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HomeMy WebLinkAboutX2018-1852 - Permits (3)0-I*V J* City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s " n Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 4�<iv ypt> Combination Type - SFP *X2018--1852` COMB Permit: X2018-1852 Project No: Issued Date: 06/1512018 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2969 CATALPA ST NB Description: SFR BATHROOM REMODEL 15 SF "CITY STANDARD` Legal Desc.: N TR 5018 LOT 47 Owner: BEHZAD RADPARVAR Contractor: OWNER/BLDR Architect: Address: 2969 CATALPA ST Address: BEHZAD RADPARVAR Address: NEWPORT BEACH, CA 92660 Phone: 714-675-0505 - Phone: Phone: State Lic: Applicant: BEHZAD RADPARVAR Con State Lic: O/B Engineer: Address: 2969 CATALPA ST Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 714-675-0505 Lic Exp Date: Phone: State Lic: Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: Building Permit Fee: $97.00 Plan Check Fee: $84.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $221.89 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Lek: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: Address: Phone: Special Conditions: OWNERIBLDR ATTACHED 0 Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee : Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $221.89 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 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 Buore than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do U 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 im roved 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 ovTE- Jf 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 exen.pi iiom licensure under the Contractors' State License Law for the following reason: By my signaturc 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 legalh sell a structue tnal I have built as an owner -builder if i as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704,4,bfthe Business and Professions Code, is available upon request when thif application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sinnawre of Property Owner or Authorized Agent Date D LICENSED ^- C`t1TZACTOR'S DECLARATICA I :iereiy 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 Cod , and my license is in full force and effect. License Class License No Date Contractor Signature NORXERS"COMPENSATION DECLARATION NARNING: 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 bbSf O%COMPEN. ATION, 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: J 1 hcve and will mPintain 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 Derformance of the A -ark for which this permit is issued. Policy No. :1I 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' compensatioi nsurance carrier and policy number are: frier Policy Number Expiration Date me of Agent Phone # certify that, in the pe rmance of the work for ' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co/pensation laws of California, and agre t, if I should becoJ.n.Ity bject to the rs coin isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of ApplicaDate CLARATIOIS REI STRUCTION LENDING AGENCY �reby affirm undeof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 3y 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 count ordinances and S relating to building construction. I authorize representatives of this city or county t e a e roperty for inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Ag ACTION DATE BV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED EPA PERMITEXTENDED \ LlAoMD i CERTIFICATE U7/17/IS IJ HMnASBESTOS CERTIFIC4TE OF �+ew- � OSED DE OCCUPANCYISSUED SIGNATURE: o c L m m uyw m o" ° C m O O c o Y L 0 07 J a c u c w T N � y� o 0,0 m `m —m u o o e . m > = O m Y a Y - L m m a y 0 7 r J 0 o T O j c o0- N =w N m m N C � E N C _Lt03_ �:cJ EaaOa a�N aU C N al U a) m o `m c c o Of nL a- )m O C C N Y Ems W"22 Y L m O, o c m c 0 N m a1 T >+ m m U c o o c o 0 'm v O r O c 0. 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