The URL can be used to link to this page

Home My WebLink AboutX2018-1571 - Permitsc1Yft City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 h zn+ Permit Counter Phone (949)644-3288 f4 Inspection Requests Phone (949)644-3255 ""sxsrv�+}y Combination Type - MFP ELEC IIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1571 X 2 9 1 8 1 5 7 1 Project No : 2245-2016 Issued Date: 0512312018 Inspection Area : 1 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: 1421 1/2 W BAY AVE NB Description: MFR REMOVE & REPLACE STUCCO (ENTIRE EXTERIOR), 200 AMP SERVICE CHANGE OUT Legal Desc.: N TR 626 BILK 10 LOT 4 Owner: BRYSHA ANDRE Contractor:. HAVEN DEVELOPMENT GRP INC Architect: Address: 1421 1/2 W BAY AVE Address: 14271 JEFFREY RD #502 Address: SPECTOR NEWPORT BEACH CA 92661 IRVINE CA 92620 IN' Phone: 949.254-3296 Phone: 949-788-9227 Phone: State Lie: Applicant: HAVEN DEVELOPMENT GRP INC Address: 14271 JEFFREY RD #502 Record Management: IRVINE CA 92620 Phone: 949-788-9227 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3111 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $592.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $635.44 PROCESSED BY: ZONING APPROVAL: Con State Lie: 827901 Lie Expire: 01131/2020 Bus Li¢ BT30046360 Lie Exp Date: 02122/2019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.44 $0.00 $0.00 0 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 State Lie: Doom 0 0 0000 0 000 ® o 0 00 0 s 0 0 ° o0 00 00 0 0 SPAD. ° $0.00 00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $635.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0000 0 ooco 00000, ° 0 B � 000000 o ° 000° Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Doom 0 0 0000 0 000 ® o 0 00 0 s 0 0 ° o0 00 00 0 0 SPAD. ° $0.00 00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $635.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0000 0 ooco 00000, ° 0 B � 000000 o ° 000° 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 the 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to ap'oWnerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I. acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a stru&ure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio(r 700 f Divi on 3 of the siness and Professions Code, and m ense is in full force and effect. License Class License No Dat$ ea Co for Signature /l� WORKERS' COMPENSATION DECLARATION NARNING: 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm.unde penalty of perjury one of the following declarations: ❑ 1 have and4MI'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 th ppaw}nance ®tithe Wprk for which this permit is issued. Policy No. 131 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' compensatioi fisurawce carrier`and policy number are: arner ,' .' : Policy Number Expiration Date e of Agent " Phone # Certify that !intF %rerformance 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 worker compensation laws of California, and agre I �at,1�1'should come su�b/'ec�t to the/workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiona. idignetol o_ pYcant •� // 1— to csT`L3 L-A DELLA IOrtlkMA DING CONSTRUCTION LENDING AGENCY [ j7Xq .affirm unVespenalty 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). Leng%r s'Name . • • Lender's Address By my signature elow, 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 representativ f this city or county toeptgr the above-identified property for inspection purposes. �� /� Signature of Pro ert Ow or Au horized A ent vvt— Print Property Owner's or Authorized Age trf s me `�� ate 3 �t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SU BMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED 0AQMD PERMITFINAL q 11 —% - ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITIOV, OCCUPANCY ISSUED SIGNITURE: