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HomeMy WebLinkAboutX2021-3390 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s� Inspection Requets'Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Job Address: 308 OTERO NB Description: MFR REMODEL KITCHEN 168 SF *STOP WORK 121-3308 Legal Desc.: N TR 7082 LOT 9 COMB Permit: X2021-3390 I llll X 2 0 2 1 3 3 9 011111 r� - Project No: 2962-2021 AS BUILT P EpM'r Issued Date : 12/1612021 r EXPOSE ALL STRUCTU Inspection Area : 4 f - J.r*& PROdEC 6/2 24 OR PERMIT WILL BE INVALID vf r� F6� t^®o ndays or Holidays p �r�. p fp y'r-(+ Owner: MEIERJOSHUA Contractor: OWNER/BLDR Architect: Address: 308 OTERO Address: JOSHUA MEIER Address: NEWPORT BEACH CA 92660 Phone: 949-922-4572 Phone: 949-9224672 Phone: State Lie: Applicant: AMER YASSER Con State Lie: Die Engineer: MCHANTAF KAMAL BESHARA Address: 1100 ORANGETHROPE #200-11 Lie Expire: Address: 23315 SARATOGA SPRINGS PL ANAHEIM CA 92801 Bus Lie: MURRIETA CA 92562 Phone: 714-371-7176 Lie Exp Date: Phone: 714-695-9300 State Lic:C-051050 Code Edit: 2019 Worker's Compensation Insurance Designer: AMERYASSER Type of Construction: VB Carrier: Address: 1100 ORANGETHRRPE #200 Occupancy Group: R2-U Policy No: ANAHEIM CA 92801 Added /New sq.ft. Bldg: 0 Expire: Phone: 714.371.7176 Added/New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 4 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $13,440.00 Building Permit Fee: $314.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $273.18 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $314.00 Grading PC Consultant : $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $43.96 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $25.12 NMUSD Fee: $0.00 $0.00 Plumbing %: $56.52 $0.00 TOTAL FEE: $1,085.78 Plan Check Fee: $325.18 Fee Due at Permit Issuance : $760.60 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Y `PUBLIC WO;Ik,S APROVAL: Yr kA`N40HECK BY:ea 4 APPROV AL,TCLISSUE: Yid 4 •Y p O Y b 9 44 Y 4 y Fl Y PY Y 440 Y64 Ye4 Y O Yi& vY 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 cityor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its i=SINigOe, 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 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 of more than five hundred dollars ($500). 1, 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, usiness 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 ements 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 npp6vN for the purpose of sale). 1 I, a0lowner 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 Vpply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal 311 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 whe application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.htm]. ignature of Property Owner or Authorized Agentth Cat r' Z ICENSED CONTRACTOR'S DECLARATI 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 nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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' lance carrier and policy number are: Policy Number Date lame of Agent Prone A l certify 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, 1 if I should becomes bje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J ' �/ ',ignature of Applicant Dat/g�tj/`� IECLARATION REGrbMG NSTRUCTION LENDING AGENCY hereby affirm under penalty of rjury 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 Iy 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. 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