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HomeMy WebLinkAboutX2018-3880 - Permits�wt�p City of Newport Beach - Building Division IIIlilllllllllllll�llllllllllllllllllllllll COMB Permit: X2018-3880 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 a 8 9 Project No: 2990-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 0211112019 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 8:00 a.m. to 6:00 p:m. No work on Sundays or Holidays Job Address: 20401BIRCH. ST NB Description:COMM -- SITE ACCESSIBILITY UPGRADE Legal Desc,: "TR 706 FOR OF LOTS 64 65 66 97 98 899 Owner FERRADO BAYVIEW LLC Contractor MC CARTHY BUILDING COMPANIES INC -Architect Address: 30411 SIN BIRCH ST #360 :Address: 20401 S W BIRCH ST, STE 300 Address: - NEWPORT BEACH,' CA 92660 NEWPORT BEACH. CA 92660 Phone: Phone: 949-851-8383 Phone: State Lie: .Applicant: TCHAPADARIAN KHATCHIG Con State Lie: 411173 .Engineer: BRANDER JEPTHA HENRY Address 20401 SW BIRCH ST Lie Expire: 08/31/2019 Address: 172 LONEFLOWER .NEWPORT BEACH CA 92660 Bus Lie BT00021661 IRVINE CA 92618. Phone 949-466.9770 Lie Exp Dater 03/31/2019 Phone: State Lic:C083987 Code Edit 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: ARCH INSURANCE CO Address: r Occupancy Group: 2016 Policy No: - 61WC18897610 Added /New sq.ft:, Bldg:. 0 Expire: 04/01/2019 Phone: lam; Added /New sq. ft. Garage:. - 0 No of Stories: - 0 building Setbacks 'Rear. / Special Conditions. .� No of Units 0 Front: / Bldg Height: r0 Left: I' Bldg Sprinklers: .Right 'l. looZ na: ° o ° o Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N �QQgtrLietion ValQiion:� $50.000.00 guilding,Permit FEB:° c �. $746.00 Excise Tax:. $0.00 Planning Department - Fire Department ,Plan Ui%ck Fee: $649.02 Additional Fee': $0.00 Plan check Fee $40.00 Fire Inspection: - $0.00 00ienime Plan Ck: ° $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $179.00 - Ihvostigation Fee; a ° o $0.00. Grading PC Consultant: $0.00 ' SJH Trans: $0.00 Demolition Fee Reran Managen`aent: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 - €0@rgeUompliance: _ $0.00 -Grading PC Fee: $0.00 Public Works Department General Service $0.00 PA S oismic Safely: : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 9isaboa Access :° $87.00 PAN Plan Check: $0.00.. Grading Bond: $0.00 Hazardous Mat ° °'. �. $0.00 Electrical %: $0.00 San Dist: $0.00 amallmg Green`F°ee% , $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 ... $0.00 Plumbing %: $0.00 $0.00 �. ° I TOTAL FEE: $1,7 9.02 Plan Check Fee: $574.18 Fee Due at Permit Issuance : $1,134.84 PROCESSED BY: PUBLIC WORKS APPROVAL:' ZONING APPROVAL: PLAN CHECK BY: Tor GRADING APPROVAL: - APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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 is 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 Irofessions 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 otmore than five hundred dollars ($500): 7 I, 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, iusiness 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 nprovements 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 nproved 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 Jonly 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: sy 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.html.. 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 Section 7000) of Division 3 of the Business and Profession Co e, r i Ise is in full force nd effect. License Class License No Date/- Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1. 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 rmanc of the work for which this permit is issued. Policy No. rI ave and will maintain 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' compensatioi so nce carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which thi permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation law%gf•(�alifornia, and agre it, if I should become subject t the orker ' rovisio Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //� / /� • • • • , •' ° ° ° Dat iy/z/b • •00000 )nature of Applicant '/�./ !CLARATION REGA- G ST DING AGENCY r•• • ' ° ° sreb affirm under penalty perjury that re is a construction lending agency for the performance of the work which this permit is issued Section 3097, Civil Code). • ° ° ° ° ° Y P Y P 1 rY 9 9 Y P P ( ) ider's Name Lender's Address my signature below, I certify to each of the following: • • • • • • °O° ° ° I am the property owner or authorized to act on the property owner's behalf. • , 00 ° 1 have read thisapplication and the information I have provided is correct : • • • • • ° ° I agree to comply with all applicable city and countyordinancesand stat laws mg to building construction. • .0 ° 7 / ne�I�� • • L O : I authorize representatives of this city or county toe e?f }t y for inspection purposes. ° mature of ProDertv Owner or Authorized AGent int Property Owner's or Authorized Agent's Na / S : •[Tata • _ _ ° ACTION .DATE ( BY �I.gVLARATIONf OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY •• REGULATIO ART 61 OF TITLE 40 AND AQMD RULE •••• PERMIT EXPIRED NOTIFICATION TO- PERMITFINAL CjQ43116• U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: