HomeMy WebLinkAboutX2019-0724 - PermitsI City of Newport Beach - Building Division
may. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
°"u = Inspection Requests Phone (949)644-3255
�ryxarvs> Combination Type - MFP
III IIIII� I III 0I �I IIu� IIII �II II I�� l l7ll� 2l�ll4 II
COMB Permit: X2019-0724
Project No :
Issued Date: 03/05/2019
Inspection Area : 3
° i
Fire Department
$0.00
Fire Inspection:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$184.00.
Excise Tax:
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:
1544 PLACENTIA AVE NB
Plan Check Fee: $0.00
Additional Fee:
$0.00
Description:
MFR -*UNITS 20-25* RETRO -FIT WINDOWS (18)
Overtime Plan Ck:
$0.00.
Legal Desc.:
FIRST ADD TO NEWPORT MESA TR LOT 715 N 107 FT IN LOT
-EX .E 454.1 F T
Owner:
ASA INVESTMENTS LLC
Contractor:
LEGENDARY WINDOWS /LEGENDARY GROUP INC
SJH Trans
Architect
Record Management.:
$0.00
Grading Permit Fee:
$0.00
Address:
PO BOX 9994
Address:'
17911 SKY PARK CIR STEJ Address:
Grading PC Fee:
$0.00
NEWPORT BEACH, CA
CA Seismic Safety:
IRVINE CA 92614
WQ Insp. Fee:
Phone:
0
Phone:
949-251-1866 Phone:
State Lie:
Applicant:
LEGENDARY WINODWS /LEGENDARY GROUP INC
Con State Lie: 1007437
Engineer:
Adgrps°s
17911 SKY PARK CIR STEJ
Lie Expire:
09/3012019 Address:
San Dist:
°.® °.° �
IRVINE,CA 92614
Bus Lie:
BT30064974.
$0.00
,Phone`
949c2511866
Lie Exp Date:.
1013112019 Phone:
State Lie:
°EOdcn�dit.
2016
Worker's Compensation Insurance Designer:
° 'Type of Construction:°
V -B
Carrier:
INSURANCE CO OF THE WEST T NA Address:
°-Orqupancy grou°p: R2
Policy No:
WPL5039861
` A410ed /New�s°q�ft°Bldg: 0
Expire:
02120/2020 Phone:
C ° A
ld® ed /New sq. ftP arage. 0
° No of Stones° ° ° ° 2 Building Setbacks Rear: / Special Conditions: ry"',e b,
°.° o AO*Of Units i° ° e c ° 6 Front: Y
Bldg Height ° 0 Left: /
° ° °UI1lg SpriVk4er$:° .. Right: I �
Flood.Zore: ` Use Zone: Parkina Soaces: 0 : Fire Hazard Zone : N
ConstrP66os°Valuation: $6.817.85
Fire Department
$0.00
Fire Inspection:
o°o °
Building Permit Fee:
$184.00.
Excise Tax:
$0.00
Planning Department -
Demolition Fee
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee:
Overtime Plan Ck:
$0.00.
Grading Bonds Feer
$0.00
.Fair Share `.
Investigation Fee:
$0.00
Grading 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
PAN Plan Check:
$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
Plumbing %:
$0.00
TOTAL FEE: $185.OQ
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $185.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $185.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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 far
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
m 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 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.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 7 0),of,Division 3 of the Business and Professions Code, and my_ license is in full force
and effect. License Class License No Date
ii '>'/� 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 HUNDRED THOUSAND DOLLARS ($100,0p0j,ff?4pUITIONlB o of
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: , • o =
:11 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;Cabot Code, IV ih
AThrAiance of the work for which this permit is issued. Policy No.
•
and will maintain 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 workel%ci
• .•
carrier and DDlicv number are: _ i
w "s" 7 Policy Number W PC 5— o � 17 3 6 / Expiration Date
lame of Agent rnune rr -
]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 laws of California.
gnd agrg
iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Co e, I shall forthwith comply with those provisions.. ••
signature of Applicant ��=fv�'--c Dat
IECLARATION REG DIN6fR G CONSTRUCTION LENDING AGENCY ' .
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 309 , Civil Code).
Ender's Name Lender's Address
ly 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 p ide^rlr'sd property for inspection purposes. _
DATE I 010'% OF COMPLIANCE 4WITH
CODE OF RUDERAL FOR OFFICE USE ONLY
REGULATIONS
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIERA
PERMIT EXTENDED
QMD
PERMITFINAL`(
CERTIFICATE OF
OCCUPANCYISSUED
t� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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