HomeMy WebLinkAboutX2018-0854 - Permitstr,
City of Newport Beach - Building Division
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
100 Civic Center Drive, Newport Beach, CA 92660
Fair Share:
Permit Counter Phone (949)644-3288
$0.00
Inspection Requests Phone (949)644-3255
1813 E BAY AVE NB
Combination Type - BLDG
I�IIIIIIIII�III1111111111111111111111IIIII�11111111 �� COMB Permit: X2018-0854
x 2 0 1 6 6 8 5 4 Project No : 0701-2018
Issued Date: 0312712018
Inspection Area: 1
Type of Construction:
Occupancy Group: u
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $2.000.00
Building Permit Fee:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Plan Check Fee: $0.00
Fair Share:
Construction Hours. Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
$0.00
Job Address:
1813 E BAY AVE NB
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Description:
SFR PILASTER (2) 6' HIGH„
Building Green Fee :
$1.00
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Legal Desc::
EASTSIDE ADDITION TO BALBOA TRACT BILK 27 LOTS 5 6 & 7 AND BAYFRONT
Owner:
1813 EAST BAY LLC
Contractor: PATTERSON CONSTRUCTION
Architect:
° ...
Address:
3675 WESTHER WAY P.O. BOX 250
TETON VILLAGE WY 83025
Address: 15 CORPORATE PLAZA STE.150
NEWPORT BEACH CA 92660
Address:
°
Phone:
949-298-7555
Phone: 949-723-1800
Phone: State Lic:
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Applicant:
SHAH KAMAL R
Con State Lic: 802367
Engineer: TINDALL GEORGE
Address:
28039 SMYTH DR #200
Lic Expire: 0713112018
Address: 610 MALABAR DR
VALENCIA CA 91355
Bus Lic: BT02110534
CORONA DEL MAR CA 92625
° •.a® ° °
Phone:
661.702-8300
Lic Exp Date: 0913012018
Phone: 714-357-2685 State Lic:C-019921
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Code Edit :
2016
Worker's Compensation Insurance
Designer.
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Type of Construction:
Occupancy Group: u
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $2.000.00
Building Permit Fee:
$386.00
Plan Check Fee: $0.00
Fair Share:
Overtime Plan Ck:
$0.00
Investigation Feer
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Carrier: STATE COMP
Policy No: 9065406
Expire: 0 813112 01 8
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 84'
Left: 41
Right: 4'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE: $387.00 Plan Check Fee
PROCESSED BY: /
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ZONING APPROVAL:��
GRADING APPROVAL:
Address:
Phone:
Special Conditions: PC FEES PAID ON REV18.05
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans:
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $387.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:.CA
APPROVAL TO ISSUE: '
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:
°ommeo o e c
•
om . e
0o m
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $387.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:.CA
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(S)
fction 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 theapplicant for
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
)fessions 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 fora permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the.
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Sly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am oxen" from licensure under the Contractors' State License Law for the following reason:
my signa%g,4el8w I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
I astructure thaY have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and -
fk$sions Corse, Isoavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
(nature of Plbp@14y Owner or Authorized Agent Date
'ENSED CONTRACTOR'S DECLARATION
3rtby affirm Lnqtrjienalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Div' ion 3 of the Business and Profes fon ode, and )y license is in full force
J Stfect. ' Lloease glass License No Date Contractor Signature
JPKERS'iCOMPENSATION DECLARATION
ANP: FAILU6IB TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR MI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
6i OF COMPENSAJTION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
HebZ affirm upder penalty of perjury one of the following declarations:
M
I hiSve and•wil1l **;
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
PrAVnce of tqe work for which this permit is issued. Policy No. '
lave and wilt nMntain 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' compensation
urance carrier and policy number are:
rrier Policy Number Expiration Date
me of Agent Phone #
I certify that, in the performance Df Me work for which this permit is issued, I shall not employ any person in any manner so. as_to_become subject to the w/Dat
'pensation laws of California, and agre
I. if I should become su ' ct to a orkers' comperpsat' provision fiction 3700 of the Labor Code, I shall forthwith comply with those provisions.�l ^ `
nature of Applicant �� CLARATION REG DING NSTRUCTION LENDING AGENCY
;reby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30de),
fder's Name Lender's Address
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 countyj6 ear WcSl;e/above-ideJfiedin
�ppperty for spection purposes. //"' -. _ , _ (^' p t 1 a r-. °Z 1 N
of
Print Prooertv Owner's or
ACTION DATE BY/ ,GREG TIONS PART ATION OF OMPLIANCE WITH CODE OF 1 OF IIT E 40 AND AQMD RULE AL FOR OFFICE USE ONLY /1403
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF -oiS
OCCUPANCY ISSUED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
^LFASBESTOS OTIFICA ON IS NOTAPPLICABLE TO
�e0N` PROPOSED MOLT Nle /L
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