HomeMy WebLinkAboutX2020-1839 - PermitsCity of Newport Beach - Building Division
II �III��I IIII I II IIIII IIII III III II COMB Permit: X2020-1839
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` 100 Civ- Center Drive, Newport Beach, CA 92660
x 2 0 2 0 1 8 3 9 Project No: 1313-2020
Permit Counter Phone (949)644-3288
i~y V Inspecti)n Requests Phone (949)644-3255
Issued Date: 2020
q, b Combination Type - SFP MECH ELEC PLUM
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Area :
Inspection Area 8
PERMIT E XPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811512023 OR PERMIT WILL BE INVALID
Com truction 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
Jab Address: 40 CORMORC NT CIR NB
Description: SFR - KITCHEN & MASER BATH REMODEL, RMV WALL & ADD BEAM IN DINING & REPAIR DECK 500 SF
Legal Desc.: N TR 12212 LOT 1
Owner: KASPER RON. kLD J Contractor:
KITCHEN CABINETS AND BEYOND INC Architect:
Address: 40 CORMORANT CIR Address:
NEWPORT BEACH, CA
2910 E LA PALMA AVENUE #B Address:
ANAHEIM CA
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`1
Phone: 0 Phone:
Phone: State Lic:
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ul
Applicant: ALKLOUB EMAD Con State Lic:
902246
Engineer: MORRIS KYLE
Address: 2910 E LA PAL MA STE B Lic Expire:
08131/2021
Address: 1401 DOVE ST 4620
ANAHEIM CA 92806 Bus Lic:
BT30049789
NEWPORT BEACH CA 92660
Phone: 714-630-0477 Lic Exp Date:
0713112021
Phone: 949-502-5323 State Lic:C-072911
Designer:
Code Edit : 1119 Worker's Compensation Insurance
Type of Construction: V3 Carrier:
EXEMPT
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: /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: X Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation:_ $75,000.00
Building Permit Fee: $1,009.00 Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $0.00 Additional Fee :
$0.00
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: ; 16.00 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
PNV Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00 Electrical %:
$70.63
San Dist: $0.00
Building Green Fee : $3.00 Mechanical W
$40.36
NMUSD Fee: $0.00
$0.00
Plumbing %:
$90.81
$0.00
TOTAL FEE : $1,229.80
Plan Chuck rae
: $1,2"080 Fee Due at Permit Issuance : $0.00
PROCESSED BY:
PUBLIC. WORKS APPROVAL:
ZONING APPROVAL:
o PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
by affirm under penalty
of
that 1 am
ate
Law
or
I
ction 7031 5, Business and PrOFEssiIO03 Code: Any cry or Nona my that requires aStennit to conslmcir alter, Improve, demo ish, or repair any structure. prior to its ssua,m. also requi� sllhelapplica(nt for
permit fo file a signed statement that he or she Is licensed pursuant to the Provisions or the Contractors' Stale License Law (Chapter 9 (commending mth Section MOO) of Division of the Business and
fessors Code) u that he ll she Is exempt from licenaure and me basis mr(he all exemption. Any violation of Seclien 703 L5 by any applicant for a permit subjects the applied to a civil penalty of
more than five hundred dollars Is ex.
1. as owner or the property, or my employees with wages as their sole compensation, will do U all Of Or U Portions of the work, and the svu Clum is not intended or offered for sale section 7044.
iness and Professions Code: The Contactors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the properp provided that the
Improvements are not intended or Offered for sale. If, however, the building of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that ".was not bull or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section TOU, Business and Professions Code: The Contractors' Slate Liu se Law does not
fy 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 ficensure under the Contractors'Stale License Law for the following reason:
y 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 erred, cannot legally
a structure that1 have built as an owner-builderif d has not been constructed In its entirety by licensed contractors. I understand that a copyesslens Code, is available upon nequestwhen this application is submitted or atthefollowing Web site:htlp:llw .leginfa,w,gov/calaw.html.of the aPPuwble law,Stactlon 7044 of f1 < Business and
ature of Property Owner orAutlwdzed Agent
ENSED CONTRACTOR'S DECLARATION Date
eby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Pro tons Code, and ^rase Is In full (ores
etfecLnse Class License No n U r2yfo Dale ContraclorSignature -RKERS' COMPENSATION DECLARATION
GI FARLRE TO SECURE WORKUW ICOMPBISATON WIVERJLOE M aNIAWFUL, µ'D SIUal SUBJECT AN EMPLOYER TO CRIMINAL PEN. M&S AND CML NINES VP TD ONE NVHDAID Tr10U3ANO OOLLl1F[S IYYm. 101. IN MIENTION TO TNe COSTOFOOMPEN MON DAMAGES AS PNt"VE0 MR IN SECTION]TOG OF THE t ONCDDE OITEREBr.ANDATTORNEYS FEE$
hereby afnm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 or ti Labor Code, for thl
rmance o! the work for whiGt this permit is issued. Poficy No.
r..M
and
wig maintain workers' compensation insurance, as requGed by Sealion 3700 of me LBQaf Code, for the performance of the work for which cats permit is Issued. My 7rkers' cempensallor
carderand,Ditty numbera2:
or Polity Number Expiration Date _
ame (Agent Phone#
rl 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 became subject to the workers' cumpensallon laws - California, and agre
it. if I should be oomm� a je the workers' comps sation provisions of Section 3700 of the Labor Code, I shall forthwith campy with those provisions/ 1
(nature of ApplicantDa r,J /, r dy r V JF'I
:CIAR4TION REGARDING CONSTRUCTION LENDING AGENCY--�--I--
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. Civil Code).
ider's Name Lender's Address
my signature below, I certify to each o1 the following:
I am the property owner or authorized to act on the pmpery owner's behalf.
I have read this application and the Information I have provided is contact.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representallms of this city of county lrjrenler the above-identiried property for inspection purposes.
ACTION I DATE I BY
OCCUPANCYISSUED
FEDERAL. REGULAIMS PART 61 OF TITLE M AND
AQMDRLILE 1403.
❑ ISU&WTTEDASBESTOSNO77FICATIONTO.
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PFUPOSEES—OSi -,7 =4770f,SYOTAPPUC.4&ETO
SIGNATURE: