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Home My WebLink AboutX2021-2963 - PermitsCity of Newport Beach - Building Division .100 Civic Center Drive, Newport Beach, CA 92660 'A Permit Counter Phone (949)644-3288 i.. Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM *X2021-2963* COMB Permit: X2021-2963 Project No : 2571-2021 Issued Date: 11/08/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110812024 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: 903 MUIRFIELD NB Description: MFR BATHROOM REMODEL 100 SF Legal Desc.: TRACT 12105 LOT 1 OF PROJECT 931.79 LOCATED ON AP 442-033-04 Owner: KEENAN DEAN Contractor: CABINETS INSTALLATION MASTER Architect: I N S P ECT UO" Address: 903 MUIR BEACH CIR Address: 635E WHITTER BLVD Address: NEWPORT BEACH, CA 92660 LA HABRA CA 90631 Phone: Phone: 562-691-9001 Phone: State Lie: Applicant: MALLIS EYAD Con State Lie: 989680 Engineer: COOKE CONWAY CECIL o Address: 635 E WHITTIER BLVD Lie Expire: 01/31/2022 Address: 34658V LINDA ROSEA RD m m •; LA HABRA, CA 90631 Bus Lie: BT30077117 TEMECULA CA 92592 o e Phone: 562-691-9001 Lie Exp Date: 11/30/2022 Phone: 310-608-5408 State Lic:S-005524 eo.mmm Code Edit : 2019 Worker's Compensation Insurance Designer: ° Type of Construction: V-B Carrier: ACCREDITED SURETY Address: mO00mm Occupancy Group: R2/U Policy No: 1ATCA160042920 .... Added /New sq.ft. Bldg: 0 Expire: 1111912021 Phone: Added /New sq. ft. Garage: 0 m m o ° o No of Stories: 2 Building Setbacks Rear: / Special Conditions: m No of Units : 6 Front: / Bldg Height: 0 Left: 00 0 Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N o m m m m m Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $287.97 Additional Fee, $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $23.17 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $13.24 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $744.17 Plan Check Fee: $339.97 Fee Due at Permit Issuance: $404.20 PROCESSED BY: C1iu`1 PUBLIC WORKS APPROVAL: ZONING APPROVAL: a-C.� PLAN CHECK BY: ^� GRADING APPROVAL: APPROVAL TO ISSUE:-Ym^-- • b eme000 0 0 moomo m ommeo omommo m e o 0 0 oomoo0 0 0 omoo 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 applicableitem(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 ;he 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 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). ❑ 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:http://www.leginfo.ca.gov/calaw.html. Signature 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 7000) of Division 3 of the Business an Professio ode, and my license is in full force E%.WpQt. License Class License No Qat�i r /..._i '� L_— Contractor Si lure &ORKl!RS' CbNPMSATION DECLARATION %S 1441111484FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNIKED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OUST OPCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • Ishcreby.affirm un...Pm.•alty of perjury one of the following declarations: L'I Ave and wjll r✓illintain 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 ft TVice of ttlg'wpo k-for which this permit is issued. Policy No. W9r ve and will I4lalntain 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' compensation l'cg carrier and pplicy number are: Carrier @ •.. * : Policy Number Expiration Date re OTwgera . --- 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 ogre if I shout eco subject t e rkers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. isture of App^ ant .wZi ...,4rte.F.Ti, iur_ nr_vrary TT Ireby affirm under penalty of perjury that there is 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 county to enter the -above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Ant. _- Print Property Owner's or Authorized Agent's ame ACTION DATE DECLARATION OF Ir REGULATIONS PA T061 O TIITTLEE 40 AND WITH ODE OF AQMD RULE RAL FOR OFFICE USE ONLY 1403 PERMIT EXPIRED 0 15UBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL /1% 5BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PRO OWED DEMOLITION OCCUPANCY ISSUED RE: