MORNING VIEW DR
NEWPORT COAST, CA 92657
Phone:
Applicant:
SHARIFI AMIR
Address:
16 MORNING VIEW DR
NEWPORT COAST, CA 92657
Phone:
949-923-0813
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
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 Valuation: $30,000.00
Building Permit Fee:
$559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,151.64
PROCESSED BY:
Y{0] P I I C "11 J =i0]7s11;
GRADING APPROVAL:
Contractor: OWNER/BLDR Architect:
Address: Address:
Phone: Phone: State Lic
Con State Lic: O/B Engineer:
Lic Expire: Address:
Bus Lic:
Lic Exp Date: Phone: State Lic:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical °/ :
Plumbing %:
Rear: /
Front: /
Left: /
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$50.31
Designer:
Address:
Phone:
Special Conditions: STANDARD PLAN
O/B ATTACHED
0
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee :
$52.00
Fire Inspection:
Fair Share :
$0.00
Fire Plan Rev
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee :
$0.00
Building Dept Adm
Public Works Department -
General Service
Park Dedication :
$0.00
Refund Deposit
P/W Plan Check :
$0.00
Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
ooe
nano
;acce
a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,151.64
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:r/-��
APPROVAL TO ISSUE:1�
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)
(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 t`^ spplicant 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 Iicensure and the basis for the alleged exemption. Any viol tion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
VsIne,s'and
an five hundred dollars ($500).
ner of the property, or my employees with wages as their sale compensation, will do (_) all of or p ons of the work, and the structure is not intended or offered for sale (Section 7044,
Professions Code: The Contractors' State License Law does not apply to an owner of Propert o, 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 ye r 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 Iicensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for y 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)
sell a structure that I have built as an owner -build if i as t been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti n 7 44 of the Business and
Professions Code, is available upon request when app iD u mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. /
Signature of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Cldas License No Date Contractor Signature
COMPENSATION DECLARATION
ARNING: 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 I$100,0001, IN ADDITION TO THE
DIET OF -OMPENSATION, DAMAGES AS PROwDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herety affirm under penalty of perjury one of the following declarations:
I have and will Inantain 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
r=rforl,ldnce of the work for which this permit is issued. Policy No.
I have and will �alntain 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'
urance carrier and policy number are:
Policy Number
me of Agent
Date
I certify that, in the performance t or is 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 agree
hat, if I should beco bject to t I.S. cc snsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �6Y
3ignature of Applicant C
IECLARATION REG O TRUCTION LENDING AGENCY
hereby 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, Civ Code).
.ender's Name Lender's Address
3y 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 cc rect.
I agree to comply with all applicable city and county ordinances an fate laws relating to building construction. I ! t 9r
I authorize representatives of this city or count mer the ab v 4 erty for inspection purposes.
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name pd
ACTION DATE BY DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL Ll
CERTIFICATEOF�—
OCCUPANCY ISSUED
EPA
ASBESTOS NOTIFICATION TO
ISNOTAPPLICABLE TO
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