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HomeMy WebLinkAboutX2020-2437 - Permits11t City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-2437 . - 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 4 3 7 Project No: 1948-2020 rW' Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 "yx x r Combination Type - SFP MECH ELEC PLUM Issued Date : 0211912021 9 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212012024 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: 1707 PORT BARMOUTH PL NB Description: SFR ADD 79 SF (PANTRY), REMODEL 779 SF Legal Desc.: N TR 6622 LOT 85 Owner: MONEY CHRISTOPHERIJILL Address: 1842 PORT BARMOUTH PL NEWPORT BEACH, CA 92660 Phone: Applicant: EDGARIBE DESIGNER Address: 1100 E ORANGETHORPE AVE #200R ANAHEIM CA 92801 Phone: 714-866-8785 Code Edit : 2019 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 79 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X 11 Construction Valuation: $76.f Building Permit Fee: $1,749.00 Plan Check Fee: $1,441.31 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $61.00 CA Seismic Safety: $9.95 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 Contractor: YOUSEFY K Address: 26541 MONTECITO LN MISSION VIEJO CA 92691 Phone: 949-232-8566 Con State Lic: 871479 Lic Expire: 01/31/2023 Bus Lic: BT30074322 Lic Exp Date: 02128/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 18 Left: 5 Right: 5 larking Space $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $122.43 $69.96 $157.41 0 Architect: Address: Phone: State Lic: Engineer: MCHANTAF KAMAL BESHARA Address: 23315 SARATOGA SPRINGS PL MURRIETA CA 92562 Phone: 714-696-9300. State LiaC-051050 Designer: Address: Phone: M S e Special Conditions: $v Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check, $129.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $185.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: II TOTAL FEE: $3,941.06 Plan Check Fee : $1,730.31 Fee Due at Permit PROCESSED BY: ° " ° ° ♦ ° ° PUBLIC WORKS APPROVAL ZONING APPROVAL: �� I 3 ® ® ° J PLAN CHECK BY: GRADING APPROVAL:ri 0° o ° o" APPROVAL TO ISSUE: o0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,210.75 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 items) (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 of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety, by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio 3 of the Business and Professions�gde^ and my�licens ull fame and effect. License Class License No Date Contractor Signaturof WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES 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: ❑ 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 performance 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 of Agent Date that, in the performance of the wor r 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 could become subject to yha wyFkMi a' c�pensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant I ������ Datee Z�' �Z( ,TInN RpmAi INll�lf`A .CTRII(:T�N�FNnl zzm, v 3reby affirm under penalty 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 ordinain and state laws relating to building construction. I authorize representatives of this city or county to eyitWAhe aboyE-identi ' roperty for inspection purposes. i Signature of Property Owner or Authorized AgeqW Print Property Owners or Authorized Agent's Name \ V ( " ate L r 7 cue ACTION DATE BY -DECLARAT46N OKCOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• ••• • ••• PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • •• • • PERMIT CANCELLED UEPA PERMITEXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT A�P;UCABLE TO CERTIFICATE OF rQ.� •2 PROPOSED DEMOLITIO / ••• • ••• • . � • • • • • • • , • • OCCUPANCYISSUED _ SIGNATU0.E: • • • ' ` • ' •aA e• ••s • ses ••