HomeMy WebLinkAboutX2021-3113 - PermitsCity of Newport Beach - Building Division
m 100 Civic Center Drive, Newport Beach, CA 92660
w Permit Counter Phone (949)644-3288
. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIII�IIIII�IIIIIIIIIIIII�IIIIIIIIIIIIu II COMB Permit: X2021-3113
x 2 0 2 1 3 1 1 3 Project No : 2697-2021
Issued Date : 12123/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/23/2024 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: 433 VIA LIDO SOLID NB
Description: SFR *STOP WORK* INTERIOR REMODEL, KITCHEN, MASTER BATHROOM & CLOSET, BAR AREA, (3) GUEST BATHROOMS, REPLACE RECESSED LIGHTING, DRYWALL REPAIR
AS
Legal Desc.: TR 907 LOT 468 NWLY 20 FT AND SELY 10 FT LOT 469 AND POR ABAND ALLEY
Owner:
GULDJIAN CHRISTOPHER
Address:
4072 MORNING STAR DR
HUNTINGTON BEACH CA 92649
Phone:
714-580-3875
Applicant:
GULDJIAN CHRISTOPHER
Address:
4072 MORNING STAR DR
HUNTINGTON BEACH CA 92649
Phone:
714-580-3875
Code Edit
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Contractor: O W N ERIBLD R
Address: GULDJIAN CHRIS
4072 MORNING STAR HB 92649
Phone: 714-580-3875
Con State Lic: 0/B
Lic Expire:
Bus Lic:
Lic Exp Date:
2019 Worker's Compensation Insurance
Carrier:
R3/U Policy No:
0 Expire:
0
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Building Permit Fee: $1,297.00
Plan Check Fee: $1,128.39
Overtime Plan Ck:
$0.00
Investigation Fee:
$1,297.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
% TALFEE a64,*4.29 •ea *>*
PROCESSED BY:
ZONING APPROVAL
GRADING APPROVAL ^
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$90.79
$51.88
$116.73
Plan Check Fee
Architect: COFFEE NATHAN
Address: 1245 E WALNUT ST
PASADENA CA 91106
Phone:
6261578-5614 State Lic:C032130
Engineer:
SIVUSHENKA MIKITA
Address:
22121 CLARENDON ST
WOODLAND HILLS CA 91367
Phone:
323-448-4682 State Lic:C-087698
Designer:
Address:
Phone:CONSTRUCT
�-.�,� N iUltit
Special Conditions: 121- 2
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $101.50
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$1,180.39 Fee Due at Permit Issuance : $2,983.90
PUBLIC WORKS APPROVAL: Tlwk
PLAN CHECK BY: I 1
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION I
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 (_) all of or U 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 th
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 #'+
I�m7proved for the purpose of sale).
yu-
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
p 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).
EY I ak exempt from licensure under the Contractors' State License Law for the following reason:
By my 4gnature below I acknowledge that, except for my personal residence in which I must he SI for at least one year prior to completion of the improvements covered by this permit, I cannot legally
II a s cture that I have built as an owner -builder if it has not been cons entirety lice ed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Pro assions Code, is available upon request when Is application Is rat eb site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized AgentI
X l D
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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 ADDmON TO THE
COST 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:
❑ 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 the
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatiol
insurance carrier and policy number are:
Policy Number
Agent
Date
rtify that, in the performance of the work for which this _permit is issued t employ any person in any manner so as to become subject to the workers' compensation laws of. California, and agre
L I I should become subject to the workers' co rovisio 00 of the Labor Code, I shall forthwith comply with those provisions.
lure of Applicant Date_
CLARATION REGARDI G NSTRU NDING AGEN
: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, Civi(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. �'�j ST(? �yy��
I agree to comply with all applicable city and county ordinances and state elating to building construction.
I authorize representatives of this city or county tfJ enter ove- a roperty for inspection purposes. ^' %�{�) Jd r}Jj d
nature of ProDertv Owner or Authorized Aqent I� print Property Owner's or Authorized Agent's Name 1( �' P'JJ f � Date /
ACTION
DATE
BY U
`DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY \
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT CANCELLED
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PERMIT EMENDED
QMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
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POSED DEMOLITION
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OCCUPANCYISSUED
SIGNATURE.
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