HomeMy WebLinkAboutX2021-2995 - Permits�WhyT City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2995
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 2 1 2 9 9 5 Project No : 2601-2021
Permit Counter Phone (949)644-3288
F,.
y , Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date :
Inspection Arearea :2022
3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 427 SANTA ANA AVE NB
Description: SFR RETAINING WALLS WI(19) CAISS IONS & PERMANENTE
SHORING
Legal Desc.: TR 27 LOT 6 BLK 12 SELY 72 FT(ANO SELY 72 FT LOT 7BLK
12
Owner: FAZIO INVESTMENTS LLC
Contractor:
MILO CONSTRUCTION Architect: DAKTERIS KARL FRANCIS
Address: 420 CATALINA OR
Address:
101 VIA MONTE PICAYO Address: 1960 SAN BURNO
NEWPORT BEACH, CA 92663
SAN CLEMENTE CA 92673 NEWPORT BEACH CA 92660
Phone:
Phone:
949-290-6429
Phone: 949-702-3573 State Lic:CO21769
Applicant: FAZIO INVESTMENTS LLC
Con State Lic:
871429
Engineer: JALALPOUR MOHAMMAD
' °'!
Address: 420 CATALINA DR
Lic Expire:
03/31/2024
Address: 152 DEERFIELD AVE
�^�y
NEWPORT BEACH, CA 92663
Bus Lic:
ST30038762
IRVINE CA 92606
Phone: 714-376-3221
Lic Exp Date:
03/31/2023
Phone: State Lic:S-006696
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d'
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
NO EMPLOYEES
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 10
Special Conditions:
No of Units : 0
Front: 5
Bldg Height: 0
Left: 5
Bldg Sprinklers:
Right: 5
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $62,010.00
Building Permit Fee: $1,522.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $794.31
Additional Fee:
$0.00
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
PM Plan Check : $50.75 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist : $0.00
Building Green Fee : $3.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,370.06
Plan Check Fee
: $465.45 Fee Due at Pe! it s -, once : $1,904.61
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PROCESSED BY:
nUBLK� WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
Af'^fi0'LAL 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 L) all of or L) 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 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:
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 legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 f Division 3 of the Business and rof si s Cod , and license is in full force
and effect. License Class License No Date Zlp • 2 _ Contractor Signa
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
'❑ 1 have and will 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
Derformance of the work for which this permit is issued. Policy No.
❑1 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' compensatiol
nsurance carrier and policy number are:
arr r Policy Number Expiration Date
a e of Agent Phone #
certify that, in the performance of the o k for ich 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
Iat, if I should become ubjec t the wor s' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a 7 e L
ignature of Applican Da9� l ' ZZ
ECLARATION REG4ftING CONSTRUCTION kNDING AGENCY
hereby affirm under Jenalty of perjury that there is Aconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 have provided is cok*ed
I agree to comply with all applicable city and county ordma as and atrelating to building construction.
I authorize representatives of this city or county to ant bove-idoperty for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A
ACTION I DATE I BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U [SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEO
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PERMIT EMENDED
L3AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: �_