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Home My WebLink AboutX2021-1293 - PermitsCity of Newport Beach - Building Division ��. 100 Civic Center Drive, Newport Beach, CA 92560 Permit Counter Phone (949)644-3288 ..'- Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-125 Project No : 1131-2021 Issued Date : Inspection Arearea :2021 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1111612024 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 Jab Address: 500 FULLERTON AVE NB Description: NEW SFR 4,022 W/ATT. ACCESSORY DWELLING UNIT 840 SF AND GARAGE 657 SF I N� ,' '. YTg Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 24 Owner: DOJA PROPERTIES LLC Contractor: OWNER/BLDR Architect: HERNANDEZ JOSEPH Address: 5050 W MISSION RD Address: KHAYAT MICHEAL Address: 19092 CALLAWAY CIR ONTARIO CA 91762 HUNTINGTON BEACH, CA 92648 Phone: 626-340-5461 Phone: 310-890-7742 Phone: 714-374.7034 State Lic:CO21038 - Applicant: HERNANDEZ LOUIE Con State Lic: O/B Engineer: HUSSEY JOSHUA BENNETT Address: 19092 CALLAWAY CIR Lie Expire: Address: 17642 EL NOPAL LN HUNTINGTON BEACH, CA 92648 Bus Lie: HUNTINGTON BEACH CA 92647 , Phone: 714-374-7034 Lie Exp Date: Phone: State Lic:C-070494 + Code Edit : 2019 Worker's Compensation Insurance Designer: ' • -' Type of Construction: V-B-SPR Carrier: Address: ' Occupancy Group: R3/U Policy No: •+ Added/New sq.ft. Bldg: 4862 Expire: Phone_. Added /New sq. ft. Garage: 657 - ++ No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: LLC DOCS VERIFIED, - No of Units: 1 Front: 20' O/B AUTH ATT . Bldg Height: 0 Left: 4' Bldg Sprinklers: Y Right: 4' Flood Zone: X Use Zone: RA Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $980,000.00 Building Permit Fee: $7,760.00 Excise Tax: $1,158.99 Planning Department - Fire Department Plan Check Fee: $5,528.00 Additional Fee : $0.00 Plan check Fee : $520.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bands Fee: $0.00 Fair Share : $464.22 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $688.80 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $997.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $1,018.59 Public Works Department - General Service $0.00 CA Seismic Safety : $127.40 WQ insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $304.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $643.20 San Dist: $4,852.92 Building Green Fee : $40.00 Mechanical %: $310.40 NMUSD Fee: $63136.40 $0.00 Plumbing %: $698.40 $0.00 TOTAL FEE : $313603.82 Plan Check Fee : $7,070.25 Fee Due at Permit Issuance : $24,533.57 PROCESSED BY: ZONING APPROVAL: r-11Z w GRADING APPROVAL: PUBLIC WORKS APPROVAL: 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) (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 penaltyOf of mace than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, u 'ness 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 Imp ovements 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). ❑ 1, 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my 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 legall) sell a structure that I have built as an own lowide if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable4Secti,7044 of the Business and Professions Code, is available upon request this applicati n' subm' ed or t the following Web site:http:!/www.leginfo.ca.gov/calaw.html. /Signature of Propett Owner or Authorized A t (� ` )� ( `a��. POD L!CENSFD CONTRAQTOR'S DECLARATION I t''ereby rffirm unoer nerialty 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 and effect. License Cla..s License No Date Contractor Signature RS' COMPENSATION DECLARATION ARMING FAILURE TU 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 CST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under nPnalty of perjury one of the following declarations: I havt 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 th erformance of the ,vork for which this permit is issued. Policy No. have. and will mahitain 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 a,1J poi;cy number are: Policy Number Agent Date 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' mpensation laws of California, and agre Iould become -subject to the workers' comppeensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Ap _ ant.. c lS: '_�_h D 111 �ll f 20 zl :reby affirm undeApenalty 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 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 relating to building construction. authorize representatives of this ci or county��to-�nt [��[ t e above�-identi�f++'ed property for inspection purposes. l.,I A nature of Prooertv Owner or AuthorizedAaslrC"!`L�i.4�. 1 K�-w.�C' Print Prooertv Owners or Authorize Aoe ' ame HiCIK 0- UM ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLT / REGULATIONS PART 61 OF TITLE 40 AND ACRID RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED OM D PERMITFINAL Z '7. iy OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED slG NATI IRe