HomeMy WebLinkAboutX2021-2314 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2021-2314
c` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 3 1 4 Project No
Permit Counter Phone (949)644-3288
S Inspection Requests Phone (949)644-3255 Issued Date : 08/31/2021
Combination Type - SFP ELEC PLUM MECH
Inspection Area ; 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0813112024 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: 21 MONTEREY PINE NB
Description: SFR - KITCHEN & BATHROOM ALTERATIONS APPROX 300 SF (CITY STANDARD)
Legal Desc.: TRACT 14103 LOT 23 OF PROJECT 935-90 LOCATED ON AP 473-021-65
Owner:
RASHID AHSAN U
Address:
21 MONTEREY PINE
NEWPORT COAST, CA
Phone:
949-378-5700
Applicant:
RASHID AHSAN U
Address:
21 MONTEREY PINE
NEWPORT COAST, CA
Phone:
949-378-5700
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq ft Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Valuation:
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor: OW N ER/BLDR
Date ddre RASHID AHSAN
z% -
-Pho 949-378-5700
Address:
If anpliDcaw§e:
Phone:'
at
'` - `. ' 0 Een&9% •r ❑
F- is pare r Address:
a` 'a
..n: :. us t : rkr vsy rsvi 'Sa Pt��Bdvhor➢ : _
State Lic:
1 G0t% refund
State Lic:
Workers Compensation Insurance Designer:
Address:
E
; x Phone:
Building Setbacks Rear: / Special Conditions: Ole FORM ATTACHED
Front: I
Left: /
ninht / .. ..
Excise
Additional Fee :
$0.00
r. ( m.,s Grading Bonds Fee:
$0.00
15 iUJGrading PC Consultant'
$0.00 _,_-__,__--
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp: Fee":- ---
-$0.00
TOTAL FEE: $914.12
PROCESSED BY: _
ZONING APPROVAL:
GRADING APPROVAL:
Electrical %: $29.12
Mechanical %: $16.64
Plumbing %: $37.44
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PM/ Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:,
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
D olit' Fee
$0.00
ng Dept-Adm
$0.00
/ ral Service
$0.00
RefundDeposit
_
$0.00
Grading Bond: ,
t
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $914.12
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
ction 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 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,
iness 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
rovements 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
roved for the purpose of sale).
s 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
ly t 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).
am exempt from licensure under the Contractors' State License Law for the following reason:
3y y si nature below I acknowledge that, except for my personal residence in which I must have reside mprovements covered by this permit, I cannot legally
Bell XtVcture that n Ire y y Icensed contractors. I understand that a copy of the al plicable law, Section 7044 of the Business and
Frofessions CodeId
available upon request hen this application is submitted or at the following Web site:http:/Iwww. le info.ca.govlcalaw.html. - b
Signature of PropOwner or Author d g Oat o
LICENSED COA�QI��;DE .—
hereby affirm unpenalty of perjury at licensed under pro b ns f hooter 9 (commencing w{'S�pj'I�q/7000 Iu"tstgl f tyl§jryts ag d Professions Code, and my license is in full force
and effect. LicenClass License No o �„ LI C7Lha�tC� & `y" �D FdL�tbprSl ature
NORKERS' COE ATIO EC ATION ,-b �(
NARNING: FAILURE TCUWORKE COMP ATION COVERAGE IS UNLAWFUL AND SHA L ;' DJECT A _ MPLOVEr}�Q �,t�{'��NALTIES AND CIVIL FINES UP TO ONE NDREO THOUSAND DOLLARS 8700,000 IN ADDITION TO THE
:OST OF COMPENSA,D AGESAS VIDE RIpr`6EGTIF�N3TQ F HE ORCppErkMTEL p 'SY E�.v1f""'•Ilhereby affirm anpen - one i the (o wing declarationsI have and waintain a certificate of consent to self insure for Workers'. compensation, by the Director of Industrial Relations as prov ed for by Section 3700 of the Labor Code, for th
)erformance of thrk pentit is Issued. Policy No�I have and willinta w er ompg.iention insurance, as required by Section 3700 ofthe 4 bor Code, for the performance of the work for w ch this permit is issued. My workers' compensatior
nsurance carrierpoll u e= re: �.
carrier --- _Policy Number Expiration Date
V e of Agent Phone #
�I rtify that, in t performance of the work for which this pe mit is issued, I shall n y a rson in an m n r,S�as re o ect to th workers' compensation laws of California, and agree
hat, f I should be e s th saI o " ill Section 37 oft L or c 9 F I� i@� �m�ly I PA provision
Signature of Applic t ! - "- i7 `aF�'y^"
DECLARATION RE AR G CON UC I L Ort�l ENCY (i�p VV�r. S ar e l.J�
hereby affirm unde penalty of perjury fi®(Q�t§ n lending agency for the performance of the work for which this permit is issued (Sectio 3097, Civil Code).
-ender's Name Lender's Address
3y my signature bell , I certify to each of the following:
I am the propertoN®lua*uthoriz -
I have read this pplication and the information I have provided is correct. Irsp. initials.
I agree to compl with all applicable city and count ordinan- irtg-eanstmction '
I authorize rapre"rty=en a Ives o is city or county to enter in o e77
• 1;ied_ {,y, _ ti. Ryapases ��a^� ^•°'""�"` `�"""""' q�l-�`tI .ii A _ �
Signature of Propertjr craze On Print Property Owners or Authorized Agent s Name S " " I— Date
ACTION DATE BY DECLARATION OF 6OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED LJEPA
PERMIT EXTENDED QMD
PERMITFINAL _ SBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATU
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