HomeMy WebLinkAboutX2021-0327 - PermitsCity of Newport Beach - Building Division
*X2021-0327*
COMB Permit: X2021-0327
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100 Civic Center Drive, Newport Beach, CA 92660
Project No: 0336-2021
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
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Issued Date: 610312021
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Inspection Area : 5
Lion
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/03/2024 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: 3701 SEAVIEW AVE NB
Description: SFR -ADD 351 SF/REMODEL 1349 SF
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„Legal Desc.: RESUB OF CORONA DEL MARBILK 143 LOT 34
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Owner: HADDAD HAZEM
Contractor:
OWNER/BLDR
Architect: SCHLEY KEVIN ARTHUR
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Address: 6900 SKYLAB
Address:
HAZEM HADDAD Address: 25225 MACKENZIE
HUNTINGTON BEACH CA 92647
LAGUNA HILLS CA 92653
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Phone: 714/841-5533
Phone:
714-844-5533
Phone: 949-770-8586 State Lic:C015073
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Applicant: SCHLEY KEVIN ARTHUR
Con State Lic: O/B
Engineer: NAJJARINE ED CHEIKH
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Address: 25225 MACKENZIE
Lic Expire:
Address: 740 ROOSEVELT AVE #200
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LAGUNA HILLS CA 92653
Bus Lic:
IRVINE CA 92620
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Phone: 949.770-8586
Lic Exp Date:
Phone: 949-387-9440 State Lic:S-004674
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Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
Address:
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Occupancy Group: R-3/U
Policy No:
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Added /New sq.ft. Bldg: 351
Expire:
Phone:
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Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 5'
Special Conditions: O/B FORM ATTACHED
No of Units : 1
Front: 20'
Bldg Height: 24
Left: 3'
Bldg Sprinklers: Y
Right: 3'
Flood Zone: X
Use Zone: R-1
Parking Spaces:
2 Fire Hazard Zone : N
Construction Valuation: $250,000.00
Building Permit Fee: $3,105.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $2,523.99
Additional Fee :
$0.00
Plan check Fee : $186.00 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: $0.00
Grading PC Consultant :
$0.00
SJH Trans: $0.00 Demolition Fee
Record Management: $48.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$26.00
Energy Compliance: $175.00
Grading PC Fee:
$0.00
Public Works Department- General Service
$219.00
CA Seismic Safety: $32.50
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$564.00
Disabled Access : $0.00
P1W Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$217.35
San Dist: $0.00
Building Green Fee: $10.00
Mechanical %:
$124.20
NMUSD Fee: $0.00
$0.00
Plumbing %:
$279.45
$0.00
TOTAL FEE : $7,509.49
Plan Check Fee :
$2,698.99 Fee Due at Permit Issuance : $4,810.50
PROCESSED BY:
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PUBLIC WORKS APPROVAL:
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ZONING APPROVAL:
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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
he 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
lot ore than five hundred dollars ($500).
owner of the property, or my employees with wages as their sole compensation, will do L) all of or�Lportions of the work, and the structure is not intended or offered for sale (Section 7044,
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
mproved for the purpose of sale).
I, as owner of the.property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owitV pl p16perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
• • Yam exempt fwli licensure under the Contractors' State License Law for the following reason:
3y my sgignaturp bCloyr•I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
% aSlructure that I hhave built as an owner -build if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 4 of tyre usin ss and
rrofeesions Codes is available upon request whe s application' ubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. /" ? �0
signature of PAtft9 Qwner or Authorized Agent Date MMM 1
-ILWSED CON4RACTOR'S DECLARATI N
,ftp{yby affirrrCurdergenalty of perjury that I am licensed un er pro talons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
Iq��ffect. Lie®nse.CClass eNo Date Contractor Signature
Y,QRj$ERS' COMPENSATION DECLARATION
I. TIOT: FAILURE TO IMCURE 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
OSO cOMPE' .11TOM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ildree4y affirm ynder penalty of perjury one of the following declarations:
••• ••
I have andd 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
ertormance of the work for which this permit is issued. Policy No.
I 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'
urance carrier and policy number are:
Policy Number Expiratic
of Agent Phone #
Date
I 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 workerpensation laws of California, and agre
t, if I should becom su ect to the/'Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant G Date
CLARATION REG DI ST CTION LENDING AGENCY
6reby affirm under penaA9 of perjury th 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
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 ou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or cou t o entey the aboyh-idegjified property for inspection purposes.
ACTION I DATE
PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I n X ISUBM
PERMITCANCELLED EPA
PERMITFINAL nor ROPOSST DE O LrTIO TO, IS NOT APPLICABLE TO
CERTIFICATE OF I/. L !
OCCUPANCYISSUED / SIGNATURE: i /�
ener's or Authorized Agent's Name
FOR OFFICE USE ONLY
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