HomeMy WebLinkAboutX2021-2016 - PermitsCity of Newport Beach - Building Division
. 100 Civic Center Drive, Newport Beach, CA 92660
w Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Privaia"'`' Combination Type - MFP
����������� II COMB Permit: X2021-}2016
Project No : 0221-2021
Issued Date : 08/03/2021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810312024 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: 424 FERNLEAF AVE NB
Description: NEW DUPLEX W/ATT GARAGE 3,1301398 SF, CARPORT 423 SF, PORCH 75 SF, 223 SF, DECK 761 SF, BALCONY 323 SF & LOGGIA 232 SF *CHG OF CONTRACTOR*.t.
.. _.:. __.____ . .
egal Desc.: CORONA DEL MAR BLK 433 LOT 6 ---- _
Owner: BIRE II LLC
Contractor:
MONTESANTOS BUILDERS INC
Architect:
Address: 7642 W IRVING PARK RD
Address:
459 E ALLISON
ST
Address:
NORRIDGE IL 60706
ELMHURST IL 60126
Phone:
Phone:
630-514-5158
Phone:
State Lic:
Applicant: JEHEBER ROD
Con State Lic: 1077463
Engineer:
REZAEI ALI
Address: 410 32ND ST#202
Lic Expire:
06/30/2023
AM:
SKYPAR C R 9E2NEWPORT
CA 92663
��021
Phone: 9 9-3222 3188�CH
LicsExp Date:
08130/20221
Phone:
j�l �p)/"�r�
94,t19--4146666 93 IySt 'L1C:O �/4V.9891K
Code Edit: 2019
Workers Compensation Insurance
Designer
'JEHEBER ROQ ,'e.
Type of Construction: V-B-SPR
Carrier:
EXEMPT
Address:
-
332ND ST #202Occupancy
Added /New sq ft .Bldg: R3/U 0
Policy No:
no employees
(410
�I,
TMOls
Expire;
Phone:
"§"499
Added /New sq. ft. Garage: 0
No of Stories: 3
Building Setbacks
Rear: /
Special Conditions: HIGH DENSITY AREAg
No of Units : 2
Front: /
*CHANGE OF CONT
Bldg Height: 0
Left: /
9G
Bldg Sprinklers: Y
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $0.00
Building Perrnit Fee: $0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$38.00
Plan check Fee :
$0.00 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: $0.00
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
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee: $0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $38.00
Plan Check Fee
: $0.00
Fee
Due at Permit Issuance :
$38.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
o -
GRADING APPROVAL: moo_;' - APPROVAL TO ISSUE:
�a o
OWNER -BUILDER DECLARATION
1
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).
❑ 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,
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 Iegall�
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://v .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7PU0 f qivision 3 of the Business and Profe sio s C de, a ensa is in full force
and effect. License Class License No Da �- Contractor Signatufe
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 ($100,000), 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 th
performance of the work forwhich 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:
of Agent
rtify that, in the performance of the
I should become subleet tafpe-we
of
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date $ I3 Z' I
CLARATION REGARDING CONS@RUCTION LENDING AGENCY
ereby 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, Civl Code).
rder'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 ordinaikIces A9d state laws relating to building construction.
I authorize representatives of this city or coun>tylter the o-o a ified property for inspection purposes. 1f
nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY x DECMRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
MC11�f'SPh\'tOS nra�
PERMITEXPIREO LI I SUBMITTED ASBESTOS NOTIFICATION -TO
PERMIT CANCELLED E • • •.• •" • +;
PERMIT EMENDED QMD
PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF /�1PROPOSED DEMOLITION
`� - •�• - • ,,•• ••• e•• �••
OCCUPANCY ISSUED ' V SIGNATURE: • •• • • "
ooa boa m�, • + noa oe