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HomeMy WebLinkAboutX2018-1378 - PermitsI, City of Newport Beach Building 100 Civic Center Drive, Newport Beach, CA 92660 E ffi_� Permit Counter Phone (949)644-3288 Inspec:;pn Requests Phone (949)644-3255 pmaranx�Y' Combination Type - SFP ELEC GRAD MECH Division PLUM II IXIIII IA0III1II III IIIIIT �II7 8 II COMB Permit: X2018-1378 Project No: 2237-2017 Issued Date : 05/08/2018 Inspection Area: 5 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: 504 HAZEL DR NB Description: SFR "CHANGE OF OWNER BUILDER* ADD 1077 SF, REMODEL 2366 SF, REMODEL EXTERIOR OF GARAGE Legal Desc.: N TR 673 BILK B LOT 36 Owner: THE LEAF PROPERTIES INC Contractor: OWNERIBLDR Architect: BRANDON CHRISTOPHER Address: 720 FERNLEAF AVE Address: LEAH ALPERIAN Address: 151 KALMUS DR #G-1 CA Seismic Safety: CORONA DEL MAR CA 92625 Disabled Access: $0.00 Hazardous Mat COSTA MESA CA 92626 Phone: 310403-2474 Phone: 310-403-2474 Phone: 714.754.4040 State Lic:C031637 Applicant: ALPERIAN LEAH Con State Lie: OIB Engineer: DEIHIMI AMIR Address: 504 HAZEL Lic Expire: Address: 4400 CAMPUS DR NEWPORT BEACH CA 92625 Bus Lic: NEWPORT BEACH CA 92660 Phone: 310-403-2474 Lic Exp Date: Phone: 949-752-1612 State Lic:C047283 Code Edit: 2016 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1077 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Building Permit Fee: $0.00 Plan Check Fee: $0.00 $33.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $0.00 TOTAL FEE: $33.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 10 Front: 5 Left: 3 Right: 3 Use Zone: R1 Parkina Soap Excise Tax: $0.00 Additional Fee : $33.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $1,354.64 Grading Permit Fee: $0.00 Grading PC Fee: $297.36 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Designer: Address: Phone: Special Conditions: REPLACE PERMIT X2017.3225 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00 TPUBLDIF WORKS APPROVAL: cw o0o c o 0 0 PLAN CHECK BY u c o v © o 'AV PROVAL TO ISSUE: c o o r cc c c c L v 0 ccc ac oc c o coo co 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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00 TPUBLDIF WORKS APPROVAL: cw o0o c o 0 0 PLAN CHECK BY u c o v © o 'AV PROVAL TO ISSUE: c o o r cc c c c L v 0 ccc ac oc c o coo co 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) 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 ie 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 Divi' ion 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 of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Wsiness 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 rovements 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 ved for the purpose of sale). IrIS 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 p 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). r1 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 Bust' ass and 'rofessions Code, is available upon request when th' pplic 0 1 ubmitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent 4+ .ICENSED CONTRACTOR'S DECLARATI N \ hereby affirm under penalty of perjury that I am licensed un r pr ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class _ L' ns No Date Contractor Signature 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 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number of Agent Date I 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 agre h if I should become subject to th rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant V a )ECLARATION REGAONIG CON 'ION LENDING AGENCY hereby affirm under penalty of p rJur ha 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 3y my signature below, I certify t qh_y 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 ordin ce and state laws relating to building construction. 1 authorize representatives of this city or county enter t o -identified property for inspection purposes. t -J 3t' nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam J �� Date ACTION DATE BY DEC = OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG tAT PART61 OFTITLE 40 AND, RULE PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICgiIQN TQ • • • + • • • + i i • • e i i PERMIT CANCELLED EPA__ • • i • • • • • PERMIT EXTENDED (QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION •• ••+ + • • ••• •• °• OCCUPANCY ISSUED SIGNATURE: i e o o s e e • o a o • • • o e cc cc roe C C ( Of FCS coo cP CCn OCE O ❑ w�CKD:E 0= N Q w 0 w p TfD•S M O 0• _°_ 5. w � `I w — N > > (D w n CP O A w N W Z3 a< a� ad I'D ID y �Q N 3 l N 3. 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