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Home My WebLink AboutX2019-1204 - Permitsr y City of Newport Beach - Building DivisionCOMB II IIIIIIIIII IIIIIIII 1111111 IIIII IIIII IIIII Permit: X2019-1204 100 Civic Center Drive, Newport Beach, CA 92660 $0.00 Record Management: $18.00 Energy Compliance: Project No : 2509-2018 Permit Counter Phone (949)644-3288 $0.00 er"i fi Inspection Requests Phone (949)644-3255 - $0.00 Hazardous Mat Issued Date: 2019 ° n ,. Combination Type - SFP PLUM ELEC $1,00 s+» Area : Inspection Area 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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:. 1416 SEA RIDGE DR NB .Description: SFR *ADD'L SCOPE* PLUMBING & DRYWALL REPAIR @ THE IST FLR, ADD SUBPANEL @ GARAGE Legal Desc.: N TR 15011 LOT 21 Owner: KASSAB WALEED Contractor: OWNER/BLDR Architect: BAILEY DAVID Address: 1416 SEA RIDGE DR Address: KASSAB WALEED Address: 23163 LA CADENA DR #101 NEWPORT BEACH, CA 92660 LAGUNA HILLS CA 92653 Phone: 949-290-1875 Phone: Phone: 949-573-1050 State Lic:CO27404 Applicant:. BAILEY DAVID Con State Lie: OIB. Engineer: WILSON KALEN Address: 23183 LA. CADENA DR #101 Lie Expire: Address: 1371 WARNER AVE #A LAGUNA HILLS CA 92653 Bus Lie: TUSTIN CA 92780 Phone: 949-573-1050 Lie Exp Date: Phone: 714-576-6524 State Lic:C-083753 .... Code Edit: 2016 Worker's Compensation Insurance Designer. .Type of Construction: VB Carrier. ooeo 000mco Address: Occupancy Group: R31U Policy No: Added/New sq.ft. Bldg: 0 Expire: Phone: m m° mom Added /New sq. ft. Garage: 0 m m ° ° '0 No of Stories:. 2 Building Setbacks Rear: I Special Conditions: DELTA 2- REV19.0617 No of Units : 1 Front: I Bldg Height: 0 Left: 7 Bldg Sprinklers: N Right: I Flood Zone: Use Zone:. Parkino Spaces: 0 Fire Hazard Zone: N Building Permit Fee: $136.00 Plan Check Fee: $118.32 Overtime Plan Ck: $0.00 Investigation Fee: - $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1,00 Excise Tax: $0.00 Additional Fee :. $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $9.52 Mechanical %: $0.00 Plumbing %: $12.24 TOTAL FEE: $376.33 Plan Check Fee Planning Department-. Fire Department Plan check Fee; Fire Inspection: Fair Share: Fire Plan Rev SJH Trans :. Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check `. $41.25 San Dist: - $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : PROCESSED BY: �%� PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: mmomom o ° m mmcoc 0 om o ° Ot4Q0 mmmm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $376.33 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00.. Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit. Grading Bond: $0.00 Fee Due at Permit Issuance : PROCESSED BY: �%� PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: mmomom o ° m mmcoc 0 om o ° Ot4Q0 mmmm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $376.33 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 Rem(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 fpr 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 Profession 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 mqr an five hundred dollars ($500). yy��s oyy er of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, B siness a d 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 im 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 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). IJ I am exempt from licensure under the Contractors' State License Law for the foil ing reason: By my signature below I acknowledge that, except for my personal residence in whic 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 that I have built as an owner -b ilder if it has no been Instructed in it ntirety by licensed contractors. I understand that a copy of the applicable law, ection 7044 of the Business and Professions Code, is available upon reques wh is applica on is ubmitted r at t following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized A� t Date LICENSED CONTRACTOR'S DECLA TI I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business Ind Professions Code, and my license is in full force and effect. License Class License No to Contractor 'nature NORKERS' COMSNSATION DECLARATION 1 NARNING: FAILURE IQ SWORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO Cal L PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS (S70D,001)I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tvr affirm uride*r i or ally of perjury one of the following declarations: T J a% and will p aintain 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 ormance of the�work j,'or which this permit is issued. Policy No. I e and will malnfain 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' compensatiol Ircarrier a0d DClicy number are: * : *.. * Policy Number Expiration Date c6rtifythat, intpP, Qormance of th work for whit his permit is issued, I shall not employ any person in any manner so as to become subject to the wor tors' compensation laws of California, and ogre Iii y I should 0 e object to t e orke s' compen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3igRature of A pl' a t• : D e V )ECLARATIO RE DING CONSTRUCTION LENDING AGENCY 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 3 7, 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 corr t. ' I agree to comply with all app idable city and count ordinances and st a laws relating to building construction. I authorize representatives his city or county to n th above -id tified property for inspection purposes. - 3i nature of Propert Owner A horized Agent Print Property Owner's or Authorized is Name 'I F Date ACTION --7-777-7 BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE O LY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED UAQMD PERMIT FINAL CERTIFICATE OCCUPANCY ISSUED i1 `�A�� jj1t ASBESTOS NOTIFICATION ISN PPLICABLE TO k'GNAAERF.EMOLIAIQN �^ I