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Home My WebLink AboutX2022-1196 - Permitsa"wto�r City of Newport Beach - Building Division . de_ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y, Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2022-1196* COMB Permit: X2022-1196 Project No : 0999-2020 Issued Date : 04/26/2022 Inspection Area 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 603 IRIS AVE NB :F@� Ark Description: RETAINING WALL 2' 6" X 26 LF/5'6" X 26 LF (INSIDE PIL) Legal Desc.: CORONA DEL MAR BLK 635 LOT 3 Owner: NABIL MAKARI Contractor: PRO BUILDERS ENTERPRISES INC Architect: HERNANDEZ JOSEPH r Address: 1622 E MARKET ST Address: 7411 EDINGER AVENUE NO 314 Address: 19092 CALLAWAY CIR WARREN OH 44483 Phone Applicant: HERNANDEZ LOUIE Address: 19092 CALLAWAY CIR HUNTINGTON BEACH CA 92648 Phone: 714-374-7034 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $836.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: HUNTINGTON BEACH CA 92647 Phone: 714-951-4077 Phone: Con State Lic: 1052872 Engineer: Lic Expire: 01/3112024 Address: Bus Lic: BT30072481 Lic Exp Date: 07/31/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP INS FUND Address: Policy No: 9303183 Expire: 08/05/2022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical °/ : Mechanical %: Plumbing %: Rear: 5 Front: 20 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 HUNTINGTON BEACH, CA 92648 714-374-7034 State Lic:CO21038 FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 714-835-2800 State Lic:C-030407 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $836.92 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 Iicensure 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 U 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). ❑ 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 Iicensure 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 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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED C0FrRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 �0) �of Div�lil',on 3 of the Business and Professions,C n y foblt a is in full force and effe.ct. License Class License No D C1 X ZobtIZctOL5zn@ture X NORKERS' CON-.PFNSATION DECLARATION !!! NAPNINC: 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 -OST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '-ere``•y affirm'mde• 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 th ?,{fu.nance of the, work for which this permit is issued. Policy No. nave 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' compensatioi m an.:e carrier and policy number are: carrier Policy Number Expiration Date Vame of Agent _ Phone # L11 certify that, irrthe Herformance of hich 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 agre .hat, if I should become subject to the provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. VrkomVensation /� 26 — ZG Z_Z signature of Applicant Date_ 7— 7ECLARA- hereby 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). -ender's Name Lender's Address 3y 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. o zG''-ZC� I agree t0 comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county o enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dafe ACTION DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL L3 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF ,�'�,'� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: Mom/ i'BY✓