HomeMy WebLinkAboutX2021-2132 - Permitsgyp City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
4, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
�"�{ixiru"r Combination Type - SFP MECH ELEC PLUM
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST Vi
Construction Hours: Monday - Friday 7:00 a.m. to
Job Address: 2001 KEWAMEE DR NB
Description: SFR REMOVE PARTITION WALL, REMOVE/REPLACE M
Legal Desc.: N TR 2813 LOT 61
Owner:
ABRAMSKY ANDREW
Address:
2001 KEWAMEE DR
CDM CA 92625
Phone:
Applicant:
AHUEJOTE RAFAEL
Address:
32303 CARIBBEAN DR
DANA POINT CA 92629
Phone:
949-456-3303
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0-
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $1,049.00
Plan Check Fee: $912.63
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
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Issued
rmit : X2O21-2132
1846-2021
V:=PROJECTS MUST B LETED IWU24 OR PERMIT Wh
Saturday 8:00 a.m. tp o work on Sund r
0
Address:
State Lic:
Eng er. KHAEF ESMAIL
ss: 4005 CALLE SONORA
* 5 LAGUNA BEAC CA .
Phone: Desi \ 714-504-
`a °
dre rJ(� Staa '(e
e: t
Special Conditions:
VAS9 • is
Excise ax: $0.00 Planning De ent-
Additio I Fee : $0. Pia ck F
Grading onds F e'
0.00
air
Grading
i : $0.00
Trans.
Grading P t ee:
In -lieu Housing Fee
Grading PC ee:
Public Works Department -
WQ Insp. F
0.00
Park Dedication : $0.00
PAN Plan Check: $0.00
Electrical %:
$73.43
San Dist: $0.00
Mechanical %:
$41.96
NMUSD Fee: $0.00
Plumbing %:
$94.41
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:
2
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
II TOTAL FEE: $2,233.43 Plan Check Fee : $964.63 Fee Due at Permit Issuance : $1,268.80 11
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
P1lRI ICJ04@RKS APPROVAL:
PLAN-C NIoCK BY:
° • • 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
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alte
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrac
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exe . ny v
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole comet ens"afion, will do `) al�fad
Business and Professions Code: The Contractors' State License Law ' t apply to an owner of property
improvements are not intended or offered for sale. If, however wilding or improveme 's sold witf�wpl�
improved for the purpose of sale). VV
❑ I, as owner of the property, am exclusive ractin th ' e etl ractor. to c , the project
apply to an owner of property who bu' Impro a re contracts for - ro ec with a licg�
❑ am exempt from licen nder t tors' License f e to as ll
By my signature bel nowledge th x or my erson esi n which
n(s) I d below by the
, demolish, or repair any
License Law (Chapter 9 (col
n QLfi3cli�on 7031.5 by aov:
portions @@@YYYfff���E�6 N and the structure
.1 th®Vgk-¢mployees' or persona
��90 completion, the Ow ❑Idar, ,
and Professions C
to the Contractors'
,,,5,, v eslded foi ac least one year prior to completion of t
sell a structure th I have buil a an o wild r if it h of b r ` d s ety by licensed contractors. I understand that a copy of the
Professions Code, ava�615 request whs ap '" "on s e the followinghttp://www.leginfo.ca.gov/calaw.html.
Signature of Prope OwrK or Authorized A 1
LICENSED CON CTOR' - A , I IN
I hereby affirm under nalt perju - at I a rider provisions o h er c encin action 7 o Divi ion 3 of the Jf1�s9
and effect. License ss _.�. f_ . �yy
FAILURE TO
.UST OF COMPENSATION, DA GES AS PROVII
hereby affirm under pena of p
I have and will maintai ace 'fi at
ertormance of the work for ich t
11 have and will maintain w ers'
Isurance carrier and policy nu er are:
of Agent _
rtify that, in the
I should becon
ire of ADolica P
hereby affirm und* penalty of perjury�a�
ender's Name
y my signature below, I certify to each o tt
I am the property owner or authorized
I have read this application and the info
I agree to comply with all applicable city
I authorize representatives of this city or
ignature of Property Owner or Authorized A
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
'10 GE A L, AND 5 SILL SUBJECT"li AN EMPLOYER TO I�yPEi�3pL'D BaLP,FI�(•rE'S TO ONE IN T 706 RCODE,INTEREST,ANDATTORN FE �Vq��A' �}
Ie fo win ra ons: ��r;,�
risen self -insure for workers' compensation, i the(2ytgN�oC ndustrial Relations
sued. Policy No.
jon insurance, as requt� on 3700 of the Labor Code, for the pernce of ethe+��®d v
1 lick er AN ii�`i> .,...
Efmit is issued, I shall
provisions of SeJrtierf.
I have placed next to the applicable item(s)
ar to its issuance, also requires the applicant for
1 Section 7000) of Division 3 of the Business and
permit subjects the applicant to a civil penalty of
nded or offered for sale (Section 7044,
or improves the property, provided that the
ie burden of proving that it was not built or
State License Law does not
Law).
s covered by this permit, I cannot
Section 7044 of the Business and
Date
is is full force
(E100,000), IN ADDITION TO
3700 of the Labor Code, for
is issued. My workers'
pli refploy any pens ny �H so as to become subject to the workers' compensation laws of California, and agre
700 of the La r ode orthwith comply with those provisions.
D>a 12.G /2v l
I �
e performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
yoligffy owner's behalf.
,e provided is correct,
ordinances and state laws relating to building construction.
hp, bovey�ld d ropetty for inspection purposes. I
0 -r^^ Print Property Owner's or Authorized
OF COMPLIANCE WITn—CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
EPA •..
QMD ° •• .'�
ASBESTOS] OTIFICATION IS hlO°T OCABLE TO • �•°
PROPOSEDD IT N ` 0 °" • °,'
SIGNATUU
ou
-oo 00o e • •.� �m
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