HomeMy WebLinkAboutX2019-3686 - Permits (2)City of Newport Beach - Building Division
,# r
r1" � 100 Civic Center Drive, Newport Beach, CA 92660
t n, Permit Counter Phone (949)644-3288
'v 5 Inspection Requests Phone (949)644-3255
Combination Type - CIP
COMB Permit: X2017-3595
Project No : 2227-2016
Issued Date : 03/13/2018
Inspection Area : 7
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: 835 PRODUCTION PL NB
Description: COMM OUTDOOR HAZMAT STORAGE. AREA ON WEST SIDE YARD ADJACENT TO BLDG 4 "HIXSON" (24' x 100')
Legal Desc.: TR 3145 LOTS 68,7"' -
Owner: HIXSON METAL FIN HINIUZ per,. ntra r. GENERAL CONSOLIDATED CONST Archite t: BRAHMBHATT SUMIT "IN
Address: 829 PRODUCTION P �"`'� ' (/�^ r-dKddies--r�000-ewy«. LW If .t;ableE WHITTIER BLVD
NEWPORT BEACH, A PERRIS, CA 92570 LA HABRA CA 90631
Phone: 9496454800, -^•Phone 95 734.350 P bf State Li ❑ 87/o or /o refund
Applicant: LUBBI TOM Con State Lic: t 6 28� Engineer: CARRILLO JESUS EDUA D
Address: 829 PRODUCTION P ,tic Expire 0/3112019 - Address: 8207 BROOKGREEN RD '`
NEWPORT BEACH CPA 92 -;,, `� Bus Lic `�' BT3005291 - towhom: NEY CA 90240
Phone: 949-922-8844 5 Lic F_xp Date: 1013112018 Phone: a e Li : 7737
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sci t. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 37
Bldg Sprinklers:
Flood Zone:
2013 Worker's Compensation Insurance =;y
r Carrier STATE COMP.f
H Pol�iscy No. - 9121085
-0'i', rX ..e.?.cf�nre " �S' 01/iiII/2019 Va E D
Building Permit Fee: $142.00
Plan Check Fee: $123.54
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat $0.00
Building Green Fee : $1.00
PROCESSED BY:
Building Setbacks
Excise Tax:
i�a y • Additional Fee
I .• .
TOTAL FEE: $906.54
ZONING APPROVAL:
GRADING APPROVAL:
Designer:
Address:
Phone:
Rear:
10
Special Conditions:
(847/853 PROC
15
tr^�FFrrront:
��`'�)
► s caEde
"dFRi gl
paces:
ivJ
$0.00
(no work started)
Planning Department -
Fire Dep:
$57.00
Plan check Fee: $226.00
Fire Ins
$6 89
_ $0.00
Fire Plan
Grading PC Consultant : $0.00 SJH Trans :
Grading Perm t Few .00 In -lieu Housing Fee: lnsp
Gradino PC Fee: $0.00 _ Public Works Dep, ment -
PAN Plan Check : $0.00
Electrical %: $0.00 San Dist: $0.00
Mechanical %: $0.00 NMUSD Fee: $0.00
Plumbing %: $0.00
Grading
Dept
$0.00
$358.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $906.54
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APFnCVAL 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 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 (_) 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 df 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 acknow ±E+!? I tteeinwF+ioh�F+a+ie4l vesesiClr' t•^r at least one year prior to completion of the improvements covered by this permit, I cannot legal)
sell a structure that I have built an owner -builder if it h of been co9nstruct Its entirety by licensed contrac or—o s1 uiiaLTSldflRfflfEt��eepy�or. w Section 7044 of the Business and
Professions Code, is available u n regfgs��tF� p thisce4ionAcsLbwlittor the following Web site:http:/hcnvw.leginfo.ca.gov/calaw.html.'
Signature of Property Owner or thorlffeeHH4�§�nt• ////, ��� OOO �tp r• to
LICENSED CONTRACTOR' DECLARATION
I hereby affirm under penalty of rjury nsed _,.r provisions of C pter.0 (co ncin with Section 7 0 D"v 'o of the Business and Pr a ions d nse is in full force
and effect. License Class icense No y;� ? Date r etrir
WORKERS'COMPENSATI DE LA A N VV r��
WARNING: FAILURE TO SECURE WORK S' c OVERA UNLAWFUL AND SHALL SUBJECT IP YER TO CRIMINAL PEWIES PND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ($100,000(, IN ADDITION TO THE
'COST OF COMPENSATION, DAMAGES A PROVI CTION 3706 OF THE LABOR CODE, INTEREST, AN O &Q81PEES GV W $f Q jp,
I hereby aff4m under penalty of p rjury one of the following declarations:
1 have and will maintain a c rtifica of con t to Iorx'w"orkers`corT�Serfa�aT�B;-. isSfiYtF�f-by the Director of Industrial Relations as provided for by S tion 3700 of the Labor Code, for th
FUSlrance
ormance of the work for whit this rmlt Is IsMed. o.
have and will " intain work s' co Insur uiIV by Section 3700 of the Labor Code, for the performance of the work for which this perm is issued. My workers' co
mpensatiocarrier a olicy numt as �
Carrier i umber Expiration Date
Name of Agent Phone #
- v
I certify that, in the performancof the wort Ffor tlj-ch,dhks permit is issued,'l shall not employ any iefs�d i anner so as to becom@ subject to the4workerms'nsation laws of California, and agre
that, if I should become ub ctto, he IcP Dmp s,a?bol5 provisions of Section 37 0 ofthe Labar Cod�j I s all fl�ll rtfse v I s.Signature of AppJJ`,/�] UDECLARATION REGAR ING C STRUCTION LENb NCI .�N �--' Q �/ rI hereby affirm under penalty of pe jury that there is a construction lending agency for the performance of the wo 1or whiC t %g t4Vdh ,d (Section ).
Lender's Name Lender's Address
By my signature below,.1 certify to ach ofit l e• fallei__—___
I am the property owner or au rorized to act on the property owner's behalf.
I have read this application an the information I have provided is corrects ill$ jJ• Ill Ilc7�$, CO 1
I agree to comply with all applicable city and county ordinances and state laws relating to ul Ing j
authorize representatives of this city or count f enterjbe- e-0 rep — pectfam _ L U Da
Si nature of Pro erty Owner or Authorized A ant Print Property Owner's or Authorized Agent's Na f -
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NO l IFIC!1TION TI l
PERMIT CANCELLED -�j EPA
PERMIT EXTENDEDLIAQMD
PERMITFINAL L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: