The URL can be used to link to this page

Home My WebLink AboutX2020-2802 - Permits#0rvsffi City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2020-2802 Gp 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 8 0 2 Project No : 1459-2020 Permit Counter Phone (949)644-3288 J Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : Area : 2020 AWY4 Inspection Area 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/02/2023 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: 515 AVENIDA LARGO NB Description: MFR-ADD'L SKYLIGHT (DELTA 1)f111 Legal Desc.: TR 5692 (L.L.84-214027) PAR 6 INSPECTOR' Owner: YANG-DAVIES FU Address: 515 AVENIDA LARGO NEWPORT BEACH CA 92660 Phone: Applicant: ELSHEREF KHALED Address: 15375 BARRANCA PKWY 1104 IRVINE CA 92618 Phone: 949-502.8565 Code Edit : 2019 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $110.00 Plan Check Fee: $96.70 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 11 TOTA FEE: PROCESSED BY: _ ZONING APPROVAL: GRADING APPROVAL: _ Contractor Address: Phone: Con State Lie: Lie Expire: Bus Lie, Lie Exp Date: OWNER/BLDR O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I larkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lic Engineer: TRUONG PHONG Address: 20754 TIMBERLINE LN WALNUT CA 91789 Phone: 949-254-2751 State Lic:C-070784 Designer: Address: Phone: Special Conditions Fire Hazard Zone : 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 $0.00 PUBLIC WORKS F PLAN CHECK BY: APPROVAL TO IS: Fire Department $46.25 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 : $254.95 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1 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, lusiness 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 ovemenIS 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 r ed for the purpose of sale). I, s 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 pp t o 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: 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 this permit, I cannot legall, ell a structure that I have built as an owner -builder if it IT not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when t ' a plicatiol1}} Is submitted or atjhe-fioHowing Web site:hftp://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent 4Pl / Date 2 i LOZG .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licens d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PrGff qs Co e, and my license is in full force od effet.t. License Class License No Date Contractor Signature , COMPENSATION DECLARATION ,4RNING: 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 J$100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pe�ialty of perjury one of the following declarations: J I have and will mairtain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industdal Relations as provided for by Section 3700 of the Labor Code, for th, .,'i'Looance of towo,k for which this permit is issued. Policy No. 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' aaur carrier end policy number are: Policy Number Expiration Date Phone # ce Ify that, in thz performance of the work forwhich this pertni ' ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and should become suect to workers' compensate ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat� �a 1 2,0 L> CLARATION REG RIDING C TR CTION LENDING AGENCY areby 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). 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 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 and state laws relating to building construction. I authorize representatives of this city or coun� too ntt r the ve-identified property for inspection purposes. r nature of Pronertv Owner or Authorized AGent 7�� i%^. � Print Property Owner's or Authorized Anent's Nam I ykhoci —DA 1/ /2, i ate � / ACTION DATE BY / DECLARATION OF IREGULATIONS PARTOMPLIANCE WITH CODE OF 1 OF IITLE 40 AND AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED UAQMD PERMIT FINAL IT NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED "C/Jz SIGNATURE: