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HomeMy WebLinkAboutX2021-0692 - Permits�wto4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0692 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 9 2 p Project No: 2524-2019 Permit Counter Phone (949)644-3288 U .41 Inspection Requests Phone (949)644-3255 fS �la+�`tr Combination Type - MFP ELEC PLUM Issued Date : 0312312021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/23/2024 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: 17 DARTMOUTH NB Description: SFR CITY STD BLOCK WALL 6' X 12 LF (INSIDE P/L) & GASIELEC TO BBQ AREA Legal Desc.: N TR 16409 LOT 57 r,M' wW .. Owner: BENEHMED DANEIA SANADIKI Address: 17 DARTMOUTH NEWPORT BEACH, CA 92660 Phone: Applicant: MACBETH DANIEL Address: 37 PARKCREST NEWPORT BEACH, CA 92657 Phone: 949-584-4999 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Valuation: Contractor: DANIEL GARRISON MAC BETH Address: 37 PARKCREST NEWPORT BEACH CA 92657 Phone: 949-584r1999 Con State Lie: 700795 Lie Expire: 12/3112022 Bus Lie: BT30047260 Lie Exp Date: 05/31/2021 2019 Worker's Compensation Insurance VB Carrier: WC EXEMPT U Policy No: (NO EMPLOYEES) 0 Expire: 0 Building Setbacks Rear: 5' Front: 15' Left: 5' Right: 5' Building Permit Fee: $127.00 Plan Check Fee: $110.49 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $260.81 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: ECTTp Address: Phone: C( /f W Engineer: ^-- - t• Address: --- - .-.�<y., atMc•- F9 Phone: State Lie: C) Designer: Address: 0 Phone: Special Conditions: SPECIAL FIRE PROTECTION AREA Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans: Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PiW Plan Check : $0.00 Electrical %: $8.89 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $11.43 Plan Check Fee Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $260.81 P'JBLIC WORKS APPROVAL` • PLAN CHECK BY: AP?RO%'AL TO IfSL1Et 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) ction 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 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 fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 Iy 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). J I am exempt from licensure under the Contractors' Slate License Law for the following reason: ly 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 IN ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 'signature of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 ofivision 3 of the Business and Prof on ode, d my nd effect. License Class License No Date Contractor Signature IIORKERS' COMPENSATION DECLARATION unit, I cannot Business and is in full force 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000(, IN ADDITION TO T 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: 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 erfognance of the work for which this permit is issued. Policy No. and will jiyyaintain workers' compensation carrier Adhwlicv numhel"ft: le of Agent as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date ❑I certify that, in the perform ce of tW w 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 that, if I should become s bje t t e w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ Signature of Applicant at DECLARATION REG DING C S CTION LENDING AGENCY I hereby affirm under enalty 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). Lender'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 is b half. I have read this application and the information I have provi D d is corr I. I agree to comply with all applicable city and coun ordin ces and Is to relating to building construction. I authorize representatives of this city or count t enter e a ve- Ified property for inspection purposes. 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