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Home My WebLink AboutX2021-2911 - 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 axrx�a+'�a Combination Type - MFP ELEC MECH PLUM *X2021 -2911 * COMB Pet it: X2021-2911 Project No: 253 - Issued Date : 10/26/2021 Inspection Area : 6 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012612024 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: 2714 HILLTOP DR NB Description: MFR BATHROOM REMODEL 300 SF Legal Desc.: TR 8787 LOT 4 UNIT 55 55A 55P 55D OF PROJECT LOCATED ON AP 458-551-10 , Owner: MCGONEGAL ROGER Contractor: HOME RENEW 360 Architect: � .... Address: 2714 HILLTOP DR #55 Address: 3711 LONG BEACH BLVD STE 201 Address: o NEWPORT BEACH, CA 92660 LONG BEACH CA 90807 .... Phone: Phone: 714-884-2063 Phone: State Lic: Applicant: SHECHOURI DIKLA Address: 3711 LONG BEACH BLVD 9201 LONG BEACH, CA 90807 Phone: 818-220-9452 Code Edit, 2019 Type of Construction: V-S Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $195.00 Plan Check Fee: $169.65 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 : $1.00 TOTAL FEE: $458.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 982343 Lic Expire: 03131/2023 Bus Lic: BT30076335 Lic Exp Date: 08/31/2022 Workers Compensation Insurance Carrier: STATE FUND Policy No: 9144686 Expire: 10/13/2022 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: I Front: / Left: I Right: I 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $13.65 $7.80 $17.55 Plan Check Fee Engineer: CHATSKY GERMAN Address: 6541 ODESSA AV UNIT 11 LAKE BALBOA CA 91406 Phone: State Lic:C-084153 Designer: Address: Phone: Special Conditions: 0 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $458.65 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .eee• °. o.o• ..eeoa JOOGO• 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 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 own@"D %(J)erty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ;, J apjexempt from licensure under the Contractors' State License Law for the following reason: By my signature.114801 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 Iegall) sail a structure th&f Nltave 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 ProlWitins Code, -is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Sj�na�ure of PropertyAwner or Authorized Agent Date FI(iENBED Ci3P1TRj1CTOR'S DECLARATION I' herecy affirm upcjerpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Prof sions Code, d3ny license is in full force an�i'efrect. Lir�2naeGess I License No Date 1G-7n' Contractor Signature GVOR�(ERS' COJIAPENSATION DECLARATION ..... NARNING: FAILURE,TO SCL{U,RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE COST OPCOMPEWATW ,yAMAGEs As PRO..ED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY', FEES. tFebj affirm under penalty of perjury one of the following declarations: ..T have and 6-Metintain 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 the performance of the work forwhich this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ame of Agent rnone a 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 workers' compensation laws of California, and agree lat, if I should become ubject to thew IS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant iECLARATION REG I 'l� DC7-2-(?'2U 2/ NSTRUCTION LENDING AGENCY hereby 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, Ci it Code). ender's Name Lenders Address y 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 count ordinances and state laws relating to building construction. I authorize representatives of this city or tour t enter the above-idrtifie'd property for inspection purposes. may! I 1 , ,ionature of Property Owner or Authorized Agent s Print Property Owner's or Authorized Agent's Name /�ni K�Cr .Sh E'CVI U c - ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY REGULATIONS PARTOF 061 O MPLIATIITLE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO EPA ISNOTAPPLICABLE TO