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: