The URL can be used to link to this page

Home My WebLink AboutX2018-0421 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Insper�tlo n Requests Phone (949)644-3255 ass t Combination Type - MFP ELEC MECH PLU 3 Job Address: 2705 Description: MFR Legal Desc.: TR 6 Owner: TORFI Address: 2705 1 - Phone: Phone: 180 COMB Permit: X2018-0421 Project No : 0648-2017 Date : 02/1212018 tion Area : 4 Constructioq.Hours: Monday - Friday 7:00 a.m. to.6 30,p m. anO Saturdey from 8:00 a.m. to 6:00 p.m. No work on unda HANGE OF CONTRACTOR TO OWNER/BLDR * "AS -8 ILT REMOME BEARING WALL 8 CLOSE OFF ACCESS TO UNPERMITTE LOF LOT 5 ltNIT47 47P 47B 47D OF PROJEc- LOCATED'ON AP'"458-551 10 $ IB Contractor. OWNER/BLDR Architect: -A BE }} Address TORFI FfA.6)$ r >, Address: T`',BE ACH, CA 92660 � fay `� � Applicant: BLACKMORR. JASON Address: 20122 SANTA�NA AVE #213 NEWPORT BEACH CA 92880 Phone: 949-274-6585 Code Edit: 201 5. Type of Construction: V -B Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 *' No of Stories: 2 ° 8 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N or Holidays AREA, KITCHEN REMODEL Phone ''5',z;�'«' Phone: Stat Lic: 2} �`,�'{S 4° s'L1c e 0 6 m i DEI IMI DAMIR HOSSEIN x ass: p 2 PLAZA POINTE DR S E 145 'IiV� 6 `L Sta.Ct`Lp, UNA HILLS CA 9 63 ,.L.,.� Lic Exp Date: �(trone: 949-954-7244 S47/ tate Lic -07. Worker's CompeNast -(i'ds rance O Carrier: ��`g'� ildingrA.W� &U) Rear:o;' �Ol ' kA' Front x%igl,t \1 I Designer: MORE JA / WWPORT BLAWMA 92660 Phond\09 949 - Construction Valuation: $0.12 �Aokre', Building Permit Fee: $0.00 Excise T $0.00 Planning Department - Plan Check Fee: $0.00 onal $33.00 Plan check Fee Overtime Plan Ck: $0.00 Gr Dods Fee: $0.00 Fair Share Investigation Fee: $0.00 „ rading PC Consultant : $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Disabled Access : $0.00 P/W Plan Check: $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 Plumbing %: $0.00 TOTAL FEE: $33.00 PROCESSED BY: ZONING APPROVAL: Plan Check Fee REPLACE PERMIT X17-0976 Doom • • omem 00 0 0 0 0 o0 0 0 000000 0 co 0 0 0 0 oe o m oeo•mo 0 • ¢0.• 00 9. Woe $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $33.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: q-1- 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 • • omem 00 0 0 0 0 o0 0 0 000000 0 co 0 0 0 0 oe o m oeo•mo 0 • ¢0.• 00 9. Woe $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $33.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: q-1- 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 Div;*On 3 of the Business and Pnnnnr::of��e,sgions 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 toa civil penalty of re than five hundred dollars ($500). 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, usiness 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). - 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 1 must have resided for at least one year prior to completion of the improvement covered by this permit, I cannot legal) 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, ection 7044 of the Business and Professions Code, is available upon reques when pp (cation,i's submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized A Date 'd LICENSED CONTRACTOR'S DECLA ION I hereby affirm under penalty of perjury that I am 'tensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAIUMENO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPBNS{171ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bel'Dby affmr under penalty of perjury one of the following declarations: ❑ I have ant -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 thl perlosmance of -[he work for which this permit is issued. Policy No. ❑(,have an4lWil, 6ieintain 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' compensatior insurance carrier and policy number are: Carrier . ! Policy Number Expiration Date ... C POent's Phone# •hat „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 yDte 'compensation lCalifornia, and agrel Fee subject to theavo ters' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. 81gfi tjlre of i0ent .f/ff —"'�— - ATIdK fe�OARDING C STRUCTION LENDING AGENCYyI hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 71 vil 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 provided is correct. _ _ _— I agree to comply with all pi cable city and county ordinances and state laws relating to building construction. I authorize repret nta sof this city or county toe er a above -identified property for inspection purposes. Signature of Prooer[y ner or Authorized Aqent Print Property Owner's or Authorized A ams t PERMIT EXPIRED CERTIFICATE OF OCCUPANCYISSUED DATE BY DECIAIATION 01 REGULAT ONS PART 6 O TCOMPLIAWIT E 40 AND AOMD RULE WITH CODE OF RAL I FOR OFFICE USE I SUBMITTED ASBESTOS ISNOTAPPLICABLE TO L