HomeMy WebLinkAboutX2019-1518 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� III COMB Permit :X2019-1518
100 Civic center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 Project No : 0464-2019
v Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date: 0511612019
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTtON.
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m, and Saturday from 6:00 a.m. to 6:00 No Sundays
Job Address:
1713E BAY AVE NB p.m. work on
or Holidays
Description:
Legal Desc.:
DEMO 2776 SF (3) BDRM SFR WIATT GARAGE, INCLDS SEWER CAP -
BALBOA
, �:;:•
. ,,,
COSTA MESA CA 92626
TR EAST SIDE ADD LOT 7 ELK 26 ALL -INC S112ABAN ST ADJ ON
e
Address:
28161 CASITAS CT
Owner:
Address:
B DESCENDANTS-
Contractor. MUR-SOL CONSTRUCTION INC Architect: MCDANIEL RYAN G
1525 ORLANDO RD
06/31/2020
Phone:
Address: 119 E ST JOSEPH STREET Address: 151 KALMUS DR STE G-1
PASADENA CA 91106
......
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Phone: -
ARCADIA CA 91006 COSTA MESA CA 92626
Insurance
Designer.
Phone: 626/447-0558 Phone: 714754 ..
• • • •
®° • ° °
40 State Lic.0035732
Applicants MIR/MCDANIEL RYAN G
Address: 151 KALMUS DR STE G-1
Con State Lic:
692984
Engineer:
PETROV PLAMEN
COSTA MESA CA 92626
Lic Expire:
Bus Lic:
07/3112020
BT30067306
Address:
28161 CASITAS CT
Phone ' 714.754.4040:
Lic Exp Date:
06/31/2020
Phone:
LAGUNA NIGUEL CA 92677
714-717.7542 State Lie C-066947
......
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Code Edit :.. 2016
Worker's Compensation
Insurance
Designer.
• • • •
®° • ° °
Type of Construction: VB
Carrier:
EXEMPT
Address:
°° a ® •
® °
Occupancy Group: R3/U
Policy No:
•
• °
Added /New sq.ft. Bldg: 0
Expire:
%
•
° °
° • °
Added /New sq. ft. Garage: 0
Phone:
No of Stories: 2
No of Units : 1
Building Setbacks
Rear: /
Special Conditions: PRAISLER HAULING & DEMO
......
°
o
• °
° ° ° • °
Bldg Height: 0
Front: I
TO HAUL
° ° °
• ° •
• • • • o
Bldg Sprinklers:
Left: /
Right: I
° ° °
°
coon
Flood Zone:
Use Zone: Parkin Spaces:
0
Fire Hazard Zone : N
° °
....
• °
Construction Valuation: SS 50'.00
-
occo°
°
Building Permit Pee: $103.00
Plan Check Fee: $0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Overtime Plan Ck:. $0.00
.Additional Fee ;
Grading Bonds Fee:
$0.00
$0.00
Plan check Fee:
$0.00 Fire Inspection:
$0.00
Investigation Fee: $0.00
Grading PC. Consultant :
$0.00
Fair Share:
SJH Trans :
$0.00 Fire Plan Rev
$0.00
$0.00
Record Management : $0.00
Energy Compliance: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Demolition Fee
$0.00 Building Dept Adm
$26.00
CA Seismic Safety: $0.00
Grading PC Fee:
WOlnsp. Fee:
$0.00
$0.00:
Public Works Department -
General Service
$210.00
Disabled Access : $0.00
Park Dedication :
$0.00
Refund Deposit $1,127.00
Hazardous Mat $0.00
Electrical %:
$0.00
PNV Plan Check:
San Dist:
$0.00
Grading Bond:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
-
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$9.27
$0.00
$0.00
TOTAL FEE : $1,476.27
Plan Check Fee:
$0.00
Fee
Due at Permit Issu ce : $1,476.27
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: l
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 applicab�' 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 6usiness 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slate 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).
❑ 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
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 i pro,
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 thea plicat
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi as and Pro
ate Cont or Signature
merits covered by this permit, I cannot
law, Section 7044 of the Business and
Date
and effect. Licen%e•91.ass License No C_
WORKERS' COW PAMSATION DECLARATION
RIWJW4 FAILURE TQ;EYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
COST OF COMPENSBTIGN, D4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
• •d I rations
my license is in full force
TO THE
IharebH �ffirm under penalty of perjury one of the followiang ec 11* and wiu mair),tain 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, far thl
19
mepce of the week. or which this permit is issued. Policy No.
e and will maj4tain 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' compensatiol
C.P. carne ;antipgecy number are:
C'ai4ki • Policy Number Expiration Date
Phone #
�r�lfy that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker 'compensation laws of California, and ogre
t tQifl sha d beoome a l�ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.... to 14-1
Signature of Ap li
)ECLARAT EGARDING CON N LENDINGNCY
I hereby affirm under penalty of, ere is a const r 97, Civil Code).
11 ndin ncy for the performance of the work for which this permit is issued (Section
Lender's Name Lender's Address
By 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 cl -and county ordinangwend state laws relating to building construction.
I authorize representatives of this C or county to a ter a above -identified property for inspection purposes. °1C (`Qrj C' Li to �
..., n..,..e. ... A„IHnrivadZnl�e
By Ip IANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED ."I.
PERMITFINAL e�C/Dr�°� BEST S NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF I 'SyCi�"-' PROP S DEMO
OCCUPANCY ISSUED SL SIGNA E:
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