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Home My WebLink AboutX2019-3404 - Permits, �� City of N--wport Beach - Building Division IIIIIIIIII III IIII�IIIIIIII�IIIIIIIIIIIII COMB Permit: X2019-3404 a' 100 Civic Center Drive, Newport Beach, CA 92660 II� X 2 0 1 9 3 4 0 4� II s.. r Project No : 2354-2019 N Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 `°a y�yr xY' Combination Type - MFP MECH ELEC PLUM Issued Date: 11/22/2019 0 Inspection Area : 6 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: 14 SAN SOVINO NB Description: MFR ADD 80 SF OF SURFACE FLOOR AREA WITHIN BLDG, TO CREATE BATHROOM "*STOP WORK*" ■ `� Legal Desc.: ^_r A�=7& Owner ESSAM ABDULLAH Contractor: OWNERIBLDR Architect: BDAIWI MUSTAFA °.°°°• ° Address: 14 SAN SOVINO Address: DELDSOUI NICKA Address: 601 PARKCENTER DR #204 %°. NEWPORT COAST CA 9657 SANTA ANA CA 92705 % Phone: 310-291.6466 Phone: Phone: 714-673-6611 State Lic:C033953 Applicant: ABULLAH ESSAM Con State Lic: OIB Engineer: a •. °, ° ° ° Address: 12 CAPE FRIO Lic Expire: Address: ° • . ° , °° NEWPORT COAST CA 92657 Bus Lic: o °• ° ° ° Phone: 310-291-6465 Lic Exp Date: Phone: State Lic: ° ° • ° • ° ° • • ° Code Edit: 2016 Workers Compensation Insurance Designer: ° c.... Type of Construction: VB Carrier: Address: Occupancy Group: R2IU Policy No: Added /New sq.ft. Bldg: 80 Expire: Phone: Added /New sq. ft. Garage: 0 ...°° ....• No of Stories: 2 Building Setbacks Rear: / Special Conditions: LANDSLIDE No of Units : 7 Front: I VHFHSZ Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : Y Construction Valuation: $10,000.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $201.84 Additional Fee : $0.00 Plan check Fee : $40.00 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: $232.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 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: $1.30 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $16.24 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $9.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $20.88 - $0.00 TOTA FEE : $799. Plan Check Fee: $243.09 Fee Due at Permit Issuance : $556.70 PROCESSED BY: PUBLIC WORKS APPR AL: } ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _. APPROVAL TO ISSUE: - "" OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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) action 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 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 ffessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 )rovements 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 )roved for the purpose of sale). 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 Ay to an gwner 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...frem Iicensure under the Contractors' State License Law for the following reason: IVY signature below I acknowledge that, except for my personal iastrted ich I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot Iega111 1 structale'tM1�t7 have built as an owner -builder if it has n een cin ' s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ffessicns Cade, is available upon request when t ppli tion is su ing Web site:http://w .leginfo.ca.gov/calaw.html. 22 �) nature of Property Owner or Authorized Agent Date/ UV?i(MbcY 12 q SENSED,COAPTRACTOR'S DECLARAT N ;7eby affirm•Ifider penalty of perjury that I a licensed unde i ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce 12ffect. Lieen�&J;Iass License Date Contractor Signature AKERS161SOMPENSATION DECLARATION NNG: 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 WOF COMPENSATION -DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. wet; affirm under penalty of perjury one of the following declarations: 'Ptiave and *M.Tn; lntain 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 Fdrmance o?tMeavbrk 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: r Policy Number Expiration Date J e f Agent Phone # ce fy that, in the performance of the wor which is p i issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree hat, i should become subject to the wo rs' 'co By ti prsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date N�Ue��'Vr 22 t Z V I )ECLARATION REqAkMNG CONSTRU L I' AGENCY hereby affirm unde penalty of perjury a is a onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lenders Address 3y my signature below, I certify to each of the followi : ,,I am the property owner or authorized to act on t 'z property owners behalf. I have read this application and the information I ave provided is correct. I agree to comply with all applicable city and county ordinances and stat a atin o building construction. I authorize representatives of this city or Cou t to enter e a o id i arty for inspection purposes. tgr A v� 1 r IgV U u lft r 1 I, 3ignature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Nam Dat ACTION DATE BY DEC TION CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA 1 OFTITLE40ANDAQMDRULE PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED SBESTOS NOTIFICATION IS NOT^APPLICABLE TO �~ FRnpnCrn nrMnl ITInN. /-X 1 SIGNATURE: