HomeMy WebLinkAboutX2021-2625 - PermitsrtN�roWa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2625
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 2 1 2 6 2 5 Pro jec - o : 1672-2021
4 r! n Permit Counter Phone (949)644-3288
%x +*. Inspection Requests Phone (949)644-3255 „
Combination Type - BLDG Issued Date 11/08/2021
Y 414
r- Inspection A\ea : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BBC MPLETED BY 11/08/2024 OR„RFRMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday fro fl�a.m. to 6:00 p.m. No worts f�l(§(Indays orlolidays
Job Address: 225 VIA LIDO NORD NB
Description: SFR CONCRETE BLOCK WALL 6' X 88 LF (ON P/L) (X2021-1924) y^ Nik O� �
Legal Desc.: TR 907 LOT 1059(AND NELY 10 FT LOT 1058 \^, aoo'O
Owner: VALDER STEPHEN AND TERI Contractor: - HOUSE HOMES Afdhitect: JW BRION S
Address: 5702 MOUNTAIN VIEW DR Address: 170 NEWPOR TER D %Address: i NEWPORT BLVD
YORBA LINDA, CA 92886 EWPO EACH Cry_ �0 NEWPORT BEACH CA 92663
Phone: 949-645-5854 o 1 6045 one: 949-645-5854 State Lic: C008012
Applicant: BARD MARTIN o t 1007u531 � "�'�' Engineer: DEIHIMI AMIR HOSSEIN
Address: 470 OLD NEWPORT BLVD pire' 09/3��??fl23 +� Address: 23172 PLAZA POINTE DR STE 145
NEWPORT BEACH, CA 92 us ic: BT30H5585 LAGUNA HILLS CA 92653 ,,��yy
Phone: 949-645-5854 �,t� Lic "date 05130/2022 Phones 949-954-7244 State iiytf�94 F,
Code Edit: 2019 `i -Workers t 6mpensation Insurance r r ,f ��r Designer: � `` E
Type of Construction: f0, -- Carrier INS CO OF THE WEST w,. Address:
Occupancy Group: U a Policy No WSD505264401
Added /New sq.ft. Bldg: 0 xpire: j 92/2912021 - u d�lS Phone:
Added /New sq. ft. Garage: 0 0
No of Stones. 0 Buildin etbac' s ,Rear 4 - _ Spe I C rtions.,,0�
No of Units : 0 -A nt 10 f �O
Bldg Height: 0 '?= q. eft:_.4: \
Bldg Sprinklers: _ Right: 1.5
Flood Zone: Parkin S aces: Fire Hazard Zone
Construction Valuation: $7,656.00
Building Permit Fee: $212.00 Ezcis Tax: 0. C+`�ning Department - apartment
Plan Check Fee: $184.44 Additio I Fe 00 CVL Plan check Fe 0 - Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading on e: ����.�'(�` Fair Sh Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading C wo S rans : 0.00 Demolition Fee
Record Management : $0.00 Grading P mit Fee: $0.00 n-lieu Housas $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC ee: $0.00 Public s D ment - General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fe $0 r D ion: $0.00 Refund Deposit $0.00
Disabled Access : $0.00 w\o�Q Ian Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00 an Dist : $0.00
Building Green Fee : $1.00 Mechanical %: .00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00
TOTAL FEE : $397.44 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $397.44
90 oe�
PROCESSED BY: �p P6kI6WORKS A' 'PP� a
ZONING APPROVAL: 'l3 r I`'v PLAN CHECK BY: A I1A
GRADING APPROVAL: SQ41 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)
ction 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
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
fessions Code) or that he or she is exempt from licensors 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
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 U portions of the work, and the
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or as
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the, wfYe
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a IIw
J 1 am exempt from licensure under the Contractors' State License Law for the following rea n
ly my signature below I acknowledge that, except for my personal residence in which.J-R* Ca f
ell a structure that I have built as an owner -builder if it has not been constru 4rf'fts entirety by
Irofessions Code, is available upon request when this application is Rxttt`ed or at the following
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATIONS
hereby affirm under penalty of perjury that tensed ur�d��ii hapter 9 (cpmmer
nd effect. License Class — _ _ Lid o
Professions
a copy of the
ill,
inte ed or offered for sale (Section 7044,
builtls o improves the property, provided that the
have the \urden of proving that it was not built or
)ds: Th ractors' State License Law does not
Law).
improvement covered by this permit, I cannot let
lolicabl�vv. Bill 7044 of the Business and
3 of the Business and Pro
Contractor Signature
Nncn.� �.vmr oxar.I IVare
cnry�ywyING: FAILURE TO SECURE WORP NSA'KON COVERAGE IS UNLAWFUL", AND SHALL SUBJECT AN EMPLOYER TO CRIMINN ALTIES AND CIVIL FINES UP TO ONE HUNDRED
OF COMPENSATION, DAMAGES•FOR IN SECTION 370e OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES -:by/affirm under penalty ofne of pwmg declarahonsyl/eve and will maintain a e co e t to self Insure for workers' compensation issued by the Director of Industrial Relations as provide
rmance of the work for whrls ed Policy No.
ave and will maintain worpen¢, ``-t ante asrectulredr by.Section 3700 of the, Latior Code, for the performance oft r fo �wh thisonce carrier and policy nu ' ' vP���' a
sr Policy Number $ 0� Ekpirati¢r} U�
Tle of Agent
certify that, in the perf4tothe
� rk P<,hicI, if I should become surk s' c
nature of Applicant
CLARATION REGARDUC N LEND
areby affirm under penander penae the Ie is athee is a
Ider's Name
my signature below, I certify to a f the fo In
I am the property owner or a orized to act\the pin
I have read this application d the informatiave
I agree to comply with all ap licable city and y of
I authorize representatives f this city or coue;Ql;
of Prooertv Owner
DATE
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
,ermit is issued, I shall not e,J(�nploy person in
provisions of Section 374p 1fLb r Code, I
_ J1 t\�'i9®
St
'f liformance of the work
d`Cender's Address
5
relating to g co for
anner so(�!� be�,,come subject to the
forthwith comply with those provy5io rt .
permit
purposes.
arty Owner's or Authorized Aaent's Name
WITH CODE OF FEDERAL
40 AN D AQM D RULE
'EC AS3E=TOS NOTIF'CATION TO
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMODTION.
I FOR OFFICE USE ONLY
, Civil Code).
my license is in full force
100,0 IN ADDITION TO THE
of the Labor Code, for thI
y workers' compensatior
aw of California, and agree
Date