HomeMy WebLinkAboutX2020-1827 - Permitsoum'."-s,
City of Newport Beach - Building Division100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 8 2 7
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG GRAD PLUM ELEC MECH
COMB Permit: X2020-1827
Project No : 1461-2020
Issued Date : 05/2112021 - -
Inspection Area : v
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/21/2024 OR PERMIT WL
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
Job Address: 4239 UPTOWN NEWPORT DR NB
Description: ROUGH GRADING AND WET UTILITY IMPROVEMENTS FOR LOT 1 "PARKHOUSE RESIDENCES"
Legal Desc.: N TR 7953 LOT 2
Owner:
PARKHOUSE RESIDENCES, LLC
Address:
2 PARK PLACE #700
IRVINE CA 92614
Phone:
9491417-4462
Applicant:
BROWN JUSTIN
Address:
17782 17TH ST STE 200
TUSTIN, CA 92780
Phone: 714-665-4538
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $3,869.00
Plan Check Fee: $3,432.03
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$38.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$21.00
TOTAL FEE: $15,058.39
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ROBINSON REESE LP
Architect:
Address:
2505 W COAST HWY #202
Address:
NEWPORT BEACH CA 92663
Phone:
949-910-3047
Phone:
Con State Lic:
1053055
Engineer:
Lic Expire:
05/31/2021
Address:
Bus Lic:
BT30071636
Lic Exp Date:
0413012022
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
EXEMPT
Address:
Policy No:
NO EMPLOYEES
Expire:
Phone:
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
Parking Spa
$0.00
$0.00
$445.00
$2,204.16
$1,698.00
$483.84
$0.00
$506.45
$154.76
$661.15
0
State Lic:
BROWN JUSTIN ANTHONY
17782 17TH ST, STE 200
TUSTIN CA 92780
7141665-4500 State Lic:C-085617
I
Special Conditions:
Planning Department -
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $430.00
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$555.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
oaa
$0.00
$570.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $15,058.39
Fee Due at Permit Issuance :
$0.00
PUBLIC WORKS
APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: UI W r 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 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
3rofessions Code) or that he or she is exempt from Iicensure 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
lot 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).
1 am exempt from Iicensure 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
all 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.htmi.
Signature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION
hereby affirm unJ,i penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 Divi ion 3 of the Business and Profe I s ode, my I zns is in full force
and effect. Licer Cass License No Date Contractor Signature ,
rJORKERS' CZ177—NSATION DECLARATION
VARNING: FAILURE TO'_'=-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S ($100,0001, IN ADDITION TO THE
iOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereoy affirm under penalty of perjury one of the following declarations:
J : ha%e and w.:1 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
)erformance of th= worlr for which this permit is issued. Policy No.
have and will mainiain 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'
rance carrier and policy number are:
ler_ Policy Number Expiration Date
to of Agent Phone#_
1 c!iiy that, in`the 'lPrfofmance of th ork 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 agree
if I should becomes ject th ore mpensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7
'signature of Applicant, H Date/
IECLARATION REGARDI CONSTR ION LENDING AGENCY
hereby 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, Civil Code).
Ender's Name Lender's Address
ly 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 or na s and state laws relating to building construction.
I authorize representatives of this city or county tplent MSa jnve-identified property for inspection purposes.
ACTION DATE BY UDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
�L"1fL
r
V�
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
G