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Home My WebLink AboutX2021-3361 - Permits;7 +rx City of Newport Beach - Building Division h # 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644--3255 Combination Type - MFP MECH ELEC PLUM GRAD 111111111111111111111111111111111111111111111111111 111 Jill COMB Permit: X2021-3361 X 2 0 2 1 3 3 6 1 Project No : 2922-2021 Issued Date : 03/24/2022 Inspection Area : 6 PERMITEXPIRES 180 DAYS AFTER ISSUANCE OR LAST" VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312412025 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: 12 ANDIAMO NB Description: SFR ADD 186 SF, REMODEL 1,430 SF W/YARD DRAINAGE Legal Desc.: N TR 15337 LOT 43 Owner: TABOBZADEH RAMIN Address: 12 ANDIAMO NEWPORT BEACH, CA 92657 Phone: Applicant: TABOBZADEH RAMIN Address: 12 ANDIAMO NEWPORT BEACH, CA 92657 Phone: 310-660-0160 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 186 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $200,000.00 Building Permit Fee: $2,469.00 Plan Check Fee: $2,062.71 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $54.00 Energy Compliance: $140.00 CA Seismic Safety : $26.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $6,903.51 0 0 0 O Oyu 3 0 0 0 O G C'-4�--ta- O � PROCE.,?:SED l•7Y5 :DOO,_y, Aso ZONING APPROVAL: GRAD GRADING APPROVAL 2 o aC 0 C U O O 1. O I, a L C 0 OV;i S 11 ` a O O O 1 O O O O 1)C%v Oa OO CUv Contractor: OWNER/BLDR Address: TABIBZADEH RAMIN Phone: 310-560-0160 Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 10 Left: 5 Right: 5 arking Spaces $0.00 $0.00 $0.00 $0.00 $237.00 $199.00 $0.00 $172.83 $98.76 $222.21 0 Architect: NEHORN-TOME MITRA Address: 132 S SPALDING DR#217 BEVERLY HILLS CA 90212 Phone: 310.674-2656 State Llc:CO25799 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-036840 Designer: Address: Phone: Special Conditions: CR& R TO HAUL DEBRIS SPEC FIRE PROT.AREA IRWD Fire Hazard Zone : Y Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $101.50 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department - $208.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $48.50 $0.00 Demolition Fee $0.00 Building Dept Adm, . $27.00 General Service $265.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $2,560.71 Fee Due at Permit Issuance : $4,342.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY APPROVAL TO ISSUE: -OWN ME11.1ILDER DECLARATION - I hereby affirm under penalty of perjury that am exempt from the Contractors' State _License Law for the reason(s) indicated below by the c-heckmark-(s) I have placed next to_the applicable Item(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 apd Professions 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 Af 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 I�yt o 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). m exempt from licensure under the Contractors' State License Law for the following reason: 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) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.ht Signature of Property Owner or Authorized Agent _ Dates( 3"-2=Z—=2 LICENSED CONTRACTOR'S DECLARATI I 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 and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. 111 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date of Agent Phone # I rtify that, in the performance of 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 if I should become subject to the workers' compensation provisio ion 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant X I DatA DECLARATION REGAR I G C TIC LENDING AGENCY I hereby affirm under penalty ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address y 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 I 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 countyto enter the above -identified party for inspection purposes. ignature of Propertv Owner or Authorized Agenty ��_.---'—�rint Property Owner's or Authorized Agent's Name 6 GLIB 1 � bate ACTION DATE BY �' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 nd��., au� PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO r PERMIT CANCELLED EPA ' ' 'L, u o G PERMITEXTENDED AQMD 5 _ PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF , r�p,2 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURNe J J J