HomeMy WebLinkAboutX2021-1588 - Permits (3)��EW PpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit X2U21 -1588
Community Development Department- Building Division X 2 0 2 1 - 1 5 8 8
F' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1395-2021
G ) S Permit Counter Phone: (949) 718-1888 Issued Date : 06/24/2021
.a. newportbeachca.gov/civic Final Date:
C9(/FDRN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Reissued
Work Class - Alteration Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1948 SANTIAGO DR
Legal Desc : N TR 4224 BILK LOT 306
Description: SFR [NIT KITCHEN REMODEL & R/R STUCCO AND SIDING, REMOVE UNPERMITTED POST @ SIDE YARD (50 SF) STOP WORK 121-1725
Owner: MOSHAYEDI MANOUCHEHR TR
Contractor :
Architect
Address : 2121 BAYSIDE DR
Address :
Address
CORONA DEL MAR, CA 92625
Phone :
Phone :
Phone
Con State Lic :
State Lic
Lic Expire :
Applicant: MOSHAYEDI MANOUCHEHR TR
Bus Lic:
Engineer : ......
Address : 2121 BAYSIDE DR
Bus Lic Expire : \
Address
CORONA DEL MAR, CA 92625
Phone :
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : MOSHAYEDI MANOUCHEHR TR
Policy No:
Designer
Address : 2121 BAYSIDE DR
W. C. Expire:
Address
CORONA DEL MAR, CA 92625
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $40,000.06,
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0 - -
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 20, Front: 6, Side: 6, Side: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
BUILT PERMIT
/ 1
AS
PROCESSED BY: l
EXPOSE ALL STRUCTURAL,
ELECTRICAL. PLUMBING, AND
SPECIAL coNDlrloNs:
MECHANICAL COM O"I�IST
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)
(Seclion 7031,5, Bu ness and Professions Code: Any city or county that Tequires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
&permito 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
e) or a or she is exempt from licensure and the basis for the alleged exemption. Any violation df Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Fly undred dollars ($500).
of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Seclion 7044,
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. 11, 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
improved for the purpose of Sale)-
0 1, as owner of the property, Am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 1 am exempt from licensure under the Contractors' State License Law for the following reason
By my signature below I acknowledge that, excepefor my personal reside ' 1 which I must have resided for at less- one year prior to completion of the Improvements covered by this permit, I cannot legal];
sell a structure that I have built as an owner-bu sr If it has not beegA50artfuctod in Its entirety by licensed contractors. I understand that a copy of the applicable law S often 7044 of the Business and
Professions Code, is available upon requ en this applicabo ubmitted the following Web site:http llurrw y.l�infosa,govicalaw.tltmL — z Z
Sin nature of Property Owner Or Authorized t ___ __ ___„_„ __, __,,,__ _____ ate _— 1� ti
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNDREO THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
IOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penally of perjury one of the following declarations:
I I he\ e and will maintain a certificate of consent 10 self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of f'» An.k for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rea carrier and policy number are:
ame cf
of
Policy Number
Date
Fe f-ormance of the work for which this permit is issued, hail not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
a subject to the workj�rB'�cofnpensatlon provisi ection 3700 of the Labor Code, I shall forthwith comply Alin those provisions. I
hereby effirm urdar penalty of perjury thatlhere is a construction lending agency for the performance of the work for which this permit Is issued (Section
er,dal s Name Lender's Address
y my signature below, I certify to each of the following:
I am ilia property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is corm . .
I agree to comply with all apple le city and county ordinances_. a [a g to budding construction.
I authorize represenlahv f t s city or county to ennlee oovv[ I led prop A r I. a ouml3ses. ^` g�
,nnoY ro of Prrvnart r n,xmm nr AAveA 6rmnl % L! Pr,n1 Prnnart,. n,e,norc nr nn,lhrxrnaH drwn'' N.R /YG[!
ACTION t `i :�.,� "'ll �} r ,> M% ; DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
Its .7 2—2 /z-C'�,CJ
1 � T
Civil Code).
PERMIT EXPIRED
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3f$ i, 1I LLI(SUBMITT€D ASBESTOS NOTIFICATION TO
PER(v ITCANCELLED
s" -
PERMIT EXTENDED
PERM7T FIPlAL _
CERTIFICATE OF
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J(c.I f�+-Pv
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I ASSESTO NOTIFICAIION IS PPLICAB IO
POSE EMOtITION
OCCUPANCYISSUED
SIGN RE: