HomeMy WebLinkAboutX2019-0723 - PermitsJ,& City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0723
off. ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 2 34
Project No
[. # n Permit Counter Phone (949)644-32811 -
- Inspection Requests Phone (949)644-3255 Issued Date
04 cps Combination Type - MFP Inspection Area : 3
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: 1544 PLACENTIA AVE NB
Description: . MFR -*UNITS 1-19" RETRO -FIT WINDOWS (57)
Legal Desc.: FIRST ADD TO NEWPORT MESA TR LOT 715 N 107 FTiN LOT -EXE 454.1 F T
Owner: ASA INVESTMENTS LLC Contractor: LEGENDARY WINODWS /LEGENDARY GROUP INC
Architect:
Address: PO BOX 9994 Address: 17911 SKY PARK CIR STEJ Address:
NEWPORT BEACH, CA IRVINE CA 92614
Phone: Phone: 949-251-1866 Phone:
Applicant: LEGENDARY WINODWS /LEGENDARY GROUP INC. Con State Lie: 1007437
Address: 17911 SKY PARK CIR STEJ
IRVINE CA 92614
Phone:- G 949-g6is ,686 -
° oc c
Corfe`E°dit°:` 02016.
Typ-°r', of Coestructi6q: 0 0 cV-B
Oc&fVdA -'Group: R2
Added0/New sq.ft. Bldg: 0
Added /Now sq. R0Gara6a,: 0
No.of StoSies: ' o ° 0 2
NoW fJnLts°:.00019
BIr6g Height: X000000
Bldg Sprinklers: o
Building Permit,FeOV O � $424.00
IITOTAL FEE: $425.00
PROCESSED BY:
ZONING APPROVAL:
Lie Expire:
Plan Check Fee:0 0 $0.00
Address:
Bus Lie:
Overtime Plan Ck:
$0.00
Lie Exp Date:.
Investigation Fee:
$0.00
Worker's Compensation
Record Management:
$0.00
Carrier:
Energy Compliance:
$0.00
WPL6039861
CA Seismic Safety:
$0.00
02/2012020
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
IITOTAL FEE: $425.00
PROCESSED BY:
ZONING APPROVAL:
Lie Expire:
09/30/2019
Address:
Bus Lie:
BT30064974
$0.00
Lie Exp Date:.
1013112019
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
INSURANCE CO OF THE WEST. T NA Address:
Policy No:
WPL6039861
$0.00
Expire:
02/2012020
Phone:
Building Setbacks Rear: I
Front: /
Left: /
Right: /
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:.
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %: $0.00
Mechanical %: $0.00
Plumbing %: $0.00
Plan Check Fee
Special Conditions:
0
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share`.
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check,
$0.00
San Dist:
$0.00
NMUSD Fee:.
$0.00
State Lie:
Engineer:
State Lie:
N P E C
des � >re
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $425.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00.
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $425.00
PUBLIC WORKS 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 the reason(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,
lusiness 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 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
only 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal)
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 g
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 1'Division [ of the Business and Professions C d�Lllc' ense is in full force
nd effect. License Class License No Date / ` Contractor Signature/
UORKERS' 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations: : 4.0 : .....
I 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, forJhf
e ormance of the work for which this permit is issued. Policy No. • • ; , •: • `o
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 wArkers' compwwatdor
Isur nce carrier and policy number are: y �y .0., : • •
er ViJS- co oF7W8 LvC.iT Policy Number r^'r'� t"�3 9°u6( Expiration Date i- °� • ••• -
•
lame of Agent Phone # � � -
71 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'o'f2,'alifornia, a ntl 291P
iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'S5
signature of Applicant Date�f •• �...•�
IECLARATION REG DING CONSTRUCTION LENDING AGENCY ��''
hereby 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, 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 county to enter the above -identified property for inspection purposes.
.,..,.,f„ ..f Ds- --e- n,..— - Aneef • Print Prooertv Owner's or Authorized ADent's Names G A, CS eb i ATI -0 Date P S'
DATE BV/ /EGULAT ONS PART 0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE
I FOR OFFICE USE ONLY
EXPIRED I 1 11 U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EMENDED LIAQMD
PERMITFINAL N ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF'�j{ ( PROPOSED DEMOLI
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