HomeMy WebLinkAboutX2018-1501 - PermitsCity of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
' Inspection Requests Phone (949)644-3255
} Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII'111111 II COMB Permit: X2018-1501
x 2 0 1 6 1 5 0 1 Project No: 1160-2018
Issued Date: 07/1212018
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
Description: MFR (BLDG 6) PODIUM LEVEL GURADRIAL REPLACEMENT
Legal Desc.: N TR 6947 LOT 8
Owner: PARK NEWPORT LAND LTD
Address: 201 FILBERT ST #700
SAN FRANCISCO, CA 94133
Phone:
Applicant: O'CONNELL KEVIN
Address: 23201 EVALYN AVE
TORRANCE CA 90505
Phone: 213.271-2000
Code Edit: 2016
Type of Construction:
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 4
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $1,066.00
Plan Check Fee: $927.42
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$4.00
TOTAL FEE: $2,044.92
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
R D M WEATHERPRF & CONTR
Architect:
Address:
PO BOX 130
Address:
O'CONNELL KEVIN
23201 EVALYN AVE
BEDIAS TX 77831
TORRANCE CA 90505
Phone:
714-404-8739
Phone:
Con State Lie:
724244
Engineer:
Lie Expire:
06/3012020
Address:
Bus Lie:
BT0302449
Lie Exp Date:
0 212 812 01 9
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
921506
Public Works Department-
Expire:
0511612019
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
Special Conditions:
IF
$0.00
ime
State Lie
Fire Department
O'CONNELL KEVIN
23201 EVALYN AVE
Plan check Fee :
TORRANCE CA 90505
-
213.271-2000 State Lic:S-0047074_„
$0.00
Special Conditions:
IF
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$37.50
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PM Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
$964.92
Fee Due at Permit Issuance :
$1,080.00
°PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
o <,,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 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
is 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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
n roved 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
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 ag exempt from licensure under the Contractors' State License Law for the following reason:
ly mysighature 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.
ignature 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 Section 000) of Di risio of the Business and Professions Code, d'my ' full force
nd effect License Class License No Date •r Contractor Signature
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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and' will 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 the
eerfoormance of the work for which this permit is issued. Policy No.
df have and will maintain 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
Isurance carrie n policy number are
:arrier \ __ 1 /7111 `(Zlk•rNurgperj Expiration Date
of Agent
V
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 agre,
, if I should become subject to the work rs' com isation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant / 2 "(t�
.1 ARATInN rwinwl F initir: Ar:FNCV
Ireby affirm under p6nally of perjury thBE-thEre is a 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 cou ty I enter the ve- nti property for inspection purposes. / p�,/
nature of Prooertv Owner or Authorized Acentt/ a, Print Prooertv Owner's or Authorized AGent's Name v ufxl� ®rel
ACTION
DATE I BY [ I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
• ••
PERMIT EXTENDED 13AQMD
PERMITFINAL Q ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSEDM�I
'�/ LITION
SIGNATURE: • • •.•
OCCUPANCYISSUED ���•••
a _ _
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