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HomeMy WebLinkAboutX2021-1281 - Permits�,.�o•r,r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII III II COMB Permit: X2021-1281 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 2 8 1 Project No : 1118-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date Combination Type - SFP MECH ELEC PLUM Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 NB Description: SFR REMODEL 2,000 SF, KITCHEN, 1 BATHROOM, WINDOW/DOOR C/O, ADD 12 SF @ FRONT ENTRY Legal Desc.: N TR 1116 LOT S8 Owner: ZIARI MOHAMMADBAGHER Contractor: MILLENNIUM STONEWURKS Address: 240 MORNING CANYON RD Address: 1015 EAST RAYMOND WAY CORONA DEL MAR CA 92625 ANAHEIM CA 92801 Phone: 720-982-3992 Phone: 714-926-3761 Applicant: BAKHSIAN ALI Con State Lic: 893761 Address: 9889 S SANTA MONICA BLVD #205 Lic Expire: 0413012023 BEVERLY HILLS CA 90212 Bus Lic: BT30076665 Phone: 310-734-7735 Lic Exp Date: 09/30/2022 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 12 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $1,597.00 Plan Check Fee: $1,389.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $66.00 Energy Compliance: $112.00 CA Seismic Safety: $20.80 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $7.00 TOTAL FEE: $5,484.09 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPT Policy No: No Employees Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / Architect: Address: Phone: State Lic: Engineer: ESMAILI OMID Address: 79 CLOUDCREST ALSO VIEJO CA 92656 Phone: State Lic:C-087027 Designer: ALIBAKHSHIAN MAHDI Address: 9889 S SANTA MONCIA BLVD #205 BEVERLY HILLS CA 90212 Phone: 310-734-7735 Special Conditions: FUEL MOD/HAZARD REDUCTION AREA $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $(.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 $0.00 Public Works Department- General Service $265.00 $0.00 Park Dedication : $0.00 Refund Deposit $664.00 PAN Plan Check: $1,116.50 Grading Bond: $0.00 $111.79 San Dist: $0.00 $63.88 NMUSD Fee: $0.00 $0.00 $143.73 $0.00 Plan Check Fee : $2,247.31 Fee Due at Permit Issuance : $3,236.78 PUBLIC WORKS APPROVAL: PLAN CHECK BY: ` T APPROVAL TO ISSUE: M1 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) iection 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). D 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 poly 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: ly my 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) c Division 3 of the Business and Professio @rce nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 1ARNING: 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 (8100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 erformance of the work 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' "ance carrier and policy number are: Policy Number of Agent Date gIrtify that, in the performance of the work for whis-A hi &"+1 i ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, I should become subject to th r ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //Z Z/z Ignature of Applicant Da t� IECLARATION REGARDZ`ONSTRUC Q DING AGENCY 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). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 J uilding construction. I authorize representatives of this city or county toto P� �y..pc yor I action purposes. {`//'' (� lionature of Prooertv Owner or Authorized AoeP6 �� a Print Prooertv Owner's or Authorized ADent's Name v 4r A/C SC(.r� Date 10elZ ACTION DATE BY �T6EGLARATION PART 610E TNTDE 40 WITH CODE OFD AQMD FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO _ PERMITCANCELLED LJEPA - PERMITEXTENDED QMD PERMIT FINAL jj/OY�ZZ r� pl ��r ASBESTOS NOTIFICATION IS NOT ABLE TO CERTIFICATE OF RL PROPOSEDD L OCCUPANCY ISSUED SIGNATURE: