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Home My WebLink AboutX2019-0625 - Permitsrx.��•o4 City of Newport Beach - Building Division �s 4 100 Civic Center Drive, Newport Beach, CA 92660 F - • Permit Counter Phone (949)644-3288 at Inspection Requests Phone (949)644-3255 eausau�`.+ Combination Type - MFP 1111111111111111111111111111111111111111111111111911 COMB Permit: X2019-0625 Project No : 0444-2019 Issued Date : 08/2112019 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1 PARK NEWPORT DR NB St: 1 Ft: 2 Description: MFR (BLDG 3) PODIUM LEVEL GURADRIAL REPLACEMENT Legal Desc.: N TR 6947 LOT 8 Owner: PARK NEWPORT LAND LTD Contractor: R D M WEATHERPRF & CONTR Architect: R PTO %T @ r" Address: 201 FILBERT ST #700 Address: PO BOX 130 Address: V' SAN FRANCISCO, CA 94133 BEDIAS TX 77831 Phone: Phone: 714-404-8739 Phone: State Lic: Applicant: O'CONNELL KEVIN Con State Lic: 724244 Address: 23201 EVALYN AVE Lic Expire: 06/30/2020 TORRANCE CA 90505 Bus Lic: BT0302449 Phone: 213-271-2000 Lic Exp Date: 02/28/2020 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: VA Carrier: STATE COMP Occupancy Group: R2 Policy No: 921506 Added /New sq.ft. Bldg: 0 Expire: 05/15/2020 Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I No of Units: 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Construction Valuation: $149,000.00 Building Permit Fee: $1,462.00 Plan Check Fee: $1,271.94 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $2, PROCESSED BY: ZONING APPROVAL: Engineer: O'CONNELL KEVIN Address: 23201 EVALYN AVE TORRANCE CA 90505 Phone: 213-271-2000 State Lic:S-004707 Designer: Address: Phone: Special Conditions: - Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check : $0.00 Electrical W $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 PfMbing %: $0.00 Fire Department $40.00 Fire Inspection: $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 Plan Check Fee : $1,311.94 Fee Due at Permit Issuance : $1,478.00 PUBLIC WORKS PLAN CHECK BY: GRADING APPROVAL: / I APPROVAL TO ISSUE: 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 Iicensure 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 (_) 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). 111, 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 Iicensure 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 pemlit, I cannot Iegalll 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 �" hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) oMI f the Business and Profe, s�signs�(,ode, my license is in full force and effect. License Class License No Date 2 i Contractor Signature x^� ,L/ WORKERS' CO:RFENSATION DECLARATION WARNING: FAILURE-C CLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE ,MST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm undar penalty of perjury one of the following declarations: 71 I hw,e and wil! 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 lance of the work for which this permit is issued. Policy No. 51 hav and wi1i ioain:ain 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 insure a carrier ind policy number are: barner 342k CnMFensajle 1{15ur6�olicyNumber QzIOSDia Expiration Date 05115/2620 Name of Agent Phone # I certify that, in'"the rMornance 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 agre t, if I should become subject he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,r.3'Lre of ApFlicai`3,/A g(/21//c1 CLARATION REG RDING CONSTRUCTION LENDING AGENCY =.reby affirm under Oenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3Date Civil Code). lder's Name Lender's Address my signature below, I certify to each of the fallowing: 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 countv•�o t he above -id ntified property for inspection purposes. mature of Prooertv Owner or Authorized Aeent / — l � -A Print Property Owners or Authorized AGent's Namk n 060e 1 mf I'Obcl fQ_ Datg ACTION DATE BY \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 111�403 PERMITEXPIRED I LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMITEXTENDED OAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 3 PROPOSED DEMOLITION OCCUPANCYISSUED f SIGNATURE: