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: