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HomeMy WebLinkAboutX2016-1451 - PermitsCity of Newport Beach - Building Division *X2016-1451* COMB Permit: X2016-1451 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0976-2016 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 11/1012016 Combination Type - CIP GRAD ELEC MECH PLUM Inspection Area : 7 f— EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 421 29TH ST NB S�`a n F GAR/ COMMERCIAL 1989 F,13 ROOF DECKS Description: NEW MULTI USE (2 NIT 4610�F Legal Desc.: V, appIthicab71, 1 1 - Owner: CANNERY PROJECT NEWPORT L' n r: B KCUZTOM HOMES INC Arc itect: hANDON CHRISTOPHER Address: 428 OLD NEWPORT�PLV6 "Ad HILL AVE, BLD STE 102 RT 9. 63 E3 Mrl/sosbr a4i NEWPORT BEACH A 92663 1! 14V; 9,P Phone: 949-633-2w,"Wate c:C031637 Od I Phone: Applicant: BRANDON CHRIST PHER�-7 Con State Lic: 1017631 sa'a to Wfi�effl: MANSHADI FARHAD Address: 3001 RED HILL AV BLDG I STE 102 J Eye 3112018 Address: fnvE lr� COSTA MESA CA 626. B SATA ANA CA 92701 Phone: 949-533-2340 d Phone: 714-835-2800 Stat 1�`Lic:C_036840 ST V 'F DECKS 'icab I ANDO P Arc A tect. r s. 01 RED 0 0 a 019 P one. 949-633-2 MANSHAD Address: Add 2013 Worke s a nc Designer: 4' Code Edit: Address: E -13 PR Type of Construction: V Carrier: WC EXEMPT Occupancy Group: R-3/ M Policy No: (NO EMPLOYEES) Added /NewfTl sq.ft. Bldg: 6,67 Expire: Phone: Added /New sq. ft. Garage 36 So No of Stories: 2 R r, 10 r Special Congitions: F; laff airshare fee, r nt: 10 ... No of Units 2 r n D Cl pas# rffice V t&gen.� 31 Stalled) Left: 0 Bldg Height: 6"'Or, M Bldg Sprinklers: Y Right: 0 (no work 0t&l51eC&ne: N Flood Zone: X i aOfn, Use ZEL . . . Parkin gi Spaces: 8 Construction Valuation: 330000.00 a 1'684 66 �Plann 00 Plan Building Permit Fee: $6,7 .00r-- xcise ax :_$!1:6S8�4.66 Planning _Fre Dc part(`nent 0 00 �! —GradingGrading , in 000 �g PI, $5,9 1 Plan Check Fee: 4 Additions e 00 Plan �h,&F,,: �$�375. nspection: $409.90 Overtime Plan Ck: $0.00 0 00 -r-� insp. ilii Fire Plan Rev $.687.Oq ... 0 P C Investigation Fee: $0.00 PC Consultant: $1,8 Demolition Fee i Record Management: $148.00 Grading Permit Fee: $1,166.00 In -lieu Housing e Building Dept Adm '$0.00 .k a n,,i.� . F Energy Compliance: $484.00 Grading PC Fee: $395.64 Public Works Department- I Service CA Seismic Safety: $372.40 WQ Insp. Fee: $106.00 Park Dedication : $0.00 Refund Deposit 0.00 Disabled Access $830.00 PAN Plan Check: $684.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $1,770.82 San Dist: $10,134.07 Building Green Fee $54.00 Mechanical W $1,391.36 NMUSD Fee: $2,000.10 $0.00 Plumbing %: $1,138.38 $0.00 TOTAL FEE : $46,192.51 Plan Check Fee: $9,953.27 Fee Due at Permit Issuance $36,239.24 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: her 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 (_) all of or U 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). 1. _ -. . ❑ 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). J 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legall, ;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 'rofessions 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 Sec 000 of Division 3 of the Bus! as and Pro fe 'e i Lforce Ind effect. License Class License No —U Contra o Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES DP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and jlvjll,Wointain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erfor mance of the work for which this permit is issued. Policy No. 'have and J16 stain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Trance carrier and (folicy number are: tier' %�" ' Policy Number Expiration Date If@rtify that, jp tj)j performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ! i(I shoulob � Mme subject to the workers' co tion rovisions of Section 37 e.Labor Code, I shall forthwith comply with those provisions. ! is u pplicant e �j � O ��to SC,$ TI N,REGQRDI C N AGENCY reby affir 11htl@P1lenalty of perjury that there is onstruction lending agency for the performance -of the work for which this permit is issued (Section 3Civil Code). Boris Na a Lender's Address ny signature he ow, 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 county to enter = ropgd_jcfeFiRspection purposes. [//, r y� I / lature of Propertv Owri'ef`8rAuthorized AGent lr� Print Pronedv Owner's or Authorized ADP.n;WName o �Ir 7-.lavr.. Y9�^ f)salte )Jio llA ACTION oT DATE BY DECLARATI01W COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LU I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED (p.'LeA- EPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. Zxt xoi 1 -03`r.