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Home My WebLink AboutX2021-3272 - Permits,City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 9266C Permit Counter Phone (949)644-3288 C,. v Inspection Requests Phone (949)644-3255 Combination Type -SFP MECH ELEC PLUM 111illil111111111111111111111111111111111111111111111COMB Permit: X2021-3272 X 2 0 2 1 3 2 7 2 Project No : 2836-2021 Issued Date : 1210312021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1210312024 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: 254 DRIFTWOOD RD NB Description: MFR `STOP WORK' REMODEL 600 SF (CITY STD PLAN) 121-3402 Legal Desc.: N TR 1116 LOT 25 Owner: HADDAD HAZEM Address: 254 DRIFTWOOD RD CDM CA 92625 Phone: Applicant: HAUSER E WILLIAM Address: 128 KINGS PL NEWPORT BEACH CA 92663 Phone: 714-932-4988 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: - 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $48,000.00 Building Permit Fee: $775.00 Plan Check Fee: $674.25 Overtime Plan Ck: $0.00 Investigation Fee: $775.00 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 : $2,435.25 PROCESSED BY: ZONING APPROVAL: Contractor: E H MASONRY Address: 14212 AGAVE ST MORENO VALLEY CA 92553 Phone: 951-534-8184 Con State Lie: 1045754 Lie Expire: 10/31/2022 Bus Lie: BT30075571 Lie Exp Date: 06/30/2022 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: EUWC238886 Expire: 02/25/2022 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: I Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: REZAGIHASSAN Address: 4824 SURREY DR NEWPORT BEACH CA 92625 Phone: 714-932-4988 Special Conditions: I@ T '' r ��. $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $54.25 San Dist : $0.00 $31.00 NMUSD Fee: $0.00 $0.00 $69.75 $0.00 Plan Check Fee: $726.25 Fee Due at Permit Issuance : $1,709.00 PUBLIC WORKS 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 (_) all of or L) 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-Builderwill have the burden of proving that A 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). ❑ 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. I 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://wvnv.leginfo.ca.gov/calaw.htmi. 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 Division 3 of the Business and Professions ode, and my I' ense is in full force and effect. License Class License No Date�LJ Contractor Signature / WORKERS' COMPENSATION DECLARATION v \, _y 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 (E100,000), IN ADDITION TO THE COST 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: Fe 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, forth rmance of the work for which 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 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 work rscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 4 DaV % Z 0-7— -7-/ CLARATION REGARDII G�CONSTRUCfION rAGENCY sreby 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). lder'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 ordinances and state laws relating to building construction.' I authorize representatives of this city or county to ant%the above-i entified property for inspection purposes. /f nature of Prooertv Owner or Authorized Agent x /' . L Print Prooertv Owners or Authorized Aaent's Name 1h _ Date /z--0 r= ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA _ PERMIT EXTENDED PERMITFINAL ESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION} OCCUPANCYISSUED SIGNATURE: - //, // ,