HomeMy WebLinkAboutX2021-0681 - PermitsCity of Newport Beach - Building Division
100 Civic Cenzer Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
o{iwrurs' Combination Type - MFP
COMB Permit: X2021-0681
III��X 2 0 2 1 0 6 8 1�4IIII
Project No:
Issued Date : 0312312021
Inspection Area: 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312312024 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: 1411 W BAY AVE NB
Description: MFR REMOVE (E) DECK (STAIRS, GUARDRAIL) @ GARAGE 120-2410
Legal Desc.: N TR 626 BLK 10 LOT 9 ..+a
Owner:
SHEIKH HAIDA
Address:
889 LINDA FLORA DR
LOS ANGELES CA 90049
Phone:
Applicant:
SHEIKH HAIDA
Address:
889 LINDA FLORA DR
LOS ANGELES CA 90049
Phone:
818-377-1212
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Contractor: O W NER/BLDR
Address: SHEIKH HAIDA
Phone:
Con State Lie: 0/8
Lie Expire:
Bus Lie:
Lie Exp Date:
2019 Worker's Compensation Insurance
VB Carrier:
R3/U Policy No:
0 Expire:
lood Zone: X
Construction Valuation: $6 000.00
Building Permit Fee:
$212.00
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$212.00
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: $609.44
PROCESSED BY:
ZONING APPROVAL:
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
rking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Address:
�a�t
State Lic: l t- t
Engineer: ((�'-,0� IR
Address:
Phone: °+TegB� State Lie:
Designer:
Address: i
Phone: ...
Special Conditions: LIQUEFACTION & HIGH
DENSITY AREA
Hazard
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $609.44
°°( °°® PUBLIC WORKS APPROVAL:
s
fo°PLANCHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OnY U4.0 VO
VG GG
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 (_) 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
im 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
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).
❑ 1 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 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:hftp://www.leginfo.ca.gov/calaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 yof Division 3 of the Business and Pr fessions Code, and my license is in full force
and effect. License Class License No Date I i Contractor Signatur
WORKERS'COMPENSATION DECLARATION
WARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
1 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 th
performance of the work for which this permit is issued. Policy No.
I 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
3N e of Agent Phone #
I certify 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 agre
that, if 1 should become subj to the work rs' compensation p visions o Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
Signature of Applicant Date '
DECLARATION REGAR G CONSTRUCTION LENDING C
I hereby affirm under penfilty 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 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 ands ate law relating to building construction.
I authorize representatives of this city or coun t ante he above -id ified p - f inspection purposes. C.
Rlnnmhlre of Prooertv Owner or Authorized Agent ' t PropertyOwner's or Authorized Agent's Name
ACTION DATE BY Ir DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED0 I SUBMITTED ASBESTOS IQA1rN TO • •••
PERMITCANCELLED EPA i • s_.� • i • e i
PERMIT EXTENDED QMD . • • • ° e
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PERMIT FINAL (0''1 2l .�I AS STOS CT'
IS NOTAPPLICABLE TO
CERTIFICATE OF PR SEC, DE OLITIO
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