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Home My WebLink AboutX2021-3377 - PermitsCity of Newport Beach - Building Division *X2021-3377* COMB Permit: X2021-3377 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone � ! Tg O p(�'1, 1 ii 1 i V v Project No : 2942-2021 (949)644-3288 'v,.. Inspection Requests Phone (949)644-3255 Issued Date : 01 /28/2022 �Fa,u Combination Type - SFP MECH ELEC PLUM Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 01/28/2025 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: 14 GLENEAGLES DR NB Description: SFR ADD 80 SF @ KITCHEN, ALT 285 SF OF (E) 3-CAR GARAGE TO (N) BEDROOM & BATHRM. CONVERT DOORS TO POCKET DOORS. RMDL KITCHEN & MSTR BATHRM 272 SF Legal Desc.: N TR 15388 LOT 31 Owner: MAAJED ABAHUSAYN CARLSON JAMES Address: 8 BAYLEAF LN IRVINE, CA 92620 Phone: 949-673-2582 Applicant: CARLSON JAMES Address: 2300 CLIFF DR NEWPORT BEACH CA 92663 Phone: 949-645-3051 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 80 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: BIRCHWOOD BUILDERS/GNADT STEVE Address: PO BOX 1939 Address: TUSTIN CA 92701 Phone: 714-342-4814 Phone: Con State Lic: 424933 Engineer: Lic Expire: 06/30/2022 Address: Bus Lic: BT30057981 Lic Exp Date: 02/28/2022 Phone: Worker's Compensation Insurance. Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: 10 Front: 10 Left: 5 Right: 5 Designer: Address: Phone: Architect: 2300 CLIFF DR NEWPORT BEACH CA 92663 949-645-3051 State Lic:C013773 ABARQUEZ JOSE M 18 EL CORZO RSM CA 92688 714-277-9895 State Lic:C-051994 Special Conditions: =food Zone: X use Zone' rammg apaces: u rile namiu tune . i. Construction Valuation: $100,000.00 Building Permit Fee: $1,885.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,554.63 Additional Fee ` $0.00 Plan check Fee : $208.00 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 : $46.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $70.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $13.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $131.95 San Dist: $1,068.00 Building Green Fee : $4.00 Mechanical %: $75.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $169.65 $0.00 TOTAL FEE: $5,276.38 PROCESSED BY: ZONING APPROVAL: QS UAW Plan Check Fee : $1,883.38 Fee Due at Permit Issuance : $3,393.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: K OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indic 'Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti 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 tl Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signatuec. J,IOW I acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure'hn' I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I on Profe3sions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginl Sig ripWre of 7. cpa, ty Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I 'aereoy affirm under penalty of perjury thh ensed under provisions of Chapter 9 (commencing with Section 70001 of and effect. License "lass <<G 11aylam JicLicense No Date II NORKERS' CUMPENSATION DECLARATION -O SE"URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL AT.6.,. DAMAGES AS PROVIDED FOR IN. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heieny affirm under penalty of perjury one of the following declarations: hove and Will mcintain a certificate of consent to self -insure for workers' compensation, issued by the Director of )rmance of t,Ie work for which this permit is issued. Policy No, have and will n ail.tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pE rance carrier and policy number are: ier Policy Number Ie of Agent d below by the checkmark(s) I have placed next to the applicable item(s) Ih, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, Dloyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 3 of the Business and Professions d.,L—and m nse s in full force Contractor Signature CIVIL FINES FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date ertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s as to become subject to the workers' compensation laws of California, and agre if I should become subject tovthg, workers' compeg5ation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions. of Applicant :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which tder'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 above-i ad property for inspection purposes. mature of Pronerty Owner or Authorized ADent K, �/, _ w Print ProDertv Owner's or Aut Date��z6L �Z- permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE TE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED Z 1 �7 i S ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: X Name K �`�l - �..'FOT` 'D e //4e"