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Home My WebLink AboutX2021-3443 - Permitsxtiµtrkr City of Newport'Beach - Building Division 1111111111111111111111111111111111111111111111111111111 COMB Permit: X2021-3443 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 a a 3 Project NO : 3016-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM Issued Date : Area : 2022 omnaon Inspection Area 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411212025 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: 19 ROBON CT NB Description: MFR REMODEL 1,000 SF, ADD TO (E) DECK 55 SF Legal Desc.: TR 7852 LOT 1 UNIT 18 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER Sy ^ � �SyF)LE Owner: PEDDIEJEFF Address: 3 TRIBUTE CT NEWPORT BEACH, CA 92663 Phone: Applicant: MORCOS MICHAEL Address: 1150 E ORANGETHORPE AVE #109 PLACENTIA CA 92070 Phone: 714-572-2384 Code Edit : 2019 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $70.00 CA Seismic Safety : $13.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,938.39 PROCESSED BY: ZONING APPROVAL: Contractor: ANDREW MARK IBRAHIM Address: 4335 E AIRPORT #113 ONTARIO CA 91761 Phone: 949-322-7866 Con State Lic: 1034561 Lic Expire: 01/31/2024 Bus Lic: BT30065506 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: CLEAR SPRING PROP Policy No: CWC00146100 Expire: 08/31/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: I 'arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $169.26 $132.99 $108.81 0 Architect: IBRAHIM RAMY Address: 6277 HEREFORD LN EASTVALE, CA 92880 Phone: 714-707-1114 State Lic:C037222 Engineer: Address: Phone: Designer: Address: Phone: FARAH MOHEB 1787 POMONA RD CORONA CA 92880 • + . 951-738-1215 State LiaC-051477 ' Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $101.50 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,205.33 71 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 : $1,733.06 PUBLIC WORKS APPROVAL: 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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). 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signatjia Lelow, 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 Iegall, sell a structure tl-.Et 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 Profossions Codq, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. dignnture of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ' ision of the Business and Pro tens Code m Ii ense is in full force and effect. I i .Pr" Class License No DContractor Signatur VIORKERS' COMPENSATION DECLARATION NARNING: FAILI'RE TO S_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE C051 OF COMPENSnTION, DAMAGES As PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I Crave anrl'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',he work for which this permit is issued. Policy No. /I have and will r.1a�itain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this p rmlt, Is issued. My workers' compensatiol 'ran �ca�rr.i,er�r and policy number are: /� C2 / arne 7/ tiaG�.�� ,�(/,�/h�_ Policy Number (9 �.� / S -T n6 sCi ��2_� Expiration Date �3/ Z% Jame of Agent Phone # I certify that, in the Kerfomaof the work far h thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen tion la s of California, and agre hat, if I should becomthe wor s c ensation provisio coon 3700 of the Labor Code, I shall forthwith comply with those provisions./,tI////Signature ofApplicant Da�� 7 )ECLARATION REGNS CTION LENDING AGENCY ��/// �� '��hereby affirm under rjury 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 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 u y ordinances and state laws relating to building construction. I authorize representatives of this city or ceun nter t a 'led property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i D VW'.7— ACTIONDATE BY V btCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMIT FINAL � SBE TO OTIFIC ON IS TAPPLICABL CERTIFICATE OF %1 O,�3 �,I^ PRO OL I OCCUPANCY ISSUED //// 41rNA7 a