HomeMy WebLinkAboutX2022-1621 - Permits� Nt',akr City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111
a� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 6 2 1
w 1 Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2022-1621
Project No: 1672-2021
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PR S MUST BE COMPLETED BY d \Rf1',A
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and S ay from goek to 6:Otop.l�7vork
Job Address: 225 VIA LIDO NORD NB ,,,y��}�\ °
Description: SFR'CHANGE OF CONTRACTOR' CONCRETE BLOCK WALL 6' X 88 P/L) (X202, {10g O
Legal Desc.: TR 907 LOT 1059(AND NELY 10 FT LOT 1058 ®,,,, O010 lJ\
Owner: VALDER STEPHEN/TERI
Address: 5702 MOUNTAIN VIEW AVE
YORBA LINDA CA 92886
Phone:
Applicant: BARD MARTIN
Address: 470 OLD NEW BLVD
Phone: 949-645-581
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE: $3B.00
ZONING APPROVAL:
GRADING APPROVAL:
Date : 06/08/2022
tion Area : 2
^ :�
ctor. TONY NTINE CONS -VI C Archite � JEANNETTE BRION
Address: AN NICOLAS DR hQ Ad ess: 470 OLD NEWPORT V,
NEWPQRI'BEAC6rb fir NEWPORT BEACH CA 2E
949-72;3 6449 'b Phone: 949-645-5854 St e
% Con S to L$�C `'467553 Engineer: DEIHIMI AMIR HOSSEIN
, asEl #" BT300711132 0413012024 Address: LAGUNA 172 PLAZA
I LSOCINTE DR
A 92653
4 I -Lic Fan Date 02/2812023 Phone: 949-954.7244�1 State
Worker's Compensation Insurance` :1r' Designer: ,��{.J`'�
Carrier STATE COMP INSaoM Address:
Policy NO 1794693
Expire 07l1,III W22 ®` na
FBuilding Setbacks Rear: 4 ® SpeciaACo�dffIons:
Front: 10 0 \,A1
`._ Left: 4.� \5
Use Zone:
E itic I
'tio I StaC 8.00
g on $0.00
Ing PC l ultant : $0.00
Grading Permit Fee: 0
Grading PC Fee: $0.00
WW\Q(II nnsp: Fee: $0
I Elf cal %: / s .00
$0.00
$0.00
Plan Check Fee
WILL BE INVALID
,s or Holidays
rill
¢�tA�
J
0
DJ
Plannin partment-
Fee : $D.00
Fire Department
Fire Inspection:
$0.00
check
Fair Shar $0.00
Fire Plan Rev
$0.00
SJ ns $0.00
Demolition Fee
n-li sing Fee : $0.00
Building Dept Adm
$0.00
Works Department-
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check : $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSO Fee: $0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance :
$38.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 the
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair ructu
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Ch commencir
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti .5 by any applicant
not more than five hundred dollars ($500).
I have placed next to the applicable item(s)
)r t0 its issuance, also requires the applicant for
Z Section 7000) of Division 3 of the Business and
iermit subjects the applicant to a civil penalty of
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or ons of the work, and the structure n i1401?
Business and Professions Code: The Contractors' State License Law does not apply to an owner of y who, throu loyees' or pe b 'Id%'
improvements are not intended or offered for sale. If, however, the building or improvement is (thin one ye �( etic n, th ®r der will ha t6��
improved for the purpose of sale). f� a,'p 1� '+
❑ I, as owner of the property, am exclusively contracting with licensed Contr to construct the project1[t (Sectio 4 u iness and Professio ode: e
apply to an owner of property who builds or improves thereon, and who acts for the project ith a licen�a��tursuant to the actors' State c
❑ 1 am exempt from licensure under the Contractors' State a La for the follow aason:
By my signature below acknowledge that, except for s ale ce in I must hateded for at least qqqq r rwr to completion of the improv
sell a structure that I have built as an owner-bui I has not co ed in its entirety by lic ad cunderstand that a copy of the applicable
Professions Code, is available upon requ an thi a i n' mitted or atf following. a it p:)www.leginfo.ca.gov/calaw.html.
Signature of Property Owner SrA ed Ac�
LICENSED CONTRAC DECLARATI
I hereby affirm under p alty of perjuk atJ.a !can ad unde r;p ovisions of Chapter 9 {commencing wit n 7 0 of Dw' io 3 of the Business and Profe:
and effect. License; Cla 11..�G+ License No e��Contractor Signature
Bd or offered for sale (Section 7044,
improves the property, provided that the
)urden of proving that it was not built or
Law).
VORKERS' CONfFyEN TION DECL ATIO J'.--'�`�4 --. �,�q
IARNING: FAILURE TO SECURE ORNER ' SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIL YYEER T NAL PENALTIES AND CIVIL FIN UP.7Crp THOUSA
DST OF COMPENSATION; OAMA SAS VIDE FOR SECTION 3]060F THE LABORC INTEREST ANO ATTORN6'E S. C `■■
hereby affirm under penalty f perj o at the following declaratior>
I ha Ed will maintain ertifl 'dissent to self insure Ito s' corri*nsation, issued by the D r I 2elaht provi d for by Sectic
erto ante of the work forwhl this rmI[ Is is ued. Policy No. e�t,'a?9
a
have and will mai am rk s' co a sura mired/�j'y Section 3700 of the Lab Cod fo he per(e of the work for w ' ermit is
Isurance carrier and p cy.n mb are _ 1 / 00
mil. w
State License Law does not
Id by this permit, I cannot
7044 of the Business and
is in full force
($100,000(, IN XQDrRON TO THE
of the Labor Code, for
workers'
to of Agent Phoneyp#-(\�� -
certify that, in the performance a work for h' h this ermit u , I all not employ any person in any rra so as to beAO?Lub' a workers' compensation laws of California, and agre
if I should become sub' t to,t a rkers' ns ov f ec lq,[y��00 of the Labor Code, s orthwith cam h tt rovisions.
Iature of Applicant CGi``�''' ate����d17
:LARATION REGA IN CONSTR TIC) ii ACIFNIV/
:reby affirm under penalty of perjury the ereM
Ider's Name It
my signature below, I certify to each of th follo'
I am the property owner or authorized to a on
I have read this application and the inform 'orb
agree to comply with all applicable city an
I authorize representatives of this city or cc
nature of Property Owner or Authorized A
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
agency
this permit is issued (Section 3097, Civil Code).
minanc d at s relating to building construction.
e, enti I ropertyI for inspection purposes.
Print Property Owner's or Authorized A
DECLARATION OF COMPLIANCE ODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 411AND AQMD RULE
ASBESTOS NOTIFICATION TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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