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HomeMy WebLinkAboutX2018-3503 - Permitsa City of Newport Beach - Building -Division IIIIIII�IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3503 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 5 0 3 Project No: 2714-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 12/12/2018 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: 2607 ALTA VISTA DR NS Description: SFR SITE WALL 21" WITWOOD ABOVE X 67 LF (FRONT YARD) & GAS LINE TO FIREPIToft Legal Desc.: ` Owner. BAKER THOMAS Address: 2607 ALTA VISTA Carrier: START NET NEWPORT BEACH, CA 92660 Phone: 949-386-2356 Applicant: LOOK HANNA Address: 3300 IRVINE AVE #135 Bus Lie: NEWPORT EBACH CA 92660 Phone: 714-486-3318 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Contractor: A -RISING BUILDERS INC Address: 1711 WHITTIER AVE Carrier: START NET COSTA MESA CA 92627 Phone: 949-386-2356 Con State Lie: 785812 Lie Expire: 05/01/2019 Bus Lie: BT30068321 Lie Exp Date: 03/31/2019 Architect: GUINA RICHARDO Address: 2915 REDHILL AVE #G-102 COSTA MESA CA 92626 Phone: 949-294-8385 State Lic:C030161 Engineer: Address: Phone: State Lie: Workers Compensation Insurance Designer: + $0.00 Carrier: START NET Address: Energy Compliance: $0.00 Policy No: BNUWC143964,° $0.00 Disabled Access : $0.00 0 Expire: 05/01/2019 Phone: Building Green Fee : °oo•� 0 $0.00 In -lieu Housing Fee: General Service Building Setbacks Rear: 6' Special Conditions: 6' MAX FROM EG Public Works Department - WQ Insp. Fee: Front: 20' (BUCKEYE) Park Dedication : $0.00 Left: 6' P/W Plan Check: $0.00 Electrical %: Right: 6' San Dist: ©s , °• o Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N ° ® o • °a+•+o f c nnn nn • .1 Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management'. $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 11 TOTAL FEF; $859.08 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee, Fire Inspection: Grading Bonds Fee: $0.00 Fair Share +$0.00 + $OrOU• o 0 0 0 Grading PC Consultant: $0.00 SJH Trans $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: General Service Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $37.08 Plan Check Fee: U $365.00 PUBLIC WORK! PLAN CHECK E APPROVALTO Fee Due at Permit Issuance: $494.08 °0000 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev +$0.00 + $OrOU• o 0 0 0 $0.00 Demolition Fee +B ° $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $494.08 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). ❑ 1, as owner of the property, 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 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 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). n I am exempt from licensure under the Contractors' Stale 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 lega111 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.htmi. 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 Section 00 Isio f the Business and Prof, snry y�edse is in full force and effect. License Class License No Date Contractor Signature i ��J"d NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPE ;IQq,AAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under ptnalty of perjury one of the following declarations: '' • • •sie and=willsnaintain 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 2 rfor ance of All work for which this permit is issued. Policy No. jM e and wil maigtain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiol ace carriar and"licy number are: rler • Policy Number Expiration Date Namo of Agent- • • Phone # 3rc%Ttify that, in the performance of the workfor hi thi permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calif rnia, and agre t, Dt tNl � hould bP,com su ' ct to th orkera' Co pi on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .. o ..FDltNC, ii nature of ApplicantDate ri 5 drAAATIW RE6A CONST ' TION LENDING AGENCY h*e!&S affirm ur el: If papery that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod - -ender'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 ordinances -and to 9 laws relating to building construction. I authorize representatives of this city or couy to t .the aboyt� property for inspection purposes. i Rio.ohire of Prnnarty Owner or Authnrized ADent _/ Print Property Owner's or Authorized Agent's Nam Dat ACTION DATE BY'SDE IARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF l' A(r(A/7l7 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO �'t\ PROPOSED DEMOLITION OCCUPANCYISSUED V" SIGNATURE: