The URL can be used to link to this page

Home My WebLink AboutX2018-2290 - Permits�ggW1r y:' City of Newport Beach - Building Divisi �A J• 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ° Inspection Requests Phone (949)644-3255 r e ru�r Combination Type - SFP Construction Hours: Monday - Friday 7:00 a.m. to Job Address: 437 ACACIA AVE NB Description: DEMO DETACHED GARAGE *CHG OF CONTRACTOR* Legal Desc.: N TR 682 LOT 51 COM¢•^Qe snits X2018.2290 Project 140 :'Q003-20 Issued • • m e e•• o m Issued Date : 0 7/3112 01 8 Inspection Area : 5 o � ••a eee YS AFTER ISSUANCE OR LAST VALID INSPECTION.. e e • • m p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on S°urid"iys or Ho/bay* . . m ° e • Owner: ACACIA PROPERTIES LLP Contractor: .( R C COMPANY Address: 437 ACACIA AV Address: KANEOHE LN CORONA DEL MAR CA 92625 '2I'1822 rnUNTINGTON BEACH CA 92646 Phone: Phone: Applicant: KABBANY GISELLE Con State Lie: 56317 Address: 1702 LAKE ST Lie Expire: 0131/2018 HUNTINGTON BEACH CA 92648 Bus Lie: T30063997 Phone: Lie Exp Date: 15713112019 Code Edit: 2016 Workers Compensation linsurance Type of Construction: V -B Carrier: XEMPT Occupancy Group: R311.1 Policy No: o employees Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 Fire Inspection: $0.00 No of Stories: 1 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Heft: / Bldg Sprinklers: Right / Architect: KABBANY GISELLE Address: 1702 LAKE STREET HUNTINGTIN BEACH, CA 92648 Phone: 714.872-0386 State Lic:C035765 Engineer: DEIHIMI AMIR Address: 4400 CAMPUS DR NEWPORT BEACH CA 92660 Phone: 949-752-1612 State Lic:C047283 Designer: ` Address: 1 r ? Phone: �'� T)R Special Conditions: JD DEMO TO HAUL DEBRIS Flood Zone: Use Zone: Par ki S aces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $3 .00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $ .00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $ 0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading PermitFee: $ .00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $ !.00 Public Works Department, General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $ .00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $6.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical W $'1.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $P.00 $0.00 TOTAL FEE : $33.00 Plast Check Fee: $33.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OW JE0-BV1LQE�. N LCRaTIt I herepy pffirm$InBet,)e$.aily a, prrjoi.hat I em sxeelpt from the Contractors' State License Law for the reason(s) Indo ated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.9, eusinbss 0d O-cfess.ons Gode: 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' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exemptfrom licensure Rnd 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 mor2 than fdg hund4l daRis ($467 : .'. ❑ 1, as dyer bf th& prgcerty,our my emelogrep with wagas as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and rCgfessig1$4'otlefThe Col�racgrs' State L'cence Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intendeo or offered for sale. If, however, the building or improvement is sold within one year of com 3letion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). EJ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I uiderstand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legiiifo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 4fr�n Isio3 of the Business and Professi �in and effect. License Class License No Date TJ— Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENA TIES AND CIVIL FINE$ UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director df I Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: Carrier Po icy Number Expiration Date Naim Agent Phone # I c rtify that, in the performance of the ork for his permit is issued, I shall not employ any person in any manna so as to become subject to the workers' compensation laws of California, and agre that, 1 1 should become ubject e r e nsation pro ' action 3700 of the Labor Code, I shall forthwi h comply with those provisions. .—� Signal ure of Applicaqq Dat � DECLARATION REGe T CTION LENDING AGENCY I hereby affirm under pe T perju that there is a construction lending agency for the performance of the work for who h 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 property owner or authorized to act on the property owner's behKied I have read this application and the information I have provided is correc I agree to comply with all applicable city and county divan n relating to building construction. I authorize representatives of this city or county to er ov ro a pection purposes. o Signature of Property Owner or Authorized A e Print Property Owner's or Ai ithorized Agent's Nam r i i' Date ACTION DATE BY RA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I OEPA PERMIT EXTENDED QMD . PERMIT FINAL CERTIFICATE OF U A ESfOS NOTIFICATION IS NOT APPLICABLE TO WPOSED DEMOLITION OCCUPANCY ISSUED (�' SIGNATURE: