HomeMy WebLinkAboutX2017-1890 - Permits1To� < City of Newport Beach - Building Division IIIIIIIIII IIIIIII�IIIIIII�II III II�IIIIIII II COMB Permit: X2017-1890
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 1 8 9 0 Project No : 1287-2017
r; A, el Permit Counter Phone (949)644-3288
fi Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM Issued Date: 04/1612018
Inspection Area : 7
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 6:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 441 OLD NEWPORT BLVD NB St: 1 FI: 2 Unit: 250 ,w.e
Description: COMM - TI "LINDEN PROPERTIES" 1,149 SIF
Legal Desc.: P BK 163 PG 31 PAR 1
Owner: STEWARD FINANCIAL LLC
Address: 825 8 BARRINGTON AVE
LOS ANGELES, CA 90049
Phone
Applicant: VARISCO ROBERT
Address: 4448 E HASTINGS AVE
ORANGE, CA 92867
Phone: 714.6424300
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Building Permit Fee: $1,905.00
Plan Check Fee: $1,714.35
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$70.00
Energy Compliance:
$182.91
CA Seismic Safety:
$0.00
Disabled Access :
$261.30
Hazardous Mat
$0.00
Building Green Fee:
$11.00
TOTAL FEE: $6,178.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ZIGGURAT CONSTRUCTION INC
Address:
112 NANTUCKET LN
Fair Share :
ALISO VIEJO CA 92656
Phone:
949326-6392
Con State Lie:
1011940
Lie Expire:
03131/2020
Bus Lie:
BT30062903
Lie Exp Date:
0413012019
Worker's Compensation Insurance
Carrier: MIDWEST EMPLOYERS
Policy No: BNUWC0140327
Expire: 04/19/2018
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$498.73
$391.66
$320.61
Architect: JORDAN STEPHEN C
Address: 19600 FAIRCHILD RD #295
IRVINE CA 92612
Phone: 949.679.6300 State Lic:C013586
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee:
$37.50
Fair Share :
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
Plan Check Fee: $2,403.76 Fee Due at Permit Issuance : $3,774.50
" ® o PUBLIC WIQRKS APPROVAL:
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_ PLANc CHECK BY:
E. APAROV,4,L TO ISSUE: �
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Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $2,403.76 Fee Due at Permit Issuance : $3,774.50
" ® o PUBLIC WIQRKS APPROVAL:
m c ® "ex moo
_ PLANc CHECK BY:
E. APAROV,4,L TO ISSUE: �
aoo eo e� � c ouu eee
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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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
im roved 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 rrnit, cannot Iegall
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 e B ness and
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of Di i lot f,tpe Business and Professions C d cense is in full force
and effect. License Class License No Date ontractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED �( USAND DOLLARS (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 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
pe ormance of the work for which this permit is issued. Policy No.
I hajunder
will r�7ai Sin 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' compensatio
nsuraer an po number are:
Carrier qe Expiration Date
Name I Phone #
I ce, in the performance of t or for which ' 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
that, if become su 'act to t or compe Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signatpplicant Dat
DECLN REGA DIN CO TRUCTI N DING AGENCY
I herebunder pen of perjury that the is a construction lending age for the p rmance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Len r' Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owne ' behalf.
I have read this application and the information I have provided ' corr I.
I agree to comply with all applicable city and county ordinanc a s to Is r Sting to building construction. fdf\ ipe
I authorize representatives of this city or county to.�nterb e-' e i pr party for inspection purposes.
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c:.......,,.e „a D..,..e.r„ n,.,,,o� .., A. ,rH�r1,oH Anonf �(( Print Prooertv Owner's or Authorized Agent's Name
DATE BY D ARATION OF COMPLIANCE WITH CODE OF FEDERAL I�FOR OFFICE USE ONLY
GULATIONS PART 63 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
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