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Home My WebLink AboutX2019-2783 - Permits,Da City of Newport Beach- Building Division COMB Permit: X2019 -2783 ',A IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9. 2 7 6 3 Project No: 2039-2019 [+ _ Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 �'.,4r�y�,�c� ` Combination Type.- BLDG Issued Date : 09/20/2019 Inspection Area : 7 A PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - VW Construction Hours: Monday -Friday 7;00 a.m. to 6:30 p.m, and Saturday from 8:00 a.m. to 5:00 p.m. No work on Sundays or Holiday Job Address: 4263 BIRCH ST NB Description COMM BLOCK.WALL 6' HIGH X 60 LF ON PIL - 0^ '. Legal Desc.: N TR 5169 LOTS Owner. KATCHERIAN GEORGE Contractor. D B A C INC : Architect: MARTIN RICHARD K Address: 4263 BIRCH ST Address: 101 SHIPYARD WAY #A Address: 1400 QUAIL ST #120 NEWPORT BEACH, CA 92660 - NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92660 Phone: Phone: -..849-723-0147 Phone:. 949-851-3044 State Lic:C014204 Applicant: MARTIN RICHARD K Con State Lie: 637651 Engineer: MONTOYA HERNAN Address - 1400 QUAIL ST #120 Lie Expire 02129/2020 Address:. 22421 GILBERTO, STE E NEWPORT BEACH CA 92660. Bus Lie: - BT00016282 RANCHO SANTA MARG CA 92688 Phone: 949-851-3044 Lie Exp Date: 10/31/2019 .Phone: 9491713-7824 State Lic:S-002819 °,•• Code Edit: • 2016 Worker's Compensation Insurance Designer. -' Type of Construction: Carrier: STATE COMP Address: Occupancy Group:. U Policy No: 9117372 ° Added /New sq.ft. Bldg: 0 Expire: 11/11/2019 Phone: • z �-^ Added /New sq. ft. Garage: 0 ° to No of Stories: 0 Building Setbacks Rear: 0 Special Conditions: PIL FENCE AGMT ON PLANS a V ° • „° • ° o �. <, No of Units : 0 Front: 15 Bldg Height: 0 Left: 0 °0;3°�, °•,°. Bldg Sprinklers: Right: 0 •°oa-- o°••oo Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $8.000.00 ° , • • m o Building Permit Fee: $200.00. Excise Tax: $0.00 Planning Department - Fire Department ` Plan Check Fee: $174.00 Additional Feer $0.00 Plan check Fee : $40.00 Fire Inspection: '400 iO •• 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: - $2.00 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 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee' $1.00 ". Mechanical %: $0.00 NMUSO Fee: -.- $0.00 - $0.00. Plumbing %•: $0.06 $0.00 TOTAL FEE : $458.25 Plan Check Fee : $255.25 Fee Due at Permit Issuance : $203.00 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 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 Irofessions 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 L) 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 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 legally 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 Irofessions 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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7q0 o ivis' f the Business and Pr as ' ns od y titans s in full force nd effect. License Class License No Date Contractor Signature VORKERS' CQl1JFgNSATION DECLARATION IARNING: FAILURE•T 3E&ORE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RE HOUSAND IF (E100,000), IN ADDITION TO THE DST OF GOMPENSA ISN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. haretWirm vt p4alty of perjury one of the following declarations: .... } I hB�e 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 thf e ante of the work for which this permit is issued. Policy No. a8q and will,rp&in[ in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3rlbe carrier QQd Qolicy number are: sr• • �,,.. • Policy Number Expiration Date IE"d 6f Agent , s'i�..•. . lcerti!y that, in -the Qerforman the ork for which .fiat, if I should becomesubje t to the wor';er compem . ssee• 3iBaatU& of Appllb&ot s My workers' I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer .ction 3700 of the Labor Code, I shall forthwith comply with those provisions. ireby affirm under penalty fper' ry that 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 to each of the following: I am the property owner or authorized to act on the property owner's beh I have read this application and the inform vided is torr I agree to comply withal applicable city nd county ordina s and at we re ting to buildingconstruction. I authorize representatives of this city or unty enter at o tilled p arty ction purposes. Q �ij%�, Cc• nature of Procertw Owner or Authorized Aeent _. Print Property Owner's or Authorized Agent's v ACTION DATE BY` ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE . 1403 PERMIT EXPIRED r 0 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED OAQMD PERMITFINAL 0 ASBESTOS NOTIFICATION IS. NOT APPLICABLE TO CERTIFIC4TEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: