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Home My WebLink AboutX2021-1688 - PermitsA 'nog City of Newport Beach - Building Division IIIIIIIIIII IIII II IIIIIIIIIIIIII IIII I II COMB Permit: X2021-1688 .1. 1> ,^ T, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 6 8 8 4 n,' Project NO : 1474-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �. Issued Date : 06129/2021 Combination Type - BLDG 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 DETACHED GARAGE Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS ELK 38 LOT 24 Owner. DOJA PROPERTIES LLC Contractor: OWNER/BLDR Architect: HERNANDEZ JOSEPH Address: 5050 W MISSION RO Address: JABER MEHDI Address: 19092 CALLAWAY CIR ONTARIO CA 91762 HUNTINGTON BEACH, CA 92648 Phone: 626-340-5461 Phone: 626-340-5461 Phone: 714-374-7034 State Lic:CO21038 Applicant: MEHDI AYAD JABER Con State Lic: O/B Engineer: Address: 1203 OAKCREST AV Lic Expire: Address: BREA CA 92821 Bus Lic: Phone: 626-340-5461 Lic Exp Date: Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Expire: Phone: �p1 a" 5 r_rNT Rear: / Special Conditions: 1 i `�l No of Stories: 1 Building Setbacks No of Units : 0 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4 000.00 Building Permit Fee: $110.00 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: $0.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $111.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $111.00 PROCESSED BY: PUBLIC WORKS APF120VAI.: ZONING APPROVAL: f s% 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 U 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ Ias 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 Seto 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). am exempt from licensure under the Contractors' State 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 permit, I cannot legally a structure that I have built as an owner -builder if it h n t ben constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70144 f the siness and Professions Code, is available upon request when this li lion subrriryr e( or at Ing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent n ¢�f, ✓ tbW Date k LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio ,7990) of Division 3 of the Business and Pro ss' ns Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37136 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 IN performance 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 i1cirtify 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 subject tp trya wgfAcers' cam ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y nature ofApr licantY 1 ✓ 9N� Dat� V CLARATION REGOIRIDIN4 CONStAUCTIOALENDING AGENCY ✓0 :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). rder'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. D I have read this application and the information I have provided is correct. CX�] L I agree to comply with all applicable city and county ordi��}}}aaance and state laws relating to building construction. r authorize representatives of this city or countytoadve-idtifedy property for inspection purposes. I �IZp l.7I nature of PropertyOwner or Authorized Age ,e (/ A / I �� Print Property Owner's or Authorized Apent's Nam I Date ACTION DATE By/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED SUBMITTED ASKSTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AOM D PERMITFINAL 3 ^ ACBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF n/n PROPOSED DEMOLITION OCCUPANCY ISSUED ' '(r/ SIGNATURE: