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Home My WebLink AboutX2012-1311 - Permits.,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2012-1311 a� d,R'. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 2 1 3 1 1 Project No : 1018-2012 'w, Permit Counter Phone (949)644-3288 �' N ova L7 Fa4itsro'R , Combination Type - BLDG GRAD Inspection Requests Phone (949)644-3255 Jab Address: 201 CARNATION AVE NB Issued Date : 09/02/2014 Description:ROUGH GRADING/SHORING & (33) CAISSONS "AERIE" Inspector Area: 5 Legal Desc.: CORONA DEL MAR LOT BILK D POR OF BILK Owner: ADVANCED GROUP 99-D Contractor: TONY VALENTINE CONST INC Address: 15320 BARRANCA PKWY STE 100 Address: 700 CARNATION AVE IRVINE CA 92618-2256 CORONA DEL MAR CA 92626 Phone: 949-595-5900 Phone: 949-723-6449 Applicant: JEANNETTE BRION S Con State Lic: 467563 Address: 470 OLD NEWPORT BLVD Lic Expire: 0413012016 NEWPORT BEACH CA 92663 Bus Lic: BT00021099 Phone: 949-645.5854 Lic Exp Date: 02/28/2015 Code Edit: 2010 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Building Permit Fee: $4,273.60 Plan Check Fee: $3,129.99 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee: $159.00 Hazardous Mat: $0.00 Building Green Fee: $28.00 TOTAL FEE: $22,416.45 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 07/01/2015 Building Setbacks Rear: I Front: / Left: / Right: / Use Zone: Parking Spa Excise Tax: $0.00 Grading PC Consultant : $6,994.56 Grading Permit Fee: $4,364.06 Grading PC Fee: $0.00 WQ Insp. Fee: $23.20 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: JEANNETTE BRION S - 470 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 949-645-5854 State LiGC008012 r NARAGHI-ARANI KAMRAN 30423 CANWOOD ST #223 AGOURA HILLS CA 91301 m°"p°o 818-865-2026 State Lic:C-040985 o •° o a ° momm Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $429.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $626.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Plan Check Fee : $4,802.63 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: v APPROVAL TO ISSUE: EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. „m mono $0.00 $615.40 $0.00 $0.00 $0.00 $0.00 $0.00 $17,613.82 • • oaoao• ore o a omoao omomoc a m a ° I IUN 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 legall, 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:// M .leginfo.ca.gov/c-alaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm urice-rpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D-+" S 3 of the Business and Professions Cy0e�d my lic�Ppsa is in full force and effect. LiceOSe'Class License No Date Contractor Signat SVORK£RS' G(5MPI:NSATION DECLARATION PARNIRG: FAILURE IMMURE 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 qF1 OMPENSAAON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bereby affirmne±erpe nalty of perjury one of the following declarations: ?h have an;MVIaintain 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 J -Iovnance of lie*wok 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' compensatiol A a:. cerrier'and policy number are: AmeP ....... Policy Number Expiration Date 49i'liV fAgent ' Phone# ...i �I certify that, ip t 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' compensation laws of California, and agree hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant / Date )ECLARATION REGAMINGCONSTRUCTION LENDING AGENCY i hereby 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 .ender's Name Lender's Address ly 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 enter bove-ider)tified property for inspection purposes. 'o s� signature of Property Owner or Authorized Agent Z� Print Property Owners or Authorized Agent's Name Date Civil Code). ACTl()Pt DATF RV DECLARATION OFCOMP(lANICE W/THCODE OF WN UMU H5,E EMT FEDERAL REGULATIONS PART 61 OF TITL€CHI AND AOMDR XE 140 PFRMrT,YP1R=r) ❑ 1sftnM[7TFf).ASflr4;T12SW)17rR'4TK)MTn- ❑ EPA ❑ Alwona PEiIAMTCAPICLIUD PERILMr.yTENDEO [3 AsBaTos mamcAnwis NOT Appactffi.E To PROPOSEDDEMOUTION_ Pl,4KA7T FhW CERTTFTfATECF 1lI0CCUDAPJCk'ts50ED 2, 7,0 SIUNAfWE.,