HomeMy WebLinkAboutX2021-0526 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIflIII COMB Permit: X2021-0526
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 5 2 fill
Y { - Permit Counter Phone (949)644-3288 PfOJ@Ct NO : 1236-2020
E% qt Inspection�Rests Phone (949)644-3255
.0 uv40 Combing ype - FP ELEC t 105/2021
.que1 1 P EC I Inspection A a: 6
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PERMITapplicablp-
E VE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE CO PLETED BY N0�3/05y/�2024 OR uPIE1dRMIT ILL BE INVALID
Consf;'ti Hours: Monday -Fri 7:00a.m.t 6:3 .m. S m8:0�-d��p�:08f1 t�1 IUUOo18TUf1Us rHolidays
Job Address: 18 SAN PIETR ",13 i TUf1C1
Description: MFR - RIR CEI DD IN(M& EL A 2)
Legal Desc.:
to whore:
Owner: ARNOTT AMAN Contractor: OWNERIBLDR Architect: WISMER KEITH
Address: 18 SAN PIETRO Address: Address: 2601 E CHAPMAN AVE STE 1 '6
'- NEWPORTBEA C 926 FULLERTON CA 92831 • • o.••°°
Phone: 314-814-6222 //„i.Is MR hXt,
Phone: 714-336.6445 State Li 3 032253 • • ° ° • m ° °
Applicant: WISMER KEITHe ° PJ Engineer: ° • • °
Address: 2601 E CHAPMA. ;AV STE Lie Expire: Address: ....
°
FULLERTON CA 283 Bus Lie: ......
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Phone: 714-336-5445 Lie Exp Date: Phone: State Li
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Code Edit: 201� �m n i u�i nce (� i °B ° °ee•°°
Type of Construction: V-B 1, f ri6r: ':..4 1 1 d ��
Occupancy Group: R3/l Po'
Added /Newsq.ft. Bldg: 0 (workPoiigrNted) (no warrkstarted)
e om
Added /New sq. ft. Garage: - 0 . m ......
No of Stories: 2 Building Setbacks Rear: Pam-"' 1� Special Conditions: m ° ° ° ° °
No of Units : 3 Note: Frnn1, I
Bldg Height: 0
Bldg Sprinklers: C/}NC4 o.r-COuTMA�/b Right: I �n$pp initia`S'_A
Flood Zone: ' - e one: arm aces: ire He and Zone: fJ
Construction Valuation: $20,000.00 "
Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $361.92 Additional Fee, $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management : $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical W $29.12 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $862.29 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $862.29
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: y 1�_ PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
I hereby affirm unc
ction 7031.5, Bush
permit to file a sigl
fessions Code) or
more than five hur
I, as owner of the
driess and Profess
Irovements are not
loved for the purp(
I, as owner of the
kto an owner of p
I am exempt fg471
my signature Uglily
affirm
o ftM)+Offirm under ppgeflty of
9 1 have and All4nairNein a
Vdrmaoce oft - work,f , wh
31 have and will maintain wo
Isurance carrier and poligy nu.
of Agent
e on roc ors a e (cane Law for the reason(s) indicated below by the checkmark(s) I have laced next to the applicable item(s)
Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to it Issuance, also requires the applicant for
$r she is licensed pursuant to the provisions of the Contractors' State (commencing with Sect n 7000) of Division 3 of the Business and
Of f onH ensare-arrdtheinms'for al _ e p Ion. ny violation of S cdon 7031.5 by any applicant for a permi subjects the applicant to a civil penalty of
or In
err
with sth oleNpef f UportlorlabfYfl�Q�oTkrarttl'th�Stffuceture sfotntend
ThSt Lic se ean own p who, through employees' or personal effort, builds or
e. If, wev , t 'nant' s within a year gfOcumBLetio,0„the Owner -Builder will have the
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am y contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The 1
ho builds or improves thereon, and who contracts for the_projectiLwith as licensed Contractor pursuant to the Contractors' liceState lice
that, ex t for on aid h a e or eat one year prior to completion of the improve
rwner-b er if as not o ructed it ntI a ctors. I understand that a copy of the applicable
rjury that I am licensed under provisions of Chapter 9 (commeh 'ory7000) of Division 3 of the Bu 'ness and Profs
i9agse ID Catii lure _
LiNOL;CAR�.A PICA
eS' OMPENSATION COVERAGE IS UNLA U ,AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PE8A TJE$,PM gBly, S UP TO ONE HUNDRED
PROVIDED FOR IN t5E OF�2nj=4)CODE, INTEREST, AND ATTORNEY'$FEE no WUItt JLdI `C
rjury one of the Ilowing declarations:
�I Ic e�of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for
itNi�lDi
a' compensation insurance, as required by Section 3700 of the Labor Code, for the ppAWJ11Jt1WSjrk fo w i h t 's
or offered for sale (Section 7044,
Droves the property, provided that the
den of proving that it was not built or
(tractors' Slate License Law does not
e Law).
Its covered by this permit, I cannot legally
Sectic 7044 of a Bu iness and
Date I- )
ns Code, and my license is in full force
ISAN04OLLARS ($100,000), IN ADDITION TO THE
e 3700 of the Labor Code, for the
ssued. My workers' compensatior
]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' compensatio laws o California, and agree
tat, if I should become ubjecI t the workers' comps sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V(�//
ignature of Applican Dates_
IECL.ARATION RE G C STR C ON LENDING -AGENCY �� ��
hereby 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 3097, Civil Code).
ender's Name Lender's Address
y 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 dinances and state laws relating to building construction.
I authorize representatives of this city, count o e t t bove-identifiep pe y for i action purposes. `/ j� /� (�� f( �I G r� 2
-f o.....e.f„ n,.,.,o�..� A,nh,.deen A„onr 1' j i1/1/ U // I Print Prooertv Owner's or Authorized AGent's Name 7. ' \V V `v`u '" _ *U Date
DATE I BY IfDECLARATION OF COMPLIANCE NTH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EMENDED QMD
PERMIT FINAL ASBES NOT(%%C�ATION IS NOT APPLICABLE TO
CERTIFICATE OF PR OSE EMOU1Ij),1J, /