HomeMy WebLinkAboutX2021-1859 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
:. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
T:atr�y Mgt` - Combination Type - SFP
IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1859
Project No : 1604-2021
Issued Date : 11/16/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111612024 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: 600 ST JAMES PL NB w�
Description: SFR REMOVE WALL BETWEEN KITCHEN & DINING, ADD (1) NEW WINDOW & DECREASE SIZE OF (1) WINDOW 16 SF
Legal Desc.: N TR 1218 LOT 30 !�
Owner:
STROLLO RICHARD
Address:
600 ST JAMES PL
NEWPORT BEACH, CA 92663
Phone:
Applicant:
SALEM YASSER
Address:
1651 E 4TH ST
SANTA ANA CA 92701
Phone:
949-378-5842
Code Edit : 2019
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:
Contractor:
MAG WORKS INC
Address:
2109 NATIONAL AVE
COSTA MESA CA 92627
Phone:
714.397-3969
Con State Lic:
711069
Lic Expire:
09/30/2022
Bus Lic:
BT30077258
Lic Exp Date:
11130/2022
Worker's Compensation Insurance
Carrier: W/C EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks Rear: 10
Front: 20
Left: 4
Right: 4
Architect:
Address:
Phone: State Lic
Engineer:
SALEM YASSER
Address:
1651 E 4TH ST
SANTA ANA CA 92701
Phone:
949-378-5842 State LIc:S-004902
Designer:
Address:
Phone:
Special Conditions: LANDSLIDE AREA
riom cone:
A
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$15,000.00
Building Permit Fee:
$331.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $287.97
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:
$0.00
Grading PC Consultant
: $0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$12.00
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
WQ 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 %:
$0.00
San Dist :
$0.00
..
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $683.97
Plan Check Fee
: $339.97
Fee Due at Permit Issuance :
$344.00
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PROCESSED BY:
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ZONING APPROVAL:
GRADING APPROVAL: �
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LIC WORKS APPROVAL:
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PLAN CHECK BY:
E r APPROVAL TO ISSUE:
G O G 4 6 W
G 6 CG 8
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 apermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do l_) 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
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).
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
pply 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).
7 I am exempt from Iicensure 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 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
ignature 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 0 ) of Di ' ion of the Business and Pro ssi Code, and my license is in full force
nd effect. License Class License No Date �G x Contractor Signature --�-
VORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST 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:
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'
rance carrier and policy number are:
Policy Number
Date
ne of Agent -vnone u
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
of I should become s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
natu re of Applicant
CLARATION REQJARDING CONSTRUCTION LENDING AGENCY
Ireby affirm underlpenalty 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).
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county it enter the above -identified property for n5=ion purposes.
nature of Prooertv Owner or Authorized Aoedt ....,. roperty Owners or Authorized Agent's Name
ACTION
DATE
BY 1
( LATTAT0 OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS RT 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED
L1 I SUBMITTED BESTOS NOTIFICAT14 TO
PERMITCANCELLED
DEPA • ••
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PERMIT EXTENDED
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PERMITFINAL
SBESTOS NO FICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
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POSED ITION • i r • •
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OCCUPANCYISSUED
/•/SIGNATURE:
SIG NATURE: •
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