HomeMy WebLinkAboutX2019-2688 - PermitsIr City of Newport Beach - Building Division ��IIIIIII�IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII
;00 Civic Center Drive, Newport Beach, CA 92660 X 0 1 9 2 6 8 8� II
h Permit Counter Phone (949)644-3288
�pi;r'S13ction Requests Phone (949)644-3255
r"14tsaw�' Combination Type - BLDG : I -.�,,
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PERMITS EXPIRE 180 DAYS AFTEF
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and
Job Address: 501 VIA LIDO SOLD NB
COMB Permit: X2019-2688
Project No: 1665-2019
Issued Date : 08/30/2019
Inspection Area : 1
r.
No work on Sundays or Holidays
LDegall D
Description:
TR 907 O S 4 6 AND 457 RETAINING X 20 LF (INSIDE PIL)
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v0�. .
Building Permit Fee:
$412.00
GUIDA JOHN
Contractor:
$0.00
-
Owner:.
Address: 800 N MICHIGAN AVE #2201
Address:
M P L ENTERPRISES INC
2302 S SUSAN ST
ct:�
Z
CHICAGO IL 60611
Plan check Fee:
SANTA ANA CA 92704
lAtF -
$0.00
.Phone:
Phone:
714-545-1717
Phone: State Lic:
Fair Share:
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Applicant: DACK KYLE
Con State Lic:
409169
Engineer: PETROV PLAMEN
Demolition Fee
Address: 1660 ORANGE AVE
Lic Expire:
09/30/2019
Address: 28161 CASITAS CT
$0.00
COSTA MESA CA 92704
Bus Lic:
BT30066406
LAGUNA NIGUEL CA 92677
Energy Compliance:
Phone:. 949.400.8037
Lic Exp Date:
0413012020
Phone: 714-717-7542 State Lic:C-066947
Code Edit: 2016
Worker's Compensation Insurance
Designer.
$0.00
Type of Construction:
Carrier:
GUIDEONE MUTUAL INS CO
Address:
Refund Deposit
Occupancy Group: U
Policy No:
010009607
-
Added /New sq.ft. Bldg: 0
Expire:
06/0112020
Phone:
Hazardous Mat,
Added /New sq. ft. Garage: 0
Electrical %:
$0.00
San Dist: $0.00
No of Stories: 0
Building Setbacks
Rear: 4'
Special Conditions: LIQUEFACTION AREA
Mechanical %:
No of Units : 0
NMUSD Fee: - $0.00
Front: 10'
$0.00
Bldg Height: 0
Left: 4'
$0.00
Bldg Sprinklers:
Right: 4'
TOTAL FEE: $820.00
Flood Zone: X
Use Zone: Parkino Spaces: 0
Fire Hazard Zone : N -
Construction Valuation: $2.772.00
Building Permit Fee:
$412.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $365.00
Additional Fee :
$0.00
Plan check Fee:
$40.00
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:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
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
-
PNV Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat,
$0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee:
$1.00
Mechanical %:
$0.00
NMUSD Fee: - $0.00
$0.00
Plumbing%:
$0.00
$0.00
TOTAL FEE: $820.00
Plan Check Fee:
$405.00 • a P P P Fee Due at Permit Issuance :
$415.00
•
PROCESSED BY:
PUBLIC WORKS APPROVAL:
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c ao a P P
ZONING APPROVAL:
PLAN CHECK BY:
-
GRADING APPROVAL:
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tOU'
- -u APPWVAL TJ Ie3SUE:
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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 itsm(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, priorto 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 3bf'thb 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).
11 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).
❑ 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 Iegalll
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:http7/w .leginfo.ca.gov/calaw.html.
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 0 ). f ivisio 3 of the Business and Pro ion e, an my lice is in fu force.
and effect. License Class License No Date Contractor Signature
WORKERS'COMPENSATION DECLARATION
WARNING: FAILURE TD 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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,
peVmance of the work for which this permit is issued. Policy No.
have and'=will nfJhZtain 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 anp licy number) y
ler . i /nr\ -i5,oliC�N4flnher Expiration Date _
is of Agent CJ"� rw" . V Uq: _ Pnone n
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 laws of California, and
. if I should become subikct to the wgr�rs' compensatigtWov_isjors of Section 3700_gtWe Labor Code, I shall forthwith comply with those provisions. , _ — G� /
Signature of Applicant 31
DECLARATION REGAR ING GIONSWCTION LENDING AGENCY
I hereby affirm under penalty of perjdry 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 provided is correct. 7��GI/
I agree to comply with all applicable city and county� .ordinances and state laws rel ' to bui ding construction. I Y^
I authorize representatives of this city or count nter th a-iden ' d p art f ecn purposes.
Signature of Property Owner or Authorized Agent Int Property Owners or Authorized Agent's Nam 3 a
ACTION DATE BY DECWAX5N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 s• •••
PERMIT EXPIRED L31 SUBMITTED ASBESTOS NOTIFICATION iO•• + • •••
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PERMIT CANCELLED LJEPA • • ^ + • • • • • •
PERMITEXTENDED LJAQMD
PERMITFINAL_0/��,�q ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF / PROPOSED DEMOLITION.-: ••: ••• ••• •`c �•
OCCUPANCYISSUED SIGNATURE:
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