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Home My WebLink AboutX2021-3098 - Permitswr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3288 ':U.. Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM III�IIIIIIIIIIIIUIIIIIII�IIIIII�IIIIIIp II COMB Permit: X2021-3098 Project No: 2686-2021 Issued Date: 11/16/2021 Inspection Area : 1 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: 508 CLUBHOUSE AVE NB Description: SFR BATHROOM REMODEL. DEMO DOOR & WINDOW. (N) WINDOW. Legal Desc.: CANAL SECTION BLK 532 LOT 2 - - Owner: SMITH MARC LEE MARTINTR Address: 508 CLUBHOUSE AVE NEWPORT BEACH, CA 92663 Phone: Applicant: SALEM YASSER/ NEDA Address: 1651 E4TH 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: N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 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: $564.22 PROCESSED BY: ZONING APPROVAL: 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: 11/30/2022 Workers Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.22 $9.84 $22.14 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: HIGH DENSITY LIQUEFACTION 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 Plan Check Fee : $266.02 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 Fee Due at Permit Issuance : $298.20 e Pi1BLIC 11Yt5RKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ° ° ,' APAR01%A6T0 ISSUE: Qa 0 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 ie 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 'rofessions 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). 7 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, 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). 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 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legalIN 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 following Web site:http://www.leginfo.ca.gov/calaw.html. lignature 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 00 of Divi ion 3 of the Business and Professioand my lice r orce nd effect. License Class License No Date Z/0-ontractor Signature IIORKERS' COMPENSATION DECLARATION �^ IARNING: 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 DST 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: 7 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' make carrier and policy number are: Policy Number of Agent Date 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 agre t , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant\V/ - Dffi Z /G ?/ IECLARATION REGgR G CONSTRUCTION LENDIN GENCY 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 30 7, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 t e ter the above -identified property for inspection purposes. �) �C �,l 1.T lianature of PmDertv Owner or Authorized Aoent X � �-�—print Prooertv Owners or Authorized AoY ent's Name (O i w L ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 1 RE LATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 ••• ••• • ••• ••• ••• PERMITEXPIRED LJ [SUB ITTED ASBESTOS NOTIFICATION TO• PERMITCANCELLED EPA •• • ° •' • PERMIT EXTENDED QM PERMITFINAL 'fj '� Z L J :ASBEST S NOTIFIC IS NOTAPPLICABLE TO CERTIFICATE OF ROOS DEMQUTIO •• ... • • °°° OCCUPANCY ISSUED SIGNA RE: • _• ' ° ss mee a m ee eo eee