HomeMy WebLinkAboutX2019-0346 - PermitsygWl+y City of Newport. Beach - Building Division IIIIIIIIIIIIII�II�II�IIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-0346
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 3 4 6 Project No : 1282-2017
Permit Counter P;:,?ne 1949 644-3288
Inspection Requests Phone (949)644-3255 spaNw' ,
r ary y,> Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : 12919
Area
:
IMCAM Inspection Area 1
PERMITS EXPIRE 980 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:. 415 112 29TH ST NB
Description:. NEW SFR W/ ATTGARAGE & DECKS 3,3341505 & 494 SF *"CHANGE OFCONTRACTOR" (REPL X2017-1881 & X2018.0829)
Legal Desc.:
Building Permit Feer
$0.00
Excise Tax:
$0.00
Planning Department -
Owner: M & J DEVELOPMENT LLC
Contractor:
ALEXANDER GUY C III
Architect:
BRANDON CHRISTOPHER
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Address: 7642 W IRVING PARK RD
Address:
606 30TH STREET, IST FLOOR
Address:
151 KALMUS DR #G-1
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NORRIDGE IL 60706
-
NEWPORT BEACH CA 92663
Fair Share :. $0.00
COSTA MESA CA 92626
$0.00
Phone:
Phone:
714-270.3311
Phone:
714-754-4040 State Lic:C031637
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Demolition Fee
Record Management:
$0.00.
Grading Permit Fee:
.$0.00
Applicant: WILSON TYLER
Con State Lic:
773606
Engineer:
DEIHIMI DAMIR HOSSEIN
$0.00
Address: 151 KALMUS DR STE G-1
Lic Expire:
01/31/2020
Address:
23172 PLAZA POINTE DR STE 145
$0.00
COSTA MESA, CA 92626
Bus Lic:
BT30062100
$0.00
LAGUNA HILLS CA 92653
Park Dedication : $0.00
Phone: 714-754-4040
Lic Exp Date:
02/28/2019
Phone:
949-954.7244 State Lic:C-078194
,
Code Edit: 2016
Worker's Compensation Insurance
Designer:r`
$0.00 .
Hazardous Mat
Type of Construction: V -B -SPR
Carrier:
NO EMPLOYEES
Address:
San Dist: $0.00
Occupancy Group: R -3/U
Policy No:
$0.00
Mechanical %:
$0.00
Added /New sq.ft. Bldg: 3334
Expire:
$0.00
Phone:
""""---
Added /New sq. ft. Garage: 505
$0.00
TOTAL
No of Stories: 3
Building Setbacks
Rear: 11 Ot
Special Conditions:
$35.00
No of Units : 1
Front: 1 0
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Bldg Height: 0
Left: 10,
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Bldg Sprinklers: Y
of-UBLld WORKS APPROVAL:
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Right: 101
Flood Zone: 0.2
Use Zone: Parkino Spaces: 0
Fire Hazard Zone : N
.,.
Building Permit Feer
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$35.00.
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
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$1,209.50
SJH Trans: $0.00
Demolition Fee
Record Management:
$0.00.
Grading Permit Fee:
.$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$265.50
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
PIN Plan Check: $0.00
Grading Bond:
$0.00 .
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Pee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL
FEE : $35.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$35.00
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PROCESSED BY:
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ZONING APPROVAL:
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GRADING APPROVAL:
APPROVAL o O ISSUE:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State L'cense "cense r dicated 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 req ,4 emolish, or repair any structure, prior to itsfssu'srce, also requires the applicant for
the permit to file a signed statement that he or sheds licensed pursuant to th t C e 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 all ion 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 (_) all of or `) 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
im roved for the purpose of sale).
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
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).
❑ 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0 1 I
of v' ion of the Business and Prof sio C e, an Ise 1 u11 force
and effect. License Class License No Date i f Contractor Signatur
WORKERS' COMPENSATION DECLARATION
MARRING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 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 th
oelformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number Expiration Date
Agent
certify that, in the performance of the&ipk19FvPIch 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
I, if I should becomes a ject to th r e co ennsatioionn visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant ]l ti- i 7 4 _ z_(� , 17
CLARATION REGDIRG CONSTRUCTION LENDING AGENCY /
areby affirm underipenalty 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)
lder's Name Lender's Address
3y 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 ordi n state laws relating to building construction.
I authorize representatives of this city or county ante h ov I nti operty for inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized A
ACTION DATE BY DEC RATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ACTION DATE _'�Y_77REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED I U I SUBMITTED ASBESTOSNbTIFRZTION T • • • • • •.
PERMITCANCELLED U EPq • • : . : ` ' . : s
PERMITEXTENDED UAQMD • + `•`
PERMIT FINAL ASBESTOS NOTIFICATIO OT PPLICABLE TO
CERTIFICATE OF .YDr�S PROPOS D OLITI
OCCUPANCY ISSUED SIGNATOR �•e • • ` 'i+•
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