HomeMy WebLinkAboutX2021-0212 - Permitse mvft v City of'957w ort Beach - Building Division II IIII IIIII IIIIII IIIII II I II IIIII�I II COMB Permit: X2021-0212
o� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 2 1 2 Project No : 0227-2021
w rYn� Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 02103/2021
e,i/aol Combination Type - SFP
Inspection Area : fi
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/04/2024 OR PERMIT WILL BE INVALlb
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: 11 CRESTWOOD DR NIS
Description: SFR REPLACE EXISTING SLIDING DOOR & HEADER Z
Legal Desc.: N TR 9860 LOT 32
Owner: ARESH TAHAMTAN H
Contractor:
OWNERMLDR
Architect:
Address: PO BOX 9333
Address:
AUTH AGENT:
Address:
NEWPORT BEACH, CA 92658
ROHINTON ARESH
Phone:
Phone:
949-600-3090
Phone:
State Lie:
0
Applicant: ARESH ROHINTON
Con State Lic:
O/B
Engineer:
MOKHTAR TAREK
Address: 11 CRESTWOOD
Lie Expire:
Address:
31645 S COAST HWY
�-
NEWPORT BEACH CA 92660
Bus Lie:
LAGUNA BEACH CA 92651
Phone: 949-600-3090
Lie Exp Date:
Phone:
949.499-6254 State Lic:S-004189
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear. /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: I
_
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $2 200.00
Building Permit Fee: $127.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $110.49
Additional Fee :
$0.00
Plan check Fee :
$46.25 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$0.00
San Dist:
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $288.74
Plan Check Fee :
$110.49
Fee Due at Permit Issuance :
$178.25
PROCESSED BY:
ZONING APPROVAL:
PUHLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: - AF✓PKUVAL 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)
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
he permit to file a signed statement that he orshe 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
'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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
ants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that It was not built or
mprove for the purpose of sale).
I 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
y 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)-
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
Sy my signature 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 legal[!
;ell a structure that I have built as an owner -builder if it has not been construlpted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon requestwhertW applicatitl!�tf I WWeb site:http:/Avww.leginfo.ca.gov/calaw.html. 2021/02/02
Signature of Property Owner or Authom, Agent ` J Date
-ICENSED CONTRACTOR'S DECLARATI N
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
ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000), IN ADDITION TO THE
;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty Of perjury one of the following declarations:
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
erfornance 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 perfornance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
Date
VI certify that, in theperformanceof the work for which 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 agre
tat, if I should. becomes jest to thew rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant .'Zr-� Da 2021/02/02
)ECLARATIDN REG DI G CONSTRUCTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a constuction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ander's Name Lender's Address
ly 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or coup�,,W enter the a ove-identified property for inspection purposes.
signature of Property Owner or Authorized Agent A. `fa).. �.+. tA~ �i siTa.Alti Print PmDertv Owner's or Authorized Anenrs Nnmp V Tahaintan Aresh
ACTION
PERMIT EXPIRED
PERMITC4NCELLED
DATE I BY
1403
OF COMPLIANCE WITH CODE OF FEDEF
PART 61 OF TITLE 40 AND AQMD RULE
- 111 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFIC4TEOF PROPO DETUTION
OCCUPANCYISSUED �,.,., ....mow
FOR OFFICE USE ONLY
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