HomeMy WebLinkAboutX2021-1687 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1687
o� hf 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 1 6 8 7
p Project No : 1474-2021
Permit Counter Phone (949)644-3288
y, Inspection Requests Phone (949)644-3255
Issued Date: 06/29/2021
Combination Type - BLDG PLUM
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Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/29/2024 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: 500 FULLERTON AVE NB
Description: DEMO SFR 2 BEDROOMS. SEWER CAP INCLUDED 1527 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 24
Owner:
DOJA PROPERTIES LLC
Address:
5050 W MISSION RD
ONTARIO CA 91762
Phone:
626-340-5461
Applicant:
MEHOI AYAD JABER
Address:
1203 OAKCREST AV
BREA CA 92821
Phone:
626-340-5461
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation:
Building Permit Fee: $120.00
Plan Check Fee: $227.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,823.80
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: OWNER/BLDR
Architect:
HERNANDEZJOSEPH
Address:
Address:
19092 CALLAWAY CIR
HUNTINGTON BEACH, CA 92648
Phone:
Phone:
714-374-7034 State Lic:CO21038
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 W
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
Designer:
Address:
Phone: 3 RB i
Special Conditions: RAINBOW DISPOSAL i i
TO HAUL DEBRIS
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$92.50
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
$26.00
$0.00
Public Works Department-
General Service
$219.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$1,127.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist :
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$10.80
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$1,823.80
PUBLIC WORKS AFPROtiAL:
PLAN CHECK BY:. '
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)
iection 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
le 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 Busines"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
Dt more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nproved 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
�p 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 m exempt from Iicensure under the Contractors' State License Law for the following reason:
y m 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 Iegall�
tructure that I have built as an owner -builder f it he n t een onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 f the usiness and
rofessions Code, is available upon request w Is ap Ii ti Is ubmittgd ¢r at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent P' l I I
ICENSED CONTRACTOR'S DECLARATT NNV
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 Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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
'DST 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:
7 1 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 IN
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
)lc,i
rtify 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 agree
I should become subj t t th wor rs' corcrcrc,���pppry�sa^tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.fu re of Applicant I"� ✓ Date Ic 7 I �i
CLARATION REG ING C ION L NDING AGENCY
)reby 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 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 �Ql�r ie f pve4 tified property for inspection purposes. \ / i�e'IA �
nature of Prooertv Owner or Authorized Acentt 'I O Al rr t Print Prooertv Owner's or Authorized ADent's Name X C r1, J 1 Date H
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY / \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
✓ ) REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBF.`TOS NOTIFICATION TO
PROPOSED
NOTIFICATION IS NOTAPFUCABLE TO