HomeMy WebLinkAboutX2022-0981 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM ELEC
IIIIX 2�I 0I�IIII III�I� 0I�I II 8III II
INSPECTOR
COMB Permit: X2022-0981
Project No : 1638-2021
Issued Date : 04/05/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/05/2025 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: 1718 IRVINE AVE NB
Description: SFR ADD SOLID COVERED PATIO
312 SF WI ATTACHED FIREPLACE & GASIELEC
(CHANGE OF CONTRACTOR)
Legal Desc.: N TR 3082 LOT 10
Owner: MAJESTIC CABBIE
Contractor:
YORBA RIDGE CONSTRUCTION Architect:
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Address: 1718 IRVINE AVE
Address:
20470 VIA TALAVERA Address:
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NEWPORT BEACH, CA 92660
YORBA LINDA CA 92887
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Phone: 949-375-1919
Phone:
714-420-7926
Phone: State Lic:
o 0
Applicant: ALSMADI NEZAR
Con State Lic: 642515
Engineer: ABODIA MOHAND
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o a °
°• °
Address: 15 HOMESTEAD DR
Lic Expire:
04130/2022
Address: 181 ZEPHYR RUN
TRABUCO CANYON, CA 92679
Bus Lic:
BT30076335
TUSTIN, CA 92782
°a• ° °,
Phone: 714-423-3844
Lic Exp Date:
05131/2022
Phone: 949-689-8387 State Lic:C-088279 •° o°:
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Code Edit: 2019
Worker's Compensation Insurance
Designer: ALSMADI NEZAR
Type of Construction: V-B
Camec
EXEMPT
Address: 15 HOMESTEAD DR
Occupancy Group: R3/U
Policy No:
TRABUCO CANYON, CA 92679
Added/New sq.ft. Bldg: 0
Expire:
Phone: 714-423-3844
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 0
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone: x
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $0.00
Additional Fee :
$38.00
Plan check Fee : $0.00 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: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $0.00
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: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PM Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $0.00
Mechanical W
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $38.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$38.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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 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,
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 cgmpletion, 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 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).
I am exen7pt4trio6licensure under the Contractors' State License Law for the following reason:
By mys ignatur@D@16w I acknowledge that, except for my personal residence in which I must have resided for at least o
%e6a,Atructure 0" 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
Professions Code, -Is, available upon request when this application is submitted or at the following Web site: http://www.lE
Sipstglre of Property Owner or Authorized Agent
LIOBNSED CQJVJ4ACTOR'S DECLARATION
Werab,j' affrrr%n�igr�aenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 I
anU,ejt"ect. License Class License No Date
WQWERS' fCgI ENSATION DECLARATION
A"IIIIHG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE
COST OF COMPENSA)ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
"e"00
Iherebtaffirm ytidEVVonalty of perjury one of the following declarations:
.•.I.heue and will mq(ntain a certificate of consent to self -insure for workers' compensation, issued by the Directc
pPgr2nce ofl�e w'o forwhich this permit is issued. Policy No.
••
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thi
insurance carrier and policy number are:
Policy Number
of Agent
that, in the performance of the work for which this permit is issued, I shall not employ any person in any
ould become suWeIip thegworkers' compensation provisions of Section 3700 of the Labor Code, I shall
ignature of Applicant `�
IECLARATION REG
enD CONSTRUCTION LENDING AGENCY
hereby affirm under alty o perjury that there is a construction lending agency for the performance of the work for
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 u y r I nces d state laws relating to building construction.
I authorize representatives of this city or count en er a ab e-identi property for inspection purposes.
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
of Division 3 of the Business and PreTorr$'$n , anSl.gly license is in full force
ContractorSignature'J%(( �j�r(('.t"r� }�
LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and
i comply with those provisions. A�nV//
Dat� —t �l�a
i this permit is issued (Section 3097, Civil ode).
Signature of Property Owner or Authorized Agent 0, Print Property Owner's or Authorized Agent's Nam f fr Da C,0 S5
ACTION DATE BY V D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
I/ ✓'
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
IS NOTAPPLICABLE TO