The URL can be used to link to this page

Home My WebLink AboutX2019-0751 - PermitsCity of Newport Beach - Building Division $0.00 COMB Permit: X2019-0751 $0.00 ` a $154.00 Energy Compliance: $0.00 CA Seismic Safety: .$0.00 Jill $0.00 Hazardous Mat $0.00 Building Green Fee: $18.00 100 Civic Center Drive, Newport Beach, CA. 92660 X 2 0 1 9 0 7 5 1 Project No : 0804-2018 Permit Counter Phone (949)644-3288 - 1; inspection Requests Phone (949)644-3255 �urna"` Combination Type - CIP ELEC MECH PLUM GRAD Issued Date: Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: Construction Hours. Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 4301 BIRCH ST NB a.m, to 6:00 p.m. No work on Sundays orlia s "' Description: COMM EXTERIOR REPAIR, NEW WINDOWSIDOORS AND SITE WORK 9857 SF Legal Desc.: N TR 5169 LOT 4) �sT 0 Owner. 4321 BIRCH PTNRS LTD Contractor: D B A C INC Architect: MARTIN RICHARD K - Address: 26023 ACERO #150 Address: 101 SHIPYARD WAY #A Address: ° 1400 QUAIL ST #120 •° • :. ° o MISSION VIEJO, CA 92691 NEWPORT BEACH CA 92663 • NEWPORT BEACH CA 92660 Phone: - - Phone: 949.723.0147 Phone: 949-851-3044 State Lic:C014204 ° Applicant: MARTIN RICHARD K. .Con State Lic: 637651 Engineer: MONTOYA HERNAN •° • ° ° •. • • Address: 1400 QUAIL ST #120 Lic Expire: 02/2912020 Address: 22421 GILBERTO, STE E m ° '° b ° ° NEWPORT BEACH CA 92660 Bus Lia BT00016282 • RANCHO SANTA MARG CA 92688 • o ° Phone: 949-851-3044 Lic Exp Date:. .1013112019 Phone: 9491713-7824 State LiaS-002819 • ° • ®m ° ° ° ° moon° Code Edit : 2016 Type of Construction: V U Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft.. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: �0 Bldg Sprinklers: - Flood Zone: Building Permit Fee: $3,268.00 Plan Check Fee: $61.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $154.00 Energy Compliance: $0.00 CA Seismic Safety: .$0.00 Disabled Access :. $0.00 Hazardous Mat $0.00 Building Green Fee: $18.00 Worker's Compensation Insurance "Carrier: STATE COMP Policy No: 9117372. Expire: 11/1112019 Building Setbacks Rear: 0 Front: 15' Left: 0 Right: 0 Use Zone: Parkinc Seaces 0 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $290.28. Grading Permit Fee: $1,171.00 Grading PC Fee: $63.72 WQ Insp. Fee: $108.00 Electrical %: $457.52 Mechanical %: $359.48 Plumbing %: $294.12 11 TOTAL FEE : $7,690.12 Plan Check Fee: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL a Designer: ommm° -Address: c' mmmmm000 Phone: ° • ° ° momm mm®m Special Conditions: - Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PIN Plan Check : $660.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $7,690.12 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: $0.00 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $7,690.12 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 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 is 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 'rofessions 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 of 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, lusiness 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 nprovements 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 n roved for the purpose of sale). 1, 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 pply to an wnrfaT pf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 am exerV 4rom licensure under the Contractors' State License Law for the following reason: y ITy signature lfejow 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 eTl a structD a tliat 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 Irpfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. I�gp2ture of PraReJly Owner or Authorized Agent to .ICsENSED.�Oj�,TRACTOR'S DECLARATION ,hereby affirm under�penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 1 700 of Dp'siop f the Busin d Profs rens nd i se is in f force. n'd effect. I;caose Class License No q t Contractor Si torr Mkf(ERS06OMPENSATION DECLARATION / IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE U D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE EIM44 COMPEN ATIW.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under denalty of perjury one of the following declarations: E�thave and.wiil 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 .W&Fiance of tftd work for which this permit is issued. Policy No. JSave 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 workers' compensatiol ranee Carrier and policy number are: is of Agent certify that, in the pertorm�o if I should become subj ct�o the lature of ADDIICaAt Policy Number Date for which this is issued, I shall not employ any person in any manner so as to become subject to the comoens rovlslonsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under pethat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, naof fury 1' ender's Name Lender's Address 1y my signature below, I Wrtify to each of the following: I am the property owner or authorized to act on the property owner' half. 47alL0440 I have read this application and the information I have provided ' cc act. I agree to comply with all ap ' e city d cou y ordinan a state laws relating to building construction. I authorize representativ of thI ity o county t ente t ve-Iden " d prop rt or inspection purposes. kmature of Prooertv Owner or Authorized Ag Print Property Owner's or Aut (zed Age ' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMITEXTENDED q D PERMIT FINAL C %� AS NOTI ATI NIS NO P (CABLE CERTIFICATE OF /'i" ORO DEM OCCUPANCYISSUED SIGN R . compensation laws of California, and j Code).