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HomeMy WebLinkAboutX2018-3827 - Permitswry City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - GRAD Illllllllllllllllullllllllllllllllllllll II COMB Permit: X2018-3827 x 2 9 1 8 3 8 2 7 Project No: 2714-2018 Issued Date : 12/20/2018 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 NB Description: SFR (ADD'L SCOPE) CTY STD YARD DRAINAGE (REV18-2264) Legal Desa: Owner:. BAKER THOMAS Contractor: A -RISING BUILDERS INC Architect: GUINA RICHARDO env' Address: 2607 ALTA VISTA Address: 1711 WHITTIER AVE Address: 2915 REDHILL AVE #G -102`x, -t NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 COSTA MESA CA 92626 Phone: Phone: 949-386-2366 Phone: 949.294-8385 State Lic:C030161 Applicant: LOOK HANNA Con State Lie: 785812 Engineer: Address: 3300 IRVINE AVE #135 Lie Expire: 05101/2019 Address: - NEWPORT EBACH CA 92660 Bus Lie: BT30058321 Phone: 714-4863318 Lie Exp Date: 03131/2019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: START NET Address: Occupancy Group: Policy No: BNUWC143964 a �. Added /New sq.ft. Bldg: 0 Expire: 05101/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: DELTA 1 REV18.2264 No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 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: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $312.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $312.00 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 P/W 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 Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $626.00 Plan Check Fee: $312.00 Fee Due at Permit Issuance : $314.00 y o soo 0 o fd PROCESSED BY: < 3 f c o w a Y f a, i PUj3LIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: <- " S�?PROVAL TO ISSUE: o � c occ o0 oc o 0 ovo aeG 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(:) (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 (_) 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). ❑ 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 structure that I have built as an owner -builder if it has not been constructed in its entirely 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 70 f s' the Business and Pr fe io -e If y I' arise is in full force and effect. License Class License No Date Contractor Signature NORKERS' 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 HUND THOUSAND DOLLARS ($100,000), 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: 7 1 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 3erformance of the work for which this permit is issued. Policy No. have and wi ntain 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' compensatio insurance carrier)�Z� ber are: Carrier Pw,rY•yl�h9r/ Expiration Date Name of Agent - r ����TL.,��/ Phone # I 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 law of Ca ifornia, and agre th if I should become subject to th om /satt, -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican v D, DECLARATION REGARDING CONST TION LENDING AGENCY I hereby affirm under penaltyof p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 provid correct. / I agree to comply with all applicable city and countyorcJjn'Snce aryd st�te'laws relating to building construction. I authorize representatives of this city or county to er th ntified property for inspection purposes. j Si nature of Property Owner or Authorized Agen Print Propert Owner's or Authorized Agent's Nam D@ ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • -.- ___ _-_ _ PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TI) i i i •• _• � i i • i • • ••• PERMIT CANCELLED DEPA • • • • ' PERMITEXTENDED 0AQMD PERMIT FINALL1ASBESTOS CERTIFICATEOF -1J J'1 ` NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION •• ••,. OCCUPANCYISSUED l SIGNATURE: • • e +• a o 0