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Home My WebLink AboutX2021-1360 - PermitsCity of Newport Beach - Building Division 'X2021-1360* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ��'. <irnrNta Combination Type - SFP ELEC MECH PLUM COMB Permit: X2021-1360 Project No : 1201-2021 Issued Date : 0611612021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 06/16/2024 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.1V0 work on Sundays or Holidays Job Address: Description: 2917 SILVER LN NB SFR STRUCTURAL KITCHEN, BATH (2) REMODEL, DOOR CIO WATER HEATER, FURNACE, HEADERS, ELECTRICAL IN (3) BgDROOMS --STOP WORK: 121-1489" Legal Desc.: N TR 3068 LOT 19 r -Architect: Owner: KAMFAR MIRRAFATI Contractor: OWNER/BLDR Address: Address: 2917 SILVER LN Address: AUTH AGENT: ,� ,.,'�\:`ti NEWPORT BEACH, CA 92660 EBBI SALEHI Phone: Phone: 949-616.2082 �. , ,.��,- Phope:..,� !.- State Lic: Applicant: SALEHI EBBI Con State Lic: O/BEngineer: r `,. �sY `�%" Address: 27741 MITCHELL AVE Lic Expire: ! Address: !.y ^'�; Bus Lic Phone: TUSTIN, CA 92780 949-616-2082 ,.- f ,j Lic Exp Date: �.' \j Phouei� Spate Lic:- �, .:�, Code Edit : 2019 Type of Construction: V-B Worker's Compensation Insurance �,�'`�1Designer: RODRIGUEZ ROGER rn Carrier. �,m, a!� Address: 1008E 18TH ST Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Building Permit Fee: $929.00 Plan Check Fee: $808.23 Overtime Plan Ck: $0.00 Investigation Fee: $929.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE : $2,915.28 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: it Policy No Expire: Bu rfdi, Setbacka Rear / /cl i Front / x Left I �; 9v Right / ° e3 Use Zone:. Parking Spaces 0� LOS ANGELES, CA 90021 Phone: 2.13-408-1157 Special Conditions: OWE A .P 0� Excise Tax $0.00 Planning De Fe me Additional Fee $0.bb Plan ch �346.25 Grading Bonds Fee: $0:00 Fair She `.�o $0.00 Grading PC.. Consultant,: ,$0.00 SJH Tran c" ^^ Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Feij $0.00 ublic Works Department - WO Insp Fee -' $0.00 �, r"\ Park Dedication PAN Plan Check : $0. Ele tr !~ 03 San Dist: $0. Me NMUSD Fe Plu b83.01(v tvyFan Check Few $58 B titi�ng Dept Adm eneral Service Refund Deposit Grading Bond: Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,330.50 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 iterct(a1 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., or is 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 a[W 'rofessions 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 of 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, lusiness 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 nprovements 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 n roved for the purpose of sale). 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 ply 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 ,icensure under the Contractors' State License Law for the following reason: ly my :.ignature 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 improvements covered by this permit, I cannot legall! ell a s•ructurethrt I nive built as an owner-builder�ntnstructed in its entiretyby licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when`mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.signature of Prop,rty Owner or Authorized Agent\�� .s' DateP 1 1 .ICENSED CCNTRACTOR'S DECLARATIO hnreb; affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comr[Lgpef g with Section: 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date _ Contractor Signature VORKERS' COMPENSATION DECLARATION _ �tt n�;e 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU SHALL SUBJECT AN EMPLOYER TO NAL`PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Jai GF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF T - OR CODE, INTEREST, T1C TORNEY'S FEES hereby affirm '.tndar penalty of perjury one of the followin rations: '' ,,rt -t`" v, t4' o,� . I hove and will maintain a certificate of copseTlf to self-irys�uure�fr o ers' compensation Issued -.by the l�pr°�c�or of Industrial Relations as provided for by Section 3700 of the Labor Code, for th el formance of t u wol k for which this perbiAOi$'issued. Polic4o - I have and will maintain workers' compensation n r e, as ret urance carrier and policy number are: me of Agent _ I certify that, in the perform nce of the cork t, if I should become sGbiec he workers' of 3700 of the Labor Code, for the performance of the work for which this Date 4a Phone # issued, I shall not employ any person many manner so as to become subject tothe is of Section 3700 of th or Code, I shall forthwith comply with those provisions. Ireby affirm under f%nalty of perjury that there IS ayconstruchonaending agency for the performance of worse Ider's Name / ', Lender's Address my signature below, I certify to each of the f owiryg� 1 am the property owner or authorized to act he property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and c un or antes and at a�fhill fig to building construction. I authorize representatives of this city or coun a er be a deSti d op,.P;�lty for inspection purposes. nature of Propene Owner or Authorized Aoent _ - _ �"e.�:'X 1 Print Prooertv ACTION PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFIC4TE OF OCCUPANCY ISSUED DATE I BY IMptTANCE WITH CODE OF 61 OF TITLE 40 AN DRULE NOTAPPLICABLE TO issued (Se/ction 309 is issued. My workers' S of California, and DateYc,(" 11