HomeMy WebLinkAboutXC2023-0164 - Permits (4)uq�"
City of Newport Beach ill11111II��J11111111111111111111Igl COMB Permit: XC2023-0164
Community Development w p rt Beac- Building Dlvlelon 3100 Civic Center Drive, Newpon Beach, CA 92680 Plan Check No : 2649-2017
Permit Counter Phone: (949) 718-1888 Issued Date : 05117/2023
newportbeachca.govlcivic Inspection Area : 1
CoCombination Type -
Work Class - New
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 412 29TH ST Legal Dose: N TR,18108 BW LOT:2._
Description: RESIDENTIAL UNITS A. B, AND C (3) CONDOS 6,7131792 LIVING/C,ARAG€- UNIT A3 BEDROOMS, UNIT B 3 BEDROOMS, UNIT C 3 BEDROOMS
Owner:
410 TWENTY NINTH STREET LLC
Contractor :
Architect :
BRANDON LINSDAY
Address:
5933 MCCONNIE AVE
Address :
Address :
151 KALMUS DR, G-1 COSTA MESA, CA
WOODLAND HILLS, CA 91367
92626
Phone:
_
Phone:
Phone :
(714) 7544040
Can State Lie:
State Lie
Lie Expire:
Applicant:
BRANDON LINSDAY
Bus Lie:
- Engineer :
DEIHIMI AMIR HOSSEIN
Address :
151 KALMUS DR, G-1
Bus Lie Expire :
Address :
23172 PLAZA POINTE DR STE 145
COSTA MESA, CA 92626
LAGUNA HILLS, CA 92653
Phone: (714)764AO40
Owner/Builder: 410 TWENTY NINTH STREET LLC
Address: 5933 MCCONNIE AVE
WOODLAND HILLS, CA 91367
Phone:
Code Edition : 2016
Type of Construction: V-B
Occupancy Groups : S-2,M,R-3
Bldg Height:
Building Setbacks:
Flood Zone
Use Zone:
PROCESSED BY:
Workers' Compensation Insurance
Carrier:
Policy No:
W. C. Expire:
Fire Sprinklers : : NO
Fire Hazard Zone : NO
No or Units : 1
No of Storlas; 3
X
MU-CV/15TH ST - Mixed -Use Cannery Village and 15th Street
Fd(-
SPECIAL CONDITIONS: CHANGE OF CONTRACTOR TO OWNER/BUILDER (X2017-4043)
._;Phone : (949) 954-7244
Designer:
-Address:
Phone:
Construction Valuation:
AddedlNewlTi sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
AddedlNew sq. ft. Garage: 0
TOTAL sq. ft.: 0
NO CONS s
Ru
Newport B
ON THF_ vvEFK�c ;. ..
ilness and Prol Molons Coda; the OonlrodlorW Sta
)rovemenle are not Intended or offered for saW if,
lmve"d (or the purpose of sale).
I, seownerofthe pmpety, am exclusively.conlrac
Ayto an owner.of•property who Wide or Improvesll
.I am exempt from gtensure under lhe.Contraclore
my signature oelow I acknowledge thaij expepi for
I weaUcture "that 1have built ea in owmArbullder i(i
Iresslone-Code, Is evallobla:upbn requast When this
mature of Property Owner or Autaonzed Agent.._
:EjJSED CONTi AdVOR'S DEdLARATION
indbylaffltin under penalty of peijliiy thatI ani'lloom
t effacL Licaraae Clesa
)RKERS' COMPENSATION DECLARATION
below
? Drams Lew does not apply In an owner of properly Who, through employees' ar personal eRorL builds or Improves'Ihe properly,: provided that the
owevot; the building: or improvement Is sold within one year of completion; the Oemer-Rulidar will have the burden or proving thel tt'was not built or
�rlg wlth licensed Contractors to Construct the project. (Section 7044, Business end:Profeselons'Coda: The Contractors' State License Lawdoes not.
igroup, and Who Contracts for theproleots with a IlcenaedConirsolor pursuant to the Contraetbr$'t3tate l:loense Lawj.
Stale License Low for the following reason:
tha.Buelness end -Pr ilesslons:Code,andmy Ildense"is'in full Was
CadVAolorBlgttelure
INML PENALTIES ANC CIVIL Flues UPTO ORE HUNDRED THOUSANDCOLLARS0/99,600), IN ADDITION TO THE
lby'effirm undarpenelty Of P11410y.one of the fnilowlngd9ploratlons:
have and will molnisin a certillbole of ooad"I to salmnsure for workers' componsatlon, invited by.the Director of Industnel'Relations .at provided for by SAotioh 37Dtl of this Labor Code, for IN
memo of the work lot whlohthis "permit.le issued. PolloyNo.
ieve and will: maintain workers' compensation insurer", as required by $eollor13700.or thwLabor Code, for the performance: of the work for w ich;this permit Is lasuad.. My workers`-oompensatlor
once carder and pollcy nurnoot,Are - ... .. - . , -
or Policy Number FxPitetion Dale
e of Agent., Phone@
ertify that, In the .petfor ce of the work for which this permit Isdssu id; I Shelf not employ any.persontn any,mannerso:as to becomesubject.to the: workers' compensation Isim of California, and agrer
If l-should become .su a loo the workers' compensation7provtwona or Section 3700.of th9 LaborCodOil I shalLfoMhwlib.comply "91 those provielons. /
Hure of Applicant (/ Date_ g &12 a Z
LARATION REGARDINgRUMURUCTION LENOINO AGENCY 1
abysfflimUnder penalty ofperjury-thatthereIs,aaonstrwIloniendkrgAgency forthapadormencillthe;workfor whloh'this Parm islasued<(SeatlpA:e08Z,a3&U.Godq).
I:am The prt,y:Ir:y owner or
I have redd 9`.'i cppllcaboe
I. anise to cer^p1j. with all a
I auttiorFta roorl�ohtet[ves
PPIW WENDE')
rib
t�'
rg relating to building construction.
property" for Inspection pufptasas: