HomeMy WebLinkAboutX2019-3731 - Permits`,�,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II V COMB Permit: X2019-3731
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 3 1 Project No: 2569-2019
` '4' Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
�'m y." -Combination Type - BLDG PLUM Issued Date : 11/21/2019
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Inspection Area : 7
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: 410 29TH ST NB
Description: DEMO (E) COMM BLDG 9,600 SF
Legal Desc.: LANCASTERS ADD LOT 17 BLK 225(AND LOTS 18 AND 19 BLK 225 Ai
Owner:
CANNERY SAIL HOUSE LP
Address:
428 OLD NEWPORT BLVD
Record Management:
NEWPORT BEACH, CA 92663
Phone:
$0.00
Applicant:
CHRISICONTAINED
Address:
14627 VALLEY VISTA BLVD
Hazardous Mat
SHERMAN OAKS CA 91403
Phone:
310-743-3838
Code Edit: 2016
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $625.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,718.75
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: CONTAINED
Address: 14627 VALLEY VISTA BLVD
SHERMAN OAKS CA 91403
Phone: 310-743.3838
Con State Lic:
1013344
Lic Expire:
0413012020
Bus Lic:
BT30067631
Lic Exp Date:
0513112020
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No:
Expire:
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: I
Front: /
Left: I
Right: I
larking Spa
$0.00
$105.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$56.25
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
KA
0-1
Special Conditions: LIQUEFACTION AREA
*HIGH DENSITY
HAULER; TIGHT QUARTERS
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
$0.00
$0.00
$26.00
$210.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,718.75
< o . o PUBLIC WORTS APPROVAL:
PLAN CHECK BY:
APP�iONAL TO ISSUE:
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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
$26.00
$210.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,718.75
< o . o PUBLIC WORTS APPROVAL:
PLAN CHECK BY:
APP�iONAL 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 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
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`bf 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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
nproved 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 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
;y 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 legally
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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Di isio of the Business and P fes 'ons gpde, and se Is In full force
nd effect. License Class - License No Date —lr� contract Signatul� Y
CORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($700,000), 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:
7 I 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
arformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performs e�f 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
t, if I should become Su,
'e to a rkers' compensation ' ' Idn 3700 of the Labor Code, I shall forthwith comply with those provisions. ee
nature of Applicant DatC.�
CLARATION REG DI G 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
By 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 havevided is correct.
I agree to comply with all applicable city and county o in noes and state laws relati lding construction.
I authorize representatives of this city or county to n er a ove= property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na �� t Da
ACTION DATE B CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403. ..• .. --- ---
PERMIT EXPIRED
LA 15U8 ITTEE�ASBESTOS NOTIFICATION TO.
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PERMIT CANCELLED
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PERMIT EMENDED
MD
PERMITFINAL
STO OTIR TI 15 NOT APPLICAB
CERTIFICATEOF
PROPOSE EMO ITI N •�• •
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OCCUPANCYISSUED
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