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HomeMy WebLinkAboutX2019-2296 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "ax • uvsb Combination Type - CIP X 2 19 2 2 9 6�� II COMB Permit: X2019-2296 Project No: 1650-2019 Issued Date : 07/2412019 Inspection Area :'4'Z PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. t 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: 308 MARINE AVE NB Description: MIXED USE WINDOW CIO (12) FOR RESIDENTIAL AREA ONLY Legal Desc.: BALBOA ISLAND SEC 4 LOTS BLK 14 E76 FT Owner: 211 EMERALD BAY LLC Address: 306 MARINE AVE Record Management: NEWPORT BEACH, CA 92662 Phone: $0.00 Applicant: HUTCHERSON WARREN Address: 1100 COAST HIGHWAY #206 Hazardous Mat LAGUNA BEACH, CA 92651 Phone: 949-338-6905 Code Edit: 2016 Type of Construction: V-A Occupancy Group: R3/B/M/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $168.00 Plan Check Fee: $146.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $357.16 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Address:. AUTH AGNT:MORRISON JAMES Phone: 949-395-6043 Con State Lie: 0/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance. Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I larkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Fire Department Address: INSPECTOR Phone: State Lie: Engineer: Fire Department Address: Fire Inspection: Phone: State Lie: Designer: HUTCHERSON WARREN Address: 1100 COAST HIGHWAY #206 Public Works Department - LAGUNA BEACH, CA 92651 Phone: 949-338-6905 Special Conditions: LIQUEFACTION OWNERIBLDR AUTH ATTACHED VERIFIED LLC DOCS 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 ee•e Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm • m General Service mm Refund Deposit Grading Bond: ee•e • o e•eo 0 0 eeo • momeoo • m o 0 mm 0 0 0 0 0 0 mo 0 0o m o c m o 0 00® e o ome o Doom c e0000 0000 0 mmoo0 0 000000 0 o c o 0 00000 0 om c o c m cooc Doom $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $144.40 Fee Due at Permit Issuance : $212.76 PUBLIC WORKS APPROVAL: PLAN CHECK BY: n APPROVAL TO ISSUE: 1Z 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 penally of Wore than five hundred.dodars ($500). s ter 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 (jegtion 7044, sines, 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 i provements 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 wasinot built or im 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 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). ❑ 1 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 covers by this permit, I cannot legal) sell a structure that I have built as an owner -builder if' has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of the Business and Professions Code', is available upon reque an t ' li ation' uIJ fitted ora he fpllowing Web site:http://www.leginfo.ca.gov/calaw.htmi. -7 ,_ .� �^7 ��—"'— / ?-0 Signature of Property Owner or Authorized Age Date LICENSED CONTRACTOR'S DECLA I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S do 00) of Division 3 of the Busine and Professions Cod; and my license is in full force and effect. Licepie� plass License No le Contract 'gnature WORKERS' COMRENSATION DECLARATION jN#Brgrg(j FAILURP TO$ j(•U' RE 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 COST OFlCOMPENBA'BON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I here4y affirm under penalty of perjury one of the following declarations: I-Ifave and VIIIII rr"ntain 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 rma nce oNth IV4 for which this permit is issued. Policy No. nd wig 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' compensatio fide carrier app pplicy number are: C'MMel' Policy Number Expiration Date la Agent . • Phone # ejfy 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 war rs' compensation laws of California, and agre lat, f I -should b@aomss ' � the worker; ' c/�Qj�/n�pe tt'i�o�n�provisiona of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � ` 2 o / "V 61 Signature of App �1i"'✓ DECLARATIO GAA ING CONSTRUCTION LENDING AGENCY I hereby affi un er 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the properly 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 app able city and county ordinances and state laws relating to building construction. I authorize representaf a this city or county ter thea v tied property for inspection purposes. 1 ' p ��1;7� (' Q _ I 7 ,7" 74 fV �� t,-2 Signature of Property Ow rAuthorized Agent Print Pro ert Owner's or Aul l�'z Agent's Name V fel 1L U DTE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U NLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - 1403 PERMITEXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINALA 8 STOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF �J I n., LV PR D TION OCCUPANCVISSUED TU ,