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HomeMy WebLinkAboutX2022-1048 - Permitsw �, City of Newport Beach - Building Division *X2022-1048* COMB Permit: X2022-1048 ;a 100 Civic Center Drive, Newport Beach, CA 92660 s Project No : 0963-2022 r„, �� Permit Counter Phone (949)644-3286 i;. p Inspection Requests Phone (949)644-3255 t4raru��'t' Combination Type - SFP MECH ELEC PLUM Issued Date : 04/11/2022 Inspection Area : 4 .a.. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411112025 OR PERMIT WILL BE INV L4M . 4 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: 1915 PORT CARDIFF PL NB ; .... ° Description: SFR INTERIOR REMODEL 360 SF OF (4) BATHROOMS PER CITY STANDARD PLAN. .... . Legal Desc.: N TR 6623 LOT 42 . c . a Owner: DUQUE MARTHA Contractor: Address: 1915 PORT CARDIFF PL Address: NEWPORT BEACH, CA 92660 Phone: 949-423-8850 Phone: Applicant: MALLIS EYAD Con State Lic: Address: 635 E WHITTIER BLVD Lic Expire: LA HABRA, CA 90631 Bus Lic: Phone: 714-316-9446 Lic Exp Date: Code Edit : 2019 Type of Construction: V-B 635 E WHITTIER BLVD Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $799.00 Plan Check Fee: $695.13 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 : $2.00 TOTAL FEE: $1,709.93 PROCESSED BY: ZONING APPROVAL: LftW CABINETS INSTALLATION MASTER Architect 635E WHITTIER BLVD Address: LA HABRA CA 90631 562-691.9001 Phone: State Lic: 9896BO Engineer: 01131/2024 Address: BT30077117 11/30/2022 Phone: State Lic: Worker's Compensation Insurance Designer: MALLIS EYAD Carrier: SECURITY NATIONAL INSURANCE CO Address: 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 W Plumbing %: SWC1365635 11/10/2022 Rear: I Front: I Left: / Right: / 'arkina Spaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $55.93 $31.96 $71.91 Plan Check Fee LA HABRA, CA 90631 Phone: 714.316-9446 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: SEC GRADING APPROVAL: __ APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,709.93 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 not more than five hundred dollars ($500). ❑ I, as owner o'filie property, or my employees with wages as their sole compensation, will do U all of or J portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and PitMIlions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the raprerements a,"not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or I�mIproved for the pug3ase of sale). �I.1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 9ppIq to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 2... I a`ro exempt..fro.m.(censure under the Contractors' State License Law for the following reason: By rrly'signature below,) acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) selha'atructure TM f ISgUe built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the. Business and 6'w$aEelons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 5i9pgtyvw of Property Owner or Authorized Agent Date �ICEN$ED CCfNTJUCTOR'S DECLARATION I� pleby affirm urRAr penalty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co and my license is in full force and of eet. Liceivse.Cldss License No g (`l Date )Cn ' 1 f ll—Contractor Signature X WORKERS' CORIPENSATION 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 )rmance 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' compensa Lance carrier and policy number are: _ ier �ec'.i�`f {�7�4.�rn, �y�S-�Z Policy Number \'_Q ��� ���'� Expiration Date le of Agent Phone # 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 al if I should become subiect to the workers' compensation provisions_Qf Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date©`?/jl / 2-())"2 hereby affirm undef�alty 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). .enders 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 county ordinances and state laws relating to building construction. x.. I authorize representatives of this city or county e r t Bve-ldentified property for inspection purposes. /q� �r signature of Property Owner or Authorized Agent I _ Print Property Owner's or Authorized Agent's Name G R� J 1 1 C Date r ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND AC RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED QM D PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED a 1 7 /Zq- PA&BESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION/2 SIGNATURE:X-- I