The URL can be used to link to this page

Home My WebLink AboutX2018-1985 - PermitsCity of Newport Beach - Building Division II IIIIIIIIII�IIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-1985 o 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 6 1 9 8 5 Project No: 1554-2018 H �^ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 06l16/2020 Combination Type - MFP GRAD Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 816 AMIGOS WAY NB Description: MFR EXTERIOR FOUNDATION WORK (14 PILES) Legal Desc.: NTR 5425 LOT 16 INSPECTOR Owner: AMIGOS-SHORECREST LLC Contractor: DALINGHAUS CONSTRUCTION INC Architect: Address: 1935 WINDWARDLN Address: 540 CRANE STREET Address: NEWPORT BEACH CA 92660 LAKE ELSINORE, CA 92530 Phone: Phone: 877-360-9227 Phone: State Lic: Applicant: ALEVEDO JESSICA Con State Lie: 983851 Engineer: KHATRI DILIP Address: 6440 SKY POINTE DR STE #140-299 Lie Expire: 05/31/2021 Address: 3579 E FOOTHILL BLVD#736 LAS VEGAS, NV 89131 Bus Lie: BT30071465 PASADENA CA 91107 Phone: 626-652-1459 Lie Exp Date: 03/31/2021 Phone: 626-475-7660 State Lic:S-004391 , Code Edit: 2016 Type of Construction: V-B Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 6 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $786.00 Plan Check Fee: $740.82 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $40.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat . 0 Building Green Fee : $3.00 T'TALFEE : $3,824., 2 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Designer Carrier: ACCREDITED SURETY & CASUALTY Address: Policy No: 1ATCA160010321 Expire: 02101/2021 Phone: Building Setbacks Rear: I Special Conditions: Front: I Left: I Right: I I Ice 7nne: Parkine Soaces: 0 Fire Hazard Zone : N Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 Planning Department - Fire Department $124.00 Plan check Fee: $37.50 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $919.22 SJH Trans: $0.00 Demolition Fee $820.00 In -lieu Housing Fee : $0.00 Building Dept Adm $201.78 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit PM Plan Check: $152.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $1,075.32 Fee eat Permits ante PUBLIC WORKS PLAN CHECK GRADING APPROVAL: -_> p/\\ APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,749.00 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 improved 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 duildsor 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: 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 permit, I 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 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of PropoC} Owner or Authorized Agent Date LICENSED CON-RACTOR'S DECLARATION I n=r=h" affirm uMvr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) Division 3 of the Business and Prossio and,(s in full force and effiILL License Class License No Date Ito-1b Contractor Signature NIORKFRS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COCT OF COMPENS.CIOI:, D.-MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereb; affirm under penalty of perjury one of the following declarations: Y= 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 rr.ance of the work for which this permit is issued. Policy No. ye and will mairt�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. My workers' compensatiol acne carrier and po'icy number are: iC3 , t) �eC)�\�'� C,.s''^..YPS- C'G6 t` Policy NumberExpiration Date of Agent ('.'�:�f)Wu.�t� 4,'LXVIC..Q� fiPLI.V✓\ Phone # JI certify 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 workers' compensation laws of California, and agm iat, if I should become us Eject to th orkers' compens Io provisions ection 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant \/\/ Date IECLARATION REGA ING CONSVIRUCTION LENDING AGENCY hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count to ante t above-i ratified propert for inspection purposes. (p—Ito --a b lignature of Propertv Owner or Authorized Agent Y Print Propertv Owner's or Authorized Agent's NameK ADb) StM 1� Datel�� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED qM D PERMIT FINAL IIy It{yZo % ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: