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HomeMy WebLinkAboutX2018-3881 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permitt X2018-3881 100 Civic Center Drive Newport Beach,. CA 92660 X 2 9 1 8 3 8 8 1 Project No: 2990-2018 Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255 Combination Type - BLDG - Issued-Date; 02/11/2019 _ 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: 30411 BIRCH ST NB Description:: COMM SITE ACCESSIBILITY UPGRADE Legal Desc.; TR 706 LOT 61 62 AND POR: OF LOTS 63 6465 & 66. ,.. Owner FERRADO BAYVIEW LLQContractor: MC CARTHY BUILDING COMPANIES INC Architect Address: ' 20411 SW BIRCH ST #360 Address: 20401S 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: 08/3112019 ' Address: 172 LONEFLOWER NEWPORT BEACH CA 92660' Bus Lie: ST00021661 IRVINE CA 92618 Phone: 949-466-9770 - Lie Exp Date:.. 03131/2019 Phone: State Lic:C083987 Code Edit: 2016 Worker's Compensation Insurance Designer. :Type of Construction: Carrier: ARCH INSURANCE CO Address: Occupancy Group: U Policy No: 61WC18897510 Added /New sq.ft. Bldg: 0 Expire: 04/0112019 Phone: !i Added (New sq. ft. Garage: 0 - e r."% No of Stories: 0 BuildingSetbacks Rear I Special Conditions: * d ! No of Units. 0 - .Front /:. s P.. Bldg Height: D - Left: / C i Bldg Sprinklers: .Right. / Flood Zo_ne:. ° ° a '. - Use Zone: Parking Spaces: 0 Fire Hazard Zone : N q-anstrV6tion Valuagon:o $50.000.00 $ui(ding.Permit tiro©:° ° � $746.00 .Excise Tax: - $0.00 Planning Department- - : Fire Department ! FlimOM Fee: $64t.02 Additional Fee : $0.00 -Plan check Fee: $0.00 -Fire Inspection: ' $0.00 @vErtime Plan Ck:° $0.00 Grading Bonds Fee: : $0.00 Fair Share $0.00 Fire Plan Rev $179.00 4nvezttgation Fee;° ° $0.00 Grading PC Consultant $0.00 SJH Trans : $0.00 Demolition Fee - L2ecgrL1 Management : $6.00 Grading Permit Fee: $0.00 In-lieu Housing Fee: $0.00. Building Dept Adm. $0.00'.. EVergy Compliance: c $0.00 Grading PC Fee: $0.00. Public Works Department General Service $0.00 CA Seismic Safety...° $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 !, OisAfad Access'. $87.00 P/W Plan Check: $0.00 Grading Bond: $0.00 FPazardous Mat cu ° .$0.00 Electrical %: $0.00 San Dist:. $0.00 :dudldipl GreeneFee--., o $2.00Mechanical %:. $0.00. NMUSD Fee: $0.00' $0.00 . .`Plumbing %: $0.00. $0.00 ° Y&AL FEE: $1,669.02 Plan Check Fee: $534.18 Fee Due at Permit Issuance : $1,134.84 PROCESSED BY: PUBLIC WORKS APPROVAL:. ZONING APPROVAL: 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 thereason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) lection 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 'rofessions 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 of more than five hundred dollars ($500). - I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 n roved 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 pply 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: Iy 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:h@p://www.leginfo.ca.gov/calaw.htmi. ignature 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 7 ) of Division 3 of the Business and Pro s 'o s 'n full force nd effect. License Class License No Date1%Contractor Signatu YORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAS $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: 3. 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 IN Pyormance of the work for which this permit is issued. Policy No. tra7e—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' compensation tnce carrier and policy number are: ler Policy Number Expiration Date is of Agent Phone # 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 agrer if I should become subject t9 the rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .... DateYo"/n • • •• •.•.°°°° latureofApplicant v 7LARATIONREGAR G NSTRUC LENDING A ��"i• reby affirm under penalty perjury thgAfiere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). der's Name Lender's Address • ..... ny 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 1 ws relating to building construction.. • ' ° ° ° I authorize representatives of this city or county t n t e ab roparty for inspection purposes. Iature of Prooertv Owner or Authorized ADent . Print Property Owner's or Authorized Agent's Na G✓fiq-n/-h.�/•)'�f . ;Aq ° ACTION DATE BY ACLARATI0 41` COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ � REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE . "' • 1403 •••. PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED OMD PERMITFINAL 'R 3,�Qf ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: