HomeMy WebLinkAboutX2018-1575 - PermitsI°fin City of Newport Beach - Building Division
+a' 100 Civic Center Drive, Newport Beach, CA 92660
h _ Permit Counter Phone (949)644-3288
-- Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1575
x 2 0 1 8 1 5 7 5 Project No : 1217-2018
Issued Date: 0610612018
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: 1 PARK NEWPORT DR NB St: 3Descripon: MFR
Legal Desc N TR 69407 LOT BRY STRENTHEN EXTERIOR STAIRS INK
0 jt 4i 4
Owner: PARK NEWPORT LAND LTD Contractor: R D M WEATHERPRF & CONTR Architect:
Address: 201 FILBERT ST #700 Address: PO BOX 130 Address:
SAN FRANCISCO, CA 94133 BEDIAS TX 77831
Phone: Phone: 714.404.8739 Phone: State Lie:
Applicant:. PARK NEWPORT LP
Con State Lic:
724244
Engineer:
O'CONNELL KEVIN
Address: 1PARK NEWPORT
Lie Expire:
0613012020
Address:
23201 EVALYN AVE
NEWPORT BEACH CA 92660
Bus Lie:
BT0302449
00 0
TORRANCE CA 90505
Phone: 949-734-2379
Lie Exp Date:
02128/2019
Phone:
213-271-2000 State Lic:S-004707
Code Edit: 2016
Worker's Compensation Insurance
Designer:
-
$0.00
Type of Construction: V -B
Carrier:
STATE COMP
Address:
Occupancy Group: R2
Policy No:
921506
Plan check Fee :
$0.00
Added /New sq.ft. Bldg: 0
Expire:
05/1512019
Phone:
Grading Bonds Fee:
.... ° o
Added /New sq. 9 ft. Garage: 0
$0.00
Fire Plan Rev
° P0.00
......
No of Stories: 4
Building Setbacks
Rear: I
Special Conditions:
0o a
0 0
No of Units: 1
Front: /
Record Management: $0.00
Grading Permit Fee:
o
Bldg Height: 0
Left: I
Building Dept Adm
U10
Bldg Sprinklers:
Grading PC Fee:
Right: I
Public Works Department -
0000 0 ° o
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $20.000.00
00 0
°
°
00000
Building Permit Fee: $367.00.
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $319.29
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
; ° $0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Fire Plan Rev
° P0.00
......
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
U10
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $687.29
Plan Check Fee :
$319.29
Fee Due at Permit Issuance :
$368.00
PROCESSED BY: �( PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: 41
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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
ie 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
nprovements 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
nproved for the purpose of�sale), 1,
1, 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
pply 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).
I 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 700 ) o Divi 'on 3 of the Busines and Professions Code, s i 111 force
nd effect. License Class License No t Contractor ignature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000(, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm &MIA penalty of perjury one of the following declarations:
..
I hw.
e and wiles.maintain 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 IN@Itdtfijnce ofs�ia,wodr forwhich this permit is issued. Policy No.
..
ieve and will plaintain 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' compensatior
IsuroRce carrier and policy number are: /,)t-,
;��ner. ' tT/✓�1/�'1�-�crL Policy Number l'G�l Expiration Date
Vaal&®f Agent `s -w-2--p Phone#fe
h E4hil'y that, i 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 agrer
ft,-ilpekould become subject to the / e dovisioro ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.. .
3net r. o 1" ' t —
?CLA T N REGARDING CONUWJelMN LENDING AGENCY
6081 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 3097, Civil Code).
rItlMT'S Name 0.•..• 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 or county ter the above -identified property for inspection purposes.
Si nature of Property Owner or ized Agent Print Property Owner's or Authorized gent's A 111 AD LIP, v ro
ACTION DKIT BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ON
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED 0AQMD
PERMITFINAL ' n ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: