HomeMy WebLinkAboutX2017-3660 - PermitsCity of Newport Beach -.Building Division mm IIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIII II
100 Civic Center Drive, Newport Beach; CA•9�660' ° ® ® ®+ o ® X 2 0 1 7 3 6 6 0
v Permit Counter Phone (949)644-3288 ° • • + • m m
iQ a e e• e s s• • e
Inspection Requests Phone (949)644.3@65 . . • , m. +°
�'•srrue'' Combination Type - BLDG
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Construction Hours: Monday - Friday 9x00 &.art. to
Job Address: 2001 BAYADERE TER NB
Description: SITE & RETAINING WALLS & TEMPORARY SHORING
Legal Desc.: N TR 2813 LOT 177
Owner:
HAYWARD GREG & MADELINE
Address:
1 CORPORATE PLAZA STE 110
Bus Lie:
NEWPORT BEACH CA 92660
Phone:
949.756-8393
Applicant:
GLASS NANCI
Address:
1 CORPORATE PLAZA DR STE 110
Front: I
NEWPORT BEACH CA 92660
Phone:
714-865-4465
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
Address:
Phone:
COMB Permit: X2017-3660
Project No : 2557-2017
Issued Date : 0410312018
Inspection Area : 5
9PAY&AFTER ISSUANCE OR LAST VALID INSPECTION.
,.�f0 p.r+rr, and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
NICHOLSON CONSTRUCTION CO Architect:
1 CORPORATE PLZ#110 Address:
NEWPORT BEACH CA 92660
949-872-6637 Phone: State Lie:
Con State Lie:
660295
Lie Expire:
1 213112 01 8
Bus Lie:
ST98032850
Lie Exp Date:
04/3 012 01 8
2016 Worker's Compensation Insurance
Carrier:
STATE FUND
U Policy No:
9074255
0 Expire:
10/01/2018
0
CA Seismic Safety :
Building Setbacks
Rear: I
$0.00
Front: I
$0.00
Left: I
$1.00
Right: I
Valuation: $25.000.00
Building Permit Fee: $386.00
Plan Check Fee: $342.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$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
TOTAL FEE: $767.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Engineer:
DEIHIMI DAMIR HOSSEIN
Address:
23172 PLAZA POINTE DR STE 145
Additional Fee :
LAGUNA HILLS CA 92653
Phone:
949-954-7244 State Lic:C-078194
Designer:
$0.00
Address:
General Service
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant:
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSO Fee:
$0.00
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $380.00 Fee Due at Permit Issuance : $387.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
chh Y
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $380.00 Fee Due at Permit Issuance : $387.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION •• ••• • • •• ••
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasoA(st indib;teal bglog?by tbLI che4mark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve) demolish or reVir arysttuPjjJre, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Litgnst aw (6hapter 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U pndns ithe wft, ardl t je Structure r„s riot intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property whopthrougiI emplTees' or QersorF bffart,'b)uilds or improves the property, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one ye9rpi cor$pletion, the dwner-Builder wilt have the burden of proving that it was not built or
mproved 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
Ipply 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:
3y 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,
;ell 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
Irofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Division 3 of the Business and Professi s Code, and m e e is in full force
Ind effect. License Class License No Dam —2-1� Contractor Signatuy$)/ �n 2,Z;
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (5100,000), IN ADDITION TO THE
;OST 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:
1 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
Sgekigce 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 workers'
carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone #
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, and agre
I, if I should become ssubjec(yto tthhe workers' comp(ralation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y� ,/
(nature of Applicant X 1 � .9_X Q/ - D.atpF�-Y�`� I V
CLARATION REGARDING CONSTRUCTION LENDING AGENCY (/�
:reby 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 3097, Civil Code).
ider'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 county tp )rater the abovpAenUked property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
DATE I BY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
1403
PERMITFINAL 0 1 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED �e IhI%I SIGNATURE:
Owner's or Authorized Agent's NamN C 1 (7=A--Pq7'Z_, Date
I FOR OFFICE USE ONLY