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HomeMy WebLinkAboutX2018-0146 - Permitsr„J$ City of Newport Beach - Building Division off' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2018-0146 IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II Project No : 0121-2018 Issued Date : 02/21/2018 Inspection Area : 6 SANTA ANA CA 92701 Bus Lie: 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: 23 STONE PINE NB Lie Exp Date: - 01/31/2019 Description: SFR REMODEL EXTERIOR DOORS, INSTALL AWNING, STUCCO & RESURFACE (E) BALCONY .714.835-2800 State Lic:C-036840 °..••` Legal Desc.: Code Edit: 2016 Worker's Compensation Insurance Designer. e pp Type of Construction:. VIB 23 STONE PINE NEWPORT LLC Contractor: Z S W INC Architect: z!ew C Address: .Owner: Address: 10795 WILSHIRE BLVD #504 Address: P O BOX 693 Address: la a , x, �,tI CI, 1741290 LOS ANGELES CA 90024 DANA POINT CA 92629 4r� Phone: Phone: 949-370-8391 Phone: State Lie: Applicant: MANSHADI FARHAD Con State Lie: 846269 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B Lie Expire: 0913012018 Address: 1800 E 16TH ST UNIT B 05/08/201 B SANTA ANA CA 92701 Bus Lie: BT30045965 SANTA ANA CA 92701 ° • Phone: 714-835-2800 Lie Exp Date: - 01/31/2019 Phone: .714.835-2800 State Lic:C-036840 °..••` Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction:. VIB Carrier: STATE COMP. INS Address: Occupancy Group: R31U Policy No: 1741290 ° Added /New sq.ft. Bldg: 0 Expire: 05/08/201 B Phone: 4 ° ° ©® • ° • ° Added /New sq. ft. Garage: 0 °r o No of Stories: 2 Building Setbacks Rear: I Special Conditions: VHFHSZ & LANDSLIDE ` ° ° o ° ° ...... ° No of Units : 1 - Front: I Bldg Height: 0 Left: I ' o • ° °° Bldg Sprinklers: Right: I , • o o Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : Y Construction Valuation: $20,000.00 ° • °••°O •° ° Building Permit Fee: $367.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $319.29 Additional Fee: $0.00 Plan check Fee`. $37.50 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: $18.00 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. P/W Plan Check: $0.00 Grading Bond: $0.00 .Hazardous Mat $0.00 Electri I %: $0.00 San Dist: $0.00. Building Green Fee : $1.00 Mecha cal %:. $0.00 NMUSD Fee: $0.00 $0.00 Plumb' g %: $0.00 $0.00 TOTAL F $742.79 Plan Check Fee: $319.29 Fee Due at Permit Issuance : $423.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORK: PLAN CHECK E APPROVALTO 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). ❑ 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 town 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.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 Qf Clbapte 9 commencing with Section000) of Div' !on/o the Business and Pro(es ons o , nd my license is in full force and effect. Licenoa Blass 6 License No (e Date 2! Contractor Signature IIjORKVS' COMPENSATION DECLARATION NQRIVIII HAILURE TO SEOURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C sT OF dbNiPENS?,T)Qf$, DiMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ; ftibl ilffirm un ft penalty of perjury one of the following declarations: J 1 have and WIN 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 4iorglance of the Nvbrk for which this permit is issued. Policy No. and willivgiIt¢in 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' carrier and policy number are: Policy Number Date prrk of2%gent �y • Phone rf serV that, in the performanc ork 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 f California, and agre, Iat,,if ` ould 4pb9 tbubjec h o ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p, ignature of Applican Da �� U IECLARATION RE ARDING CONSTRUCTION LENDING AGENCY hereby affirm and penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section_30 7, Civil Code). ender's Name Lender's Address y 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. J \NCE WITH CODE OF FEDERAL JrOR OFFI USE ONLY TITLE40ANDAI RULE JY( NOTIFICATION TO PERMIT EMENDED 11, 4LACIME) PERMITFINAL u ASBESTOS NOTIRCAT 2LISN TAPPLICABLE TO CERTIFICATE OF `� IN'Ir± OPOSED DEMOLITI0 OCCUPANCYISSUED "j SIGNATURE-