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Home My WebLink AboutX2020-2230 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2230 4' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 e 2 9 2 2 s e Project No: 2768-2019 Permit Counter Phone (949)644-3288 v ,m Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : Area : 2020 4>r�X Inspection Area 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612023 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: 404 GOLDENROD AVE NB Description: MFR RENEW EXPIRED PERMITS(X2017.1139IX20194025/E2017-0442) Legal Desc.: CORONA DEL MAR BLK 334 LOTS Owner: MOHAMMED SADEGHI Address: PO BOX 7113 NEWPORT BEACH, CA 92658 Phone: 626-531-1914 Applicant: MOHAMMED SADEGHI Address: PO BOX 7113 Phone: Code Edit : Type of Construction: Occupancy Group: Added /New sq ft. Bldg: Added /New sq. ft. Gars No of Stories' No of Units : Bldg Height: Bldg Sprinklers: Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: rbjate. 201 R31 Zr TOTALFEE: ZONING APPROVAL: GRADING APPROVAL: Contractor: O W N E RIB LD R Address: Phone: """-- abh(@6Con State : t ��1� E=Jr� pJ ,^X"�d-'fit' Lic Expire: Lic: OIB i� Q rt%v� 26982 MA ELl Bus L uv MISSION VIEJO Ic Exp Date: NSTpp {^,�{��C 7 W er's p a n Insura tc"' Designer: �+�arr Address: c` i..r Phone: VeIIIIIIIIIII ATURnAv-q Building Setbacks �� c ditions: HIGH DENSITY li i Front + ' Leo ,, dRioht I Excise Tax: $0.00 Additional Fee: $149.50 j` Gradin Fc1` P" &1$0.00 ',',e��V;1y,�, su t $0.00 r errmiitt F e: d) $0.00 radjRgp. re ca PC,� /�r1 � 0 Electrkileadl�%� $0.00 NNow. n: -�7$0.00 /RlumbiaeP/,- - 1. Pla innE- spp Fire check Fe@,� k stay a Fi. Fair Sha�¢to vN �C$0.00 Fife SJH Trans : $0.00 n In -lieu Housing Fee: Public Works D - t.- ication: f��gqQpqq�� 11'l�.l$r� PAN Plan Check: �$b:OU'- �, - ra State Lic: 92691 State Lic:S-005160 $0.00 $0.00 I DepfAdm $0.00 rTeNlce $0.00 'Deposit $0.00 Bond: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 WOO $149.50 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 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 (_) all of or U 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 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 V to an owner of property who builds or improves thereon, and who contracsts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). J I m exempt from Iicensum under the Contractors' State Licena ly-m signature below I acknowledge that, except for my personal Id ell structure that I have built as an owner-builde if it has of c essions Code, is available upon request when t ' pp' n' ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under visit nd effect. License Class License No COMPENSATION DECLARATION Zhe following reason: in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal ucted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. /,", yfJ _70�' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Date Contractor Signature ING: 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 ormance of the work for which this permit is issued. Policy No. have and will maintain 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' compensa rance carrier and policy number are: of Agent rtify that, in the p I should become Policy Number Date 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 /` ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p_ �ature of Applicant-X& JJJ��,,,��/ �V Da a iECLARATION REGAADINd CONSTjilUCTION LENDING AGENCY hereby affirm under penally 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). Ender's Name Lenders Address 'y 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 ordinances and state lays relating to building construction. I authorize representatives of this city or cou,Qty jo enter the above -identified property for inspection purposes. of Property Owner or Authorized ACTION PERMIT EXPIRZD PERMIT CANC,.TLEV PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF CE WITH CODE OF DATE / Ry I REGULATIONS PART061O TIITE 40 AND AQMD RUERAL ASBESTOS NOTIFICATION TO TO FOR OFFICE USE ONLY g7