HomeMy WebLinkAboutX2022-1769 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1769
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 7 6 9
Permit Counter Phone (949)644-3288 Project NO 1618-2022 :
Inspection Requests Phone (949)644-3255
Issued Date
Combination Type - BLDG GRAD PLUM
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/06/2025 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: 240 MORNING CANYON RD INS
Description: SFR LANDSCAPEMARDSCAPE BBQ ISLAND, SEAT WALL, FIRE PIT, WATER FOUNTAIN (N) 42" HIGH X 16' LONG CMU WALL @ FRONT YARD (INSIDE P/L)
Legal Desc.: N TR 1116 LOT 88
Owner:
ZIARI MOHAMMAD
Contractor:
OWNER/BLDR
Address:
240 MORNING CANYON RD
Address:
ZIARI MOHAMMAD
CORONA DEL MAR CA 92625
Phone:
720-982-3990
Phone:
720-982-3990
Applicant:
MOTADEL REZA
Can State Lic:
O/B
Address:
1108 E RAYMOND WAY
Lic Expire:
ANAHEIM CA 92801
Bus Lic:
Phone:
310-883-8892
Lic Exp Date:
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction:
Carder:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6
No of Units: 1
Front: 15
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone: X
Use Zone:
S aces
11 Construction Valuation: $30,000.00
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Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,642.39
PROCESSED BY:
ZONING APPROVAL:
Architect:
Address:
Phone:
Engineer: AHMADI MANSOUR
Address: 32262 VIA DEL SOL
State Lic:
TRABUCO CANYON CA 92679
Phone: 949-715-9990 State Lic:C-076370
Designer:
Address:
Phone:
Special Conditions:
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Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$237.00
In -lieu Housing Fee:
Grading PC Fee:
$199.00
Public Works Department -
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$50.75
Electrical W
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$50.31
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $1,642.39 Fee Due at Permit Issuance : $0.00
PUBI IC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO I$SUE: '
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)
(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 Bu-mess and
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 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 (_) 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
i proved for the purpose of sale).
1, 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
aappp 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).
am exempt from licensure under the Contractors' State License Law for the following reason:
y 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)
s 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 folloving Web te:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent d AA7�y- w- c/ ,.�� Dated ��Cv� �g
LICENSED CONTRACTOR'S DECLARATIO
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 ATTORNEYS FEES.
I 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 th
performance of the work for which this permit is issued. Policy No.
❑1 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
e of Agent Phone #
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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Y ,A 4 .- -u% 2-IJ(' Da
DECLARATION REGAR CONSTRUCTION LENDING AGENCY K`
I hereby affirm under penalty of perjury 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
By 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 county to enter the ab e-jdentitied property for inspection purposes. r
Signature of Property Owner or Authorized Agent 9l Print Property Owner's or Authorized Agent's Name N Date 2 0 6/L
ACTION DATE BY DECLAR OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 _ _
PERMITEXPIRED I S, Biv117TED ASBE5TC'S P'OMFICATION TO
PERMITCANCELLED EPA _
PERMIT EXTENDED LJAQmD
PERMITFINAL 11/04/ZZ DL Pow LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED')tMOLITION
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