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HomeMy WebLinkAboutX2019-1461 - Permits�,ywtrk City of Newport Beach - Building Division t� .t 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - GRAD IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1461 X 2 0 1 9 1 4 6 1 Project No : 2141-2018 Issued Date : 0511012019 Inspection Are. `-1 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: 1 BAYWOOD DR NB Description: SITE IMPROVEMENT TO HARDSCAPE @ EXTG POOL AREA Legal Desc.: IRVINE SUB LOT ELK 93 POR OF BLK (P M 35-1 PAR 1) Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: LOMELI MARIO Address: 4121 WESTERLY PL #112 NEWOPRT BEACH CA 92660 Phone: 714-402-4171 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation 0 0 $0.00 Contractor: WESTERN NATIONAL CONTRACTORS Architect: Address: 8 EXECUTIVE CIR Address: IRVINE CA 92614 Phone: 949-456-0326 Phone: State Lic: Con State Lic: 840973 Engineer: ALBERTSON AARON Lic Expire: 06130/2020 Address: 4121 WESTERLY PL #112 - Bus Lic: BT30037724 NEWPORT BEACH CA 92660 t Lic Exp Date: 12/31/2019 Phone: 949-610-8997 State Lic:C-065513 Worker's Compensation Insurance Designer: Carrier: TRAVELERS PROPERTY CO Address: Policy No: UBOK7205411826G Expire: 1010112019 Phone: Building Setbacks Rear: I Special Conditions: Front: I Left: I Right: I Use Zone: Parkins Snaces: 0 Fire Hazard Zone Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $61.00 Additional Fee : $0.00 Plan check Fee : $120.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $967.60 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $875.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $212.40 Public Works Department - General Service CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAW Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plum ' g %: $0.00 TOTAL FEE • $2,248.00 Plan Check Fee : $0.00 Fee D ' Issuance PROCESSED BY: PUBLIC WORKS A ROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: t k. "� A $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,248.00 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 legall, 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. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of ivisio 3 of the Business and of Ilicense is in full force nd effect. License Class License No Date ons e, a (,D Contractor Sign VORKERSCOMPENSATION DECLARATION \ j 'ARNING: FAUJIRE TOSECUREWORKERS' 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 DST OF COMPr.NSATION, 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: I 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 V rmance of t);a cork for which this permit is issued. Policy No. Have and vill 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' .ance carrier alip'policy number are: 1 n Date me of Agent V V Phone # I certify that, in the performance of the Ark 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 agre t, if I should-tacome guthiect to the wor compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J J nature of Applicant I �,� D / 111) 161 CLARATION REGARIDING CONS CTION LENQWG AGENCY areby 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). lder'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 kounly ordinances and state laws relating to building construction. I authorize representatives of this city or count enter th ve-identi ' rop y for inspection purposes. ISIgnatureof Property Owner or Authorized Agent �" Print Property Owner's or Authorized Agent's Nam ' D e �/�/14 ACTION DATE BY RKFARATION OFIfOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED St PROPOSED DEMOLITION SIGNATURE: 15 NOT APPLICABLE TO