HomeMy WebLinkAboutX2021-0902 - Permits„� City of Newport Beach - Building Division `X2021-0902" COMB Permit: X2021-0902
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100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0833r-2021
Permit Counter Phone (949)644-3288 i
s; Inspection Requests Phone (949)644-3255 i4i III� V I V Issued Date : 0912712021
r•�ciYa uz,* Combination Type - MIFF ELEC MECH PLUM i VV Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0912712024 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: 7406 W OCEAN FRONT NB
Description: MFR -REMODEL 2ND FLR UNIT "B" TO RESTORE ORIG (3) BEDROOMS, REMODEL BATHROOM 210 SF
Legal Desc.: SEASHORE COLONY TR LOT 4 BLK N ALL -INC FOR ABAN ST ADJ- -EX ALLEY -
Owner: HARUTUNIAN ALFRED
Contractor:
OWNER/BLDR
Architect:
Address:
EDMONDSON PHILIP LEE
2600 NE BLVD
,
Address: 7406 W OCEAN FRONT
Address:
HARUTUNIAN ANI
3252 VICKERS DR
TPORTBEACA 92663
NEWPORT BEACH CA 92663
Phone:
818-675-9468
Phone:
949-675-9468 State Lic:C018423
Phone: 818/631-4161
Applicant: EDMONDSON PHILIP LEE
Con State Lie:
O/B
Engineer:
Address:
.. '
Address: 2600 NEWPORT BLVD #114
Lie Expire:
NEWPORT BEACH CA 92663
Bus Lie :+�
Phone:
State Lic:
Phone: 949-675-9468
Lie Exp Date:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Address:
Type of Construction: V-B
Carrier:
occupancy Group: R3/U
Policy No:
Phone:
Added /New sq.ft. Bldg: 0
Expire:
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: /
Special Conditions: HIGH DENSITY
'
No of Stories: 2
Front: I
LIQUEFACTION
No of Units : 2
Left: /
Bldg Height: 0
Right: /
g
Bldg Sprinklers:
X
Use Zone: Parkin Spaces:
0 Fire Hazard Zone : N
Flood Zone:
Valuation: $16.800.00ermit
Fee: $365.00
Excise Tax:
$0.00
Planning Department -
Plan Fee :
Fire Department
$52.00 Fire Inspection:
$0.00
Fonion
ck Fee: $317.55
Additional Fee :
$0.00
$0.00
check
Fair Share :
$0.00 Fire Plan Rev
$0.00
Plan Ck: $0.00
Grading Bonds Fee:
$0.00
SJH Trans :
$0.00 Demolition Fee
ion Fee: $0.00
Grading PC Consultant :
$0.00
In -lieu Housing Fee :
$0.00 Building DepttiAdm
Record Management : $12.00
Grading Permit Fee:
$0.00
Public Works Department -
General
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
cation $0.00
Refund Deposit
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
PM Pladn'Check : $50.775
Grading Bond:
$0.00
Disabled Access : $0.00
$0.00
Electrical W
$25.55
San Dist: $0.00
$0.00
Hazardous Mat
Building Green Fee : $1.00
Mechanical %:
$14.60
NMUSD Fee: $0.00
$0.00
Plumbing %:
$32.85
Plan Check Fee
: $406.80 Fee Due at Permit Issuance :
$464.50
TOTAL FEE: $871-3p30
f. S
PUBLIC WORKS APPROVAL:
PROCESSED BY:
C
PLAN CHECK BY:
D
ZONING APPROVAL: 1(
APPROVAL TO ISSUE:
GRADING APPROVAL:
V YYRCR-O UILUCR ULULNRHI 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law does not apply to an owner (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, improvements are not intended or offered for sale. If, however, the building or improvement is solof property who, through employees' or personal effort, builds or improves the property, provided that the
improved for the purpose of sale). d within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
x 1, 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 permit, I cannot Iegall�
sell a.structure that I have built as an owner -builder if it has not been constructed in its en ensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rrrofersions Code is available upon request when thj� �pPh is submitted a following Web site:http://www.leginfo ca gov/calaw html
Signature of Propbr,y Owner or Authorized Agent X Date K�. 27 2L92 r
L!CEJSED CIONTRACTOR'S DECLARATIOW
I hereby affirm -mdEr oenalty 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 .lass License No Date Contractor Signature
WORKERS' COGGFENSATION DECLARATION
NARNIN G: FAILUiE 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
CCST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Larcty affirm under penalty of perjury one of the following declarations:
1 have and rvil 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
>e'loumance of fhe work 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'
'ante carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY —
: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
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 t�o%nter a above -id pe y for inspection purposes. `, /r
nature of Property Owner or Authorized Agent
l� .r �A��-/ ' r t Property Owner's or Authorized Agent's Name 7l five.
OACTIONDATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
IRED I SUBMITTED ASBESTOS NOTIFICATION TO
CELLEDENDEDAL NOTIFICATION IS NOT 6RHEd8tP-TO
EOF PROPOSED DEMOLITION
YISSUED .............ry /f , " 1) �.
FOR OFFICE USE ONLY
Civil Code).