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HomeMy WebLinkAboutX2020-1827 - Permits (3)City of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIII� II COMB Permit: X2020-1827 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 8 2 7 Project No : 1461-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD PLUM ELEC MECH Issued Date : 7 o21 Inspection Arearea PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512112024 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 LJ 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 Contractor: ROBINSON REESE LP Architect: Address: 2 PARK PLACE #700 Address: 2505 W COAST HWY #202 Address: _ IRVINE CA 92614 NEWPORT BEACH CA 92663 Phone: 9491417-4462 Phone: 949-910-3047 Phone: State Lic Applicant: BROWN JUSTIN Con State Lic: 1053055 Engineer: BROWN JUSTIN ANTHONY Address: 17782 17TH ST STE 200 Lic Expire: 05131/2021 Address: 17782 17TH ST, STE 200 , TUSTIN, CA 92780 Bus Lic: BT30071636 TUSTIN CA 92780 Phone: 714-665-4538 Lic Exp Date: 04/30/2022 Phone: 7141665-4500 State Lic:C-08 617 ' Code Edit : 2019 Workers Compensation Insurance Designer: Type of Construction: Carrier: EXEMPT Address: > > Occupancy Group: U Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 1 No of Stories: 0 Building Setbacks Rear: / Special Conditions: ; No of Units : 0 Front: / ' Bldg Height: 0 Left: / l - Bldg Sprinklers: Right: / �p Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $515,744.00 Building Permit Fee: $3,869.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,432.03 Additional Fee : $0.00 Plan check Fee: $555.00 Fire Inspection: l $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $445.00 Fair Share : $0.00 Fire Plan Rev l $570.00 Investigation Fee: $0.00 Grading PC Consultant: $2,204.16 SJH Trans : $0.00 Demolition Fee Record Management: $38.00 Grading Permit Fee: $1,698.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $483.84 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 P/W Plan Check: $430.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $506.45 San Dist: $0.00 Building Green Fee : $21.00 Mechanical %: $154.76 NMUSD Fee: $0.00 $0.00 Plumbing %: $651.15 $0.00 TOTAL FEE : $15,058.39 Plan Check Fee : $15,058.39 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 U all of or U 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). ❑ 1 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.htm], Signature of Prop,Prty pwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I' herebV`affion under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section�00 of ivision 3 of the Business and Profes 'on odd d my I' nse is in full force and effect. Liccns, Clcss License No Dat Z) Contractor Signature WORKERS' COMPENSATION DECLARATION 4ARW,Ie : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS I$100,0001, IN ADDITION TO THE COST O� 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: )mve and AT mantain 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 thf :e:fo-mance of the work for which this permit is issued. Policy No. haves 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' ranaa came., and policy number are: el_ — IV of Agent Policy Number Date ertify that, in the performance of the work forwhich 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 become sub}�\c�t tjo th��G'}kers' cc peasaiie isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iture of Applicant Xw� Date/ nonTins, ovr_nTo n� rnr.�e �rT�nu i vunrs�r_ nr_eury ;reby affirm under penalty of perjugthat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 ordinanceAnd state laws relating to building construction. I authorize representatives of this city or county tent t ve-idegWie4roperty for inspection purposes. ACTION DATE BY ECLARA 10 OF COMPLIANCE WITH CODE OF FEDERAL REGULATI NS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED OAQMD PERMIT FINAL �1 ZZ`Z �7 JR ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: FOR OFFICE USE ONLY