HomeMy WebLinkAboutX2019-2123 - Permitsy��~roQt City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-21
100 Civic Center Drive, Newport Beach, CA 9266D X 2 0 1 9 2 1 2 3 Project No : 0210-2019
Permit Counter Phone (949)644-3288
4r Inspection Requests Phone (949)644-3255
E a+' Combination Type - SFP Issued Date : 125/2019
Area
d<Ir,ik a
Inspection Area : 5
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: 215 EVENING CANYON RD NB
Description: SFR -RAISE (E) DECK 18", BBQ,
2 METAL TRELLIS STRUCTURES, NEW METAL STAIRS, NEW ONGRADE
STAIRS *CHANGE OF ENGINEER*
Legal Desc.: N TR 1116 LOT 125
Owner: ARGYROS STEPHANIE
Contractor:
CARL AKINS COMPANY INC
/�
Architect: LIGHT CHRISTIAN R INSP --r-�OiJ ��,
ST #120 L�
Address: 215 EVENING CANYON RD
Address:
332 FOREST AVE #12
Address: 1401 QUAIL
CDM CA 92625
LAGUNA BEACH CA 92651
NEWPORT BEACH CA 92660
Phone:
Phone:
949-715-5445
Phone: 949-851-8345 State Li¢CO22334
,
Applicant: VILLALPANDO ALEX
Con State Lic: 801814
Engineer: MOKHTAR TAREK
,
Address: 1401 QUAIL ST #120
Lic Expire:
1213112019
Address: 31645 S COAST HWY
NEWPORT BEACH CA 92660
Bus Lic:
BT30008749
LAGUNA BEACH CA 92651
Phone: 949-851-8345
Lic Exp Date:
0113112020
Phone: 949-499-6254 State Lic:S-004189
Code Edit : 2016
Worker's Compensation Insurance
Designer: >
> >
Type of Construction:
Carrier:
STATE COMP. INS
Address:
,
Occupancy Group: U
Policy No:
9042529
Added /New sq.ft. Bldg: 0
Expire:
02/01/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00 Planning Department
- Fire Department
Plan Check Fee: $0.00
Additional Fee :
$35.00 Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management : $0.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee
: $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $0.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
IITOTAL FEE: $35.00 Plan Check Fee
PROCESSED BY: J
ZONING APPROVAL: 7
GRADING APPROVAL:
$0.00 Fee Due at Permit Issuance : $35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: + V
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
.he 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
iot more than five hundred dollars ($500).
I, 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,
3usiness 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
mprovements 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
mproved for the purpose of sale).
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legally
:ell 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
?rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
;ignscurp of Prlpoerty Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
•iielebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f Division 3 of the Business and Prof e siq s ode d my license is in full force
and effect. Licerse C!rss License No Date °)rly�1 Contractor Signature \
NORKCRS' CCRIPE'NSATION DECLARATION
YARNING: FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUND¢ED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
:0S I OF COMPEN6ATIr0N„ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
'neleoy affirm under penalty of perjury one of the following declarations:
:J ! haca and w!l 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
ierformance of fine work for which this permit is issued. Policy No.
and WIR 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'
carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the perfor once 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' c pensation laws of California, and
hat, if I should become Sul
u ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dat
)ECLARATION REGA ING C TRUCTION LENDING AGENCY
hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 30 , Civil Code).
.ender's Name Lender's Address
3y 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 h9'e 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 tl entecQJae. whnve-irlantifiad nrnnwrtv for inenentinn numnses
of Prooertv Owner or AL
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOTAPPLICABLE TO
FOR OFFICE USE ONLY
\J' I(AUUI117e-)