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Home My WebLink AboutX2021-2733 - PermitsCity of Newport Beach - Building Division *X2021-2733` COMB Permit: X2021-2733 a Per Civic Center Drive, Newport Beach, CA 92660 Permit Counter phone (949)644-3288 � S ^^� 1 �� Project No : 2379-2021 ;• � )644 Inspection Requests Phone (949)644-3255 f 15 `+cerdiu?" Combination Type - SFP ELEC MECH PLUM Issued Date : 11/23/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 11/23/2024 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: 526 RIVERSIDE AVE NS ..... , Description: SFR INTERIOR ALTERATION OF KITCHEN. CONVERT LIVABLE AREA TO PATIO COVER. 760 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS LOT 7 BLK 35 , Owner: SAMEN EDWARD MICHAEL Contractor: OWNER/BLDR Architect: MASSARO ANTHONY P Address: 526 RIVERSIDE DR Address: SAMEN EDWARD MICHAEL Address: 2533 GREENBRIAR LN STE A - NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Phone: Phone: 949-629-8263 Phone: 714-556-8299 State Lic:CO24376 Applicant: MASSARO ANTHONY P Con State Lic: Ole Engineer: JAFARI MASOUD Address: 2533 GREENBRIAR LN STE A Lic Expire: Address: 23 ORCHARD #250 COSTA MESA CA 92626 Bus Lic: LAKE FOREST CA 92630 Phone: 949.294-4026 Lic Exp Date: Phone: 949-206-9929 State Lic:S-003812 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: O/B FORM ATTACHED No of Units : 1 Front: 20' Bldg Height: 0 Left: 4' Bldg Sprinklers: N Right: 4' Flood Zone: X Use Zone: R-1 Parkin2 Spaces: 0 Fire Hazard Zone : N Construction Valuation: $110,000.00 Building Permit Fee: $1,297.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $1,128.39 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: 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 Adm $0.00 Record Management: $32.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept $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 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $90.79 San Dist: Koo $0.00 Building Green Fee : $5.00 Mechanical %: $51.88 NMUSD Fee: $0.00 $0.00 Plumbing %: $116.73 TOTAL FEE : $2,773.79 Plan Check Fee : $1,180.39 Fee Due at Permit Issuance : $1,593.40 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' m(s) section 7031.6, 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 1e 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 are than five hundred dollars ($500). 14 I, as owner of the property, or my employees with wages as their sole compensation, will do alt of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, sl and Professions Code: The Contractors' State License Law does not apply to an owns o party who, through employees' or personal effort, builds or improves the property, provided that the nprovements are out 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 it was not built or nprove'J for the purpose of sale). I, as ownerv, p. operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly I.) 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 a,n exempt from, licensure under the Contractors' State License Law for the following reason: 'y my signature below-' 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 legally ell a structure that I have built as an owner -builder if it pas not n constructed in its apto by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the siness d 'rofessions Code, is available upon request when his pplic submitte r a ollowin W http://www.leginfo.ca.gov/calaw.htmi. oZ 3 ignato,e of Prvpert/ Owner or Authorized Agent Dat .ICENSED CONTRACTOR'S DECLARATIO hcrebt affirm urder �^nalty of perjury that I am lic nse under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co e, rid my license is in full force nd effect. License Ciass License No Date Contractor Signature VORKERS' COMPFNSATION 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 I$100,0001, IN ADDITION TO THE OST 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: 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 the erformance of the work for which this permit is issued. Policy No. I 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' compensatior isurance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance he work forwhich this pe Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree It, if I should become ubject t rkers' co. nsati visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ]nature of Applicant Date :CLARATION REGA G CONSTRUCTION LENDING AGENCY ereby 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, Civi Code). rider's Name Lender's Address By 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 rela' to building construction. !� I authorize representatives of this city or county o to e a ve-identif pr for ins action purposes. fj J"ai %r— , d 23 aP Signature of Property Owner or Authorized Agent riot Property Owner's or Authorized A aril's Name ��F �"'(! A/Date ACTION DATE BY V DNI ARATION 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 AQM D PERMIT FINAL (""ZIZ3 SSESTOS NOTIF IS NOTAPPUCA9 CERTIFICATEOF 4 PVO'NPSED D�%TO OCCUPANCY ISSUED SIGNATURE: X