HomeMy WebLinkAboutX2018-3579 - PermitsCOMB Permit: X2018-3579
X 2 9 1 8 3 6 7 9 Project No : 0186-2018.
Issued Date: 1112812018
Inspection Area : 7
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: 191 RIVERSIDE AVE NIB
Description: COMM - 8' HIGH TRASH ENCLOSURE FOR'THE GARDEN'
Legal Desc.: TR 919 LOT F POR OF LOT
Owner:
City of Newport Beach - Building Division
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D B A C INC
Architect:
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3286
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Inspection Requests Phone (949)644-3255
Address:
Combination Type - CIP ELEC PLUM
COMB Permit: X2018-3579
X 2 9 1 8 3 6 7 9 Project No : 0186-2018.
Issued Date: 1112812018
Inspection Area : 7
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: 191 RIVERSIDE AVE NIB
Description: COMM - 8' HIGH TRASH ENCLOSURE FOR'THE GARDEN'
Legal Desc.: TR 919 LOT F POR OF LOT
Owner:
MARINERS LLC
Contractor:
D B A C INC
Architect:
EDMONDSON PHILIP LEE
Address:
456 MONTGOMERY ST #17TH
Address:
.101 SHIPYARD WAY #A
Address:
2600 NEWPORT BLVD #114
Hazardous Mat
SAN FRANCISCO, CA 94104
Building Green Fee :
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
Phone:
In -lieu Housing Fee:
Phone:
949-723-0147
Phone:
949.675.9468 State Lic:C018423
Applicant:
EDMONDSON PHILIP LEE
Con State Lic:
637661
Engineer:
NAGARAJAN SIVARAM
Address:
2600 NEWPORT BLVD #114
Lic Expire:
0212912020
Address:
167 MATISSE CIRCLE
NEWPORT BEACH CA 92663
Bus Lic:
BT00016282
ALISO VIEJO CA 92656
Phone:
949-675-9468
Lic Exp Date:
10131/2019
Phone:
714.444.2422 State Lic:S-006349
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: -$360.00
Plan Check Fee: $313.20
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 :
$1.00
TOTAL FEE: $797.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9117372
Expire: 11/11/2019
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: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$50.40
$0.00
$32.40
Designer:
Address:
Phone:
Special Conditions:.
0
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee :
$40.00
Fire Inspection:
Fair Share :
$0.00
Fire Plan Rev
SJH Trans :.
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
Public Works Department -
General Service
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $353.20 Fee Due at Permit Issuance $443.80
PUBLIC WORKS APPROVAL:
PLAN CHECK 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 reasons) 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 ($500).
❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that 1t was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Codg, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of PrepeVjwner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I ReM affirm under enalt of er u that I am licensed under provisions of�_C ter y (GDmmencin with Section 70 0 yf Div' iy of the Business and ProftTHOUSD
a t($�/11),
tADDITION
ull force
agd efj; ct. License Crass y p 1 �j7 License No U Los I g Date l ` Y Contractor Signature
W(31RKtRS' COIIAPENSATION DECLARATION
MORNING: FAILURE TO SEO'URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRININ L PENALTIES AND CIVIL FINES UP TO ONE HUN EOOLLATO THE
6094 OF -COMPENSATION, SAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
thereby affirm under penalty of perjury one of the following declarations:
y
d J Jr*Be 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 th
;ince of thEFwork for which this permit is issued. Policy No.
I'have and will; wiehkain 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
P5 qp carrier and policy number are:
Policy Number Expiration Date
Name of Agent * * Phone #
3I certify that, in the perfopance of he work f r whi 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
:hat, if I should become s Eject to t kers' mp n ' n r visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / p
signature of Applicant te_ -�(�
3ECLARATION REGADING CON UCTION LE IW
G NCY
hereby affirm under p natty of perjury t at there is a cons Ion lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code).
-ender's Name Lender's Address
3y my signature belo , 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 ve for ided is correct.
I agree to comply with all applicable city and cou y 0 a asJafdi sl ws r alio building construction.
I authorize representatives of this city or county t e r abode ti ' d p for inspection purposes. y^//•�
3ignalure of Pro ert Owner or Authorized Agent Print Propert Owner's or Authorized Agent's Nam ! , `I Cat
ACTION DATE BY DEC ION OF CO ANC ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TI 40 AND AQMD RULE
13
PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED UEPA
PERMIT EXTENDEDOMD
PERMIT FINAL �� cli SBESTOS NOTIFI AT I NOT'�/(IyPLI AB
CERTIFICATE OF PROP 13DEIO �,AII�,'
OCCUPANCYISSUED SIGNATURE: III��� YY/