HomeMy WebLinkAboutX2018-2389 - PermitsCity of Newport Beach - Building Division �11111111111p1111111111111111111p11111111111111 jj COMB Permit: X2018-2389
a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 3 8 9 Pro) ect No;yq$94- 6 s
EW is Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 m ° • ° ° ' "° '
e� °nx�cT' Combination Type - BLDG GRAD Issued Dat9'°e06/TWOA,
0
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • • • • a
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 jAHolidays �' e • o e °
Job Address: 7 MUIR BEACH CIR NB • • • s e o • • • °
Description: SFR DEMO (E) POOL & WATER FOUNTAIN (CITY STD, METHOD W) ALT (E) YARD DRAINAGE
Legal Desc.: N TR 7386 LOT 76
Owner:
MINER KURT J/LORD-MINER MICHELLE
Contractor: OWNERIBLDR
Address:
7 MUIR BEACH CIR
Address: MINER KURT
Policy No:
CORONA DEL MAR, CA 92625
Added /New sq.ft. Bldg: 0
Phone:
Disabled Access :
Phone:
Applicant:
TABAR MEHRDAD
Con State Lie: OIB
Address:
14252 CULVER DR #349
Lie Expire:
In -lieu Housing Fee
IRVINE CA 92604
Bus Lie:
Phone:
714-725-0017
Lie Exp Date:
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction:
Carrier:
Record Management:
Occupancy Group: U
Policy No:
$0.00
Added /New sq.ft. Bldg: 0
Expire:
Disabled Access :
Added /New sq. ft. Garage: 0
Hazardous Mat
$0.00
No of Stories: 0
Building Setbacks
Rear: I
No of Units: 1
In -lieu Housing Fee
Front: I
Bldg Height: 0
$293.00
Left: I
Bldg Sprinklers:
$0.00
Right: I
Flood Zone: X
Use Znne'
Parkinn Anaces
Building Permit Fee: $187.00
Plan Check Fee: $162.69
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $940.69
PROCESSED BY:
ZONING APPROVAL:
Architect
Address:
Phone: State Lie
Engineer:
TABAR MEHRDAD
Address:
14262 CULVER DR #349
Additional Fee:
IRVINE CA 92604
Phone:
714-726.0017 StateLic:C-037433
Designer:
$0.00
Address:
Phone:
Special Conditions: OIB FORM ATTACHED ii! SETR
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
$0.00
Additional Fee:
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$293.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$293.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PM Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee :
$940.69 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
.$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$940.69 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
v.. .W11 I -MI . �....4...-p..-..
I hardy altiim jmn erAnal)J/'of pe(Iury that I am exempt from the Contractors' State License �-av fort: is eaior(s) indicLted Z)elow by the checkmark(s) I have placed next to the applicable item(s)
�Secti ftJ03.1.$ Bb� ifles san&Pmfessions Code: Any city or county that requires a permit to constrict nl:er, improva, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statementl6l 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 mgre th%n five hppgred�ollars ($500)..
❑ Ias owner CI the.dropft gr ft t aipilees with wages as their sole compensation, will do(_) all Cor �) nurtions.of the .yolk, Hno.the structure is not intended or offered for sale (Section 7044,
Busibe$s Brat Professions;ode: The Contractors' State License Law does not apply to an owner or prorerty who, through emplcyees' or personal effort, builds or improves the property, provided that the
improVemerNe are not intended or offered fol sale. If, however, the building or improvement is sold wlhiin one year of completion, the Owner -Builder will have the burden of proving that it was not built or
{mm roved for the purpose of sale).
181..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
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).
IJ 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 legally
sell a structure that I have built as an owner -builder if it has not been c nstructed 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 his appli tion mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. a 1 Cs
Signature of Property Owner or Authorized Agent � Date f7
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I E licensed u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 t$100,000M, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
fpf�eeyrrformance of,the work for which this permit is issued. Policy No.
L11 have 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' compensatiol
insurance carrier and policy number are:
of Agent
rtify that in the performance of the work
Policy Number
Date
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
j. I should become subject tofJn9 w ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I �,
nature of Applicant \/ rn�,�� t , Dale
CLARATION REG ING CO SN TRUCT ON LE MNG AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code).
Ider's Name Lender's Address
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 stat laws relating to building construction.
I authorize representatives of this city or county to enter th �tabo�yyl,'�Tnt led property for inspection purposes. /
nature of Prooertv Owner or Authorized Agents �l W 1 1 /ti Print Property Owner's or Authorized Agent's Name,
DATE BY DECLAFIKTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 ANDAQIV RULE
EXPIRED 1 1 1 L_I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL I /�
L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF � �b \0( Y// PROPOSED DEMOLITION
OCCUPANCYISSUED (((/// SIGNATURE:
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