The URL can be used to link to this page

Home My WebLink AboutX2019-4110 - Permitswta� City of Newport Beach - Building Division �s 100 Civic Center Drive, Newport Beach, CA 92660 f.' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r'dcrxe,v`'' Combination Type - BLDG GRAD ELEC IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2019-4110 x 2 9 1 9 4 1 1 0 Project No: 2837-2019 Issued Date : 06/19/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612012023 OR PERMIT WILL BE INVALID 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: 1011 CAMELBACK ST NB Description: COMM SITE WORK, TRELLIS, ENTRY VESTIBULE, DRIVE APPROACH, RE -STRIPING Legal Desc.: TR 6680 LOT 2 POR OF LOT 2 AND POR OF LOT 3 Owner: BAT YAHM TEMPLE Address: 1011 CAMELBACK ST Contractor: Address: KRAUS CONSTRUCTION INC 18265 MOUNT BALDY CIR Architect: Address: JEANNETTE BRION S 470 OLD NEWPORT BLVD NEWPORT BEACH CA 92660 FOUNTAIN VALLEY CA 92708 NEWPORT BEACH CA 92663 P.¢y CD Phone: Phone: 714-536-1429 Phone: 949-645.5854 State Lic:C008012 Applicant: JEANNETTE BRION S Con State Lic: 377814 Engineer: MANSHADI FARHAD Address: 470 OLD NEWPORT BLVD Lic Expire: 07131/2021 Address: 1800 E 16TH ST UNIT B NEWPORT BEACH CA 92663 Bus Lic: BT30036947 SANTA ANA CA 92701 Py Phone: 949-645-6854 Lic Exp Date: 0913012020 Phone: 714-835-2800 State LIc:C-036840 Code Edit: 2016 Type of Construction: VB Worker's Compensation Insurance Carrier: EVEREST NATIONAL Designer: Address: Occupancy Group: U Added /New sq.ft. Bldg: 0 Policy No: Expire: 7600011706191 07/01/2020 Phone: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: PC-5 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $149,999.00 Building Permit Fee: $1,507.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,311.09 Additional Fee : $0.00 Plan check Fee : $249.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $57.75 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $96.00 Grading Permit Fee: $1,015.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $294.00 Grading PC Fee: $883.06 Public Works Department - General Service $0.00 CA Seismic Safety: $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $150.00 PAN Plan Check: $170.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $197.27 San Dist : $0.00 Building Green Fee : $6.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $5,936.66 Plan Check Fee: $2,574.15 Fee Due at Permit Issuance: $3,362.51 PROCESSED BY: '� �; - ` `� roc. `. `� ` Rulkk 111ORKS APPROVAL: �i o • Y c Y VII6 ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ` .. Y 00 c < `:. `.APPROVAL TO ISSUE:1 • r eT 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 the 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 'Business 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 .improvements 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 improved 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 apply 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: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury tha11 am licensed under provisions of Chapter 9 omrt�encing with Section 7 0 of vial 3 f the Business and Prgffessiong,gode, and license is in full force and effect. License Class JGG' License No 22% 77 `fir Date Contractor Si natyra� //-(-NG WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN pgrformance of the work for which this permit is issued. Policy No. have and will intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe it is issued. My workers' compensatior rant carrier rid olicy�num er ar I / ier b '-+� oli y ber �/� 3 L /�� 7 7 �� Expiration Date % /1 is of Agent * Phone # certify that, in the performance of t e work for which this- ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree , if I should become su ject to t orkers' compen ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Iature of Applicant 7 CLARATION REG G O STRU ON LEMD[hrd AGENCY lreby affirm under p rally of perjury t 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 tq/enter t above-identifie opgrty for inspection purposes. r nature of Prooertv Owner or Authorized Acent V( �Q- ,Print Property Owner's or Authorized Agent's Nam ACTION DATE BY f DECLARATIO�F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` (/ REGULATIO PART 61 OF TITLE 40 AND AOMD RULE 1403 • ••• •• • e PERMITEXPIRED DI SUBMITTED ASBESTOS N0TIF!1CJT1QIfTO •• ° • ° ° • p PERMITCANCELLED EPA ° • • e ° ° Y • PERMIT EXTENDED 13AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �i�/ AFL • • • • • • s PROPOSED DEMOLITION • • • • • • • e • c e • • • OCCUPANCYISSUED SIGNATURE: