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HomeMy WebLinkAboutX2021-0688 - PermitsCity of Newport Beach - Building Division 100 Civic CE nter Drive, Newport Beach, CA 92660 Permit Cour ter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD Job Address: 1576 OCEAN BI Description: SFR INTERIOR Legal Desc.: N TR 518 BILK I Owner: MINER KURT Address: 1576 OCEAN BL NEWPORTBEA Phone: Applicant: TABAR MEHRDj Address: 14252 CULVERT IRVINE, CA 926( Phone: 714.725-0017 Code Edit : 2019 Type of Construction: V_B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage No of Stories: 2 No of Units : I Bldg Height: Bldg Sprinklers: Building Permit Fee: $2,799 Plan Check Fee: $2 ....... Overtime Plan Ck: $0 Investigation Fee: $0 Record Management: $28 Energy Compliance: $182 CA Seismic Safety: $33 Disabled Access $0 Hazardous Mat $0 Building Green Fee $11 *X2021-0688* COMB Permit: X2021-0688 Project No: 0629-2021 Issued Date : 02/18/2022 Inspection Area : 1 -S 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/18/2025 OR PERMIT WILL BE INVALID ion 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 NB MODEL 2033 SF & CONVERT COVERED BALCONY TO LIVABLE 218 SF IT 20 Contractor: JADON CONSTRUCTION Address: 444 OLD NEWPORT BLVD STE B CA NEWPORT BEACH, CA 92663 fQ 4 -9711 #A349 Lic Expire: 03131/2022 7 T3" LIC' 7 x pp. 0 .14" ft0i' 002; nce- In" RE RW OgAftNXIL Policy No: ON0962802 18 k 0'25 ,fig � . .. .. .. gnly4�' S". _W BiARWIet a 'k , 1, nFront: Left: 4 Right: 3 Use Zone: Parking Spaces: a Architect: Address: Phone: Engineer: Address: Phone: . aesig her, -Address:_ Phone, r_" 1 -707 e_� C INZ) i State Lic:, TABAR MEHRDAD 14262 CULVER DR #349. IRVINE CA 92604 714-725-0017 State I Special Conditions: LIQUEFACTION Zone : N 10 n lan Plan 4LII�depa&.,,Inl ant Ex"71 Cal p) Additional Fee Grad 0,mr* 5kca-ted)s0-00 $0.00 Plan check Fee s-g9o.q Fire Inspection: Fair Share oil"'J I Fire Plan Rev Grading PC Consultant $0.00 SJH Trans $0.00 Demolition Fee Grading Permit Fee: $237.00 In -lieu Housing Fee $0.00 Building Dept I Ac Grading PC Fee: $199.00 Public Works Department --GeaeMI--SePAGe TVQTn-sp­-Fe-6�------ 0.00 Park Dedication $000 Refund Deposit P/W Plan Check $203.002�:') mg Bond: Macnaftiea6�- 444*,iil Dist: -$0.00 NMUSD Fee: $0.00 , , .- - —1 Plumbing %: $251.91 $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 11 TOTAL FEI� : $7,735.24 Plan Check Fee : $1,827.56 Fee Due at Permit Issuance : $5,907.68 11 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: I 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 rem(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 Iicensure 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 improved 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I ense Law). I am exempt from Iicensure under the Contractors' State License Law for-tha4apewierei -'"- "? By my signature below I acknowledge that,°exceptfor my persona'residen I whi I t have resided for at least one y@ar or r to completion of the improv er, povered by this permit, I cannot legal) a I have built as an owner -builder if it has not to n1 0 tr ell i ' s Iret licensed contra#r� @is� i�st a copy of the applicabl aw, S;ection 7044 of the Business and Professions Coda, de, IS available upon request when this application i�/sub(ni or n�-Vtleb^site:http://www.ieginfo.ca.gov/calaw.htmi. :a Sigl 9 nature oture f Properly Owner or Authorized Agent------�-"-/ 0 a 'fate L!r=ySED CONTRACTOR'S DECLARATION -e o I hereby affirm under penalty of perjury that am licensed under provisions of.CF 9pteF9 (curlmencing with Sectio 70 0 o I n 3 of the Business and a de., my Icen lei full force A e)fect. License Class License No Dat Contractor Si na '.r VVORKERS' C.7MPF.NSAZION DECLARATION WARNINC: FAILURE TO 9e1:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE T USAND DOLLARS ($100, 00), IN ADDITION TO THE ^OST CIF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �''1om)y affirm under penalty of perjury one of the following declarations i I have and will maintain certific - c nsent to self Insure for workers' compensation, issued ' pe b th' erector of Industrial Relations as provided for to Sectipn 3700 of the Labor Code, for the -` aa, fur,Fance of the work for wIch this p it Is Issued: Policy No. I A _ I ave and will maintai we ers c r pensatlon insurance,=aa required by Section -3700 of the Labor Code, for the performance of the work for which this p rmit Ispissued. My workers' compensatio lance hrl carrier and policy nu bar Carrier _ _ _ Policy Number Ellexpiration Date Name of Agent en on #1 P I certify that, in the pe _ far _ lli th S. t is ss 11 of employ a pe n iri4arf e o a fo be o e ubject to the workers m errasation laws of California, and ogre .5th that, if I should be co su �w _ e1 t fit Wsior�`5"bf II in 00 of the Labor Code I hal Lfog,, p, tY a provisions. �i'iC3 v Ali r�olft Lj.�O Signature of Applicant 94-11+',=' Date DECLARATION REGA NS - GENCY r" I hereby affirm under penalty of rjury that there is a con truction lendgng agency for the performance of the work for which this 'I od9"' Lender's Name By my signature below, I certify I am the property owner, or a thorized to act on the property owner's behalf. _ _ - 1 have read this application d the informa£ I H=" �.,. c I agree to comply with al4ap icable ci a � s 5t�d'Z®s'74�i ing o building construction. le n. I authorize representativesha1a o Is or count y tel\t a e- 1fa d roperty for inspection purposes „ I Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name`4 Date ACTION DATE BY D OF NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I 1'l REGULATIONS PART 610 TITLE40ANDAQMD RULE 1403 PERMITEXPIRED - - BESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMID PERMIT FINAL ASBESTOS IF AA�DTBLE CERTIFICATE OF PR OSE O 10 OCCUPANCYISSUED SIGNATU E: