HomeMy WebLinkAboutX2019-3690 - PermitsCity, of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII II COMB Permit: X2019-3690
�° 2w 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 6 9 0 Project No
Permit Counter Phone (949)644-3288
V - Inspection Requests Phone (949)644-3255 Issued Date : 11118/2019
`atas,iu+"* Combination Type - SFP ELEC MECH PLUM Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 28 VIA CORALLE NB
Description: SFR KITCHEN AND (5) BATHROOM REMODELS 400 SF *CITY STANDARD*
Leaal Desc.:
Owner:
BABYLON SHORES LLC
Address:
26 VIA CORALLE
NEWPORT BEACH, CA 92657
Phone:
949-338-1183
Applicant:
MUKHLISS MAZIN
Address:
908 CELTIS PL
NEWPORT BEACH, CA 92660
Phone:
949-600-8663
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R31U
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:
Construction
Building Permit Fee: $833.00
Plan Check Fee: $724.71
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 :
$3.00
TOTAL FEE: $1,769.31
PROCESSED BY:
ZONING APPROVAL:
Contractor:
OWNERIBLDR
Architect:
Q
INSPECTOR
Address:
AUTH AGENT:
Address:
MUKHLISS MAZIN
-
Phone:
Phone:
State Lic:
Con State Lic:
O/B
Engineer:
Lic Expire:
Address:
Bus Lic:
Lic Exp Date:
Phone:
State Lic:
Worker's Compensation Insurance
Carrier:
Policy No:
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: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$58.31
$33.32
$74.97
Designer:
Address:
Phone:
Special Conditions: LANDSLIDE AREA
OIB FORM ATTACHED
LLC ATTACHED
0 Fire
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
Fire Department
$40.00
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 : $1,769.31
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
TION
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
6no 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
BuNness 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 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 Iicensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for y 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 Iega11,
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 79`44 of the Business and
Professions CoJJ, u mailable upon request when t Is application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signatu�e of Property Owner or Authorized Agent a�
'-I(JEN-3ED C^MTPICTOR'S DECLARATI N Da tl Ito /?A, 94
I herehy affirm under penalty of perjury that I a licensed under provisions of Chapter 9 mencing with Section 7000) of Division 3 of the Business and Profession2Cadle, and my license is in full force
Jn6 effect. License Class License No Date Contractor Signature
MORKERS' Cl1MPFNSATION DECLARATION
'ARNING. 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
OST OF COMPENSPTION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby. affirm ur.de, penalty of perjury one of the following declarations:
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
:e of the wort: for which this permit is issued. Policy No.
JI havp 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'
�suranca carrier and pplicy number are:
Policy Number
of Agent
Date
JI certify that, in the perfo6ance 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
iat, if I should become su%ject to the workers' compensation provis�ion"s` of Section 37-00 of the Labor Code, I shall forthwith comply with those provisions.
ig nature of Applicant {/� at/ e 1\ 1 ifo k'�
D
IECLARATION REGARDING CONSTRUCTION LENDING A C'! N
hereby affirm under �enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3997, Civil Code).
Ender's Name Lender's 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 cou y ordinances and state laws relating to building construction.
I authorize representatives of this city or county o enter the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Agent Print Prooertv Owner's or Authori7ed Anpnf'c A<\. I ,. r .o r1.<
DATE BY / REG)RAATION OF TIONS ART 61 O COMPLIATITTLE 40 AN AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF 4/_/4-Z0
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
ISNOTAPPLICABLE TO