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HomeMy WebLinkAboutX2018-2907 - Permits9�",`°r City of Newport Beach - Building Division IIIIIIII�IIIIII�III�IIIIIIIIIIIIIIIIIII COMB Permit: X2018-2907 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 9 0 7 Project No : 0742-2018 �, Permit Counter Phone (949)644-3288 r '� ; 5f Inspection Requests Phone (949)644-3255 w• ''' Combination Type - BLDG Issued Date : 0 912 712 01 8 L 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 418 LARKSPUR AVE NB • • ° ° Description: DEMO DETACHED GARAGE 500 SF s • • • • m m Legal Desc.: CORONA DEL MAR BLK 438 LOT 14 ° m. m • ..... m ° m m mmmm Owner: DEXTER 418 LARKSPUR LLC Contractor: KRS DEVELOPMENT Architect: BRANDON CHRISTOPHER Address: 255 E. SANTA CLARA ST STE 220 Address: 2941 GRACE LN STE C Address: 151 KALMUS DR #G-1 ARCADIA, CA 91008 COSTA MESA, CA 92626 COSTA MESA CA 92626 - • ° ° m m Phone: 626-4454500 Phone: 949.290.6500 Phone: 714-754-4040 State Lic:C031637 ° °`i' •• ° Applicant: BRANDON CHRISTOPHER Con State Lic: 912477 Engineer: MANSHADI FARHAD ° aeeno Address: 151 KALMUS DR #G-1 Lic Expire: 05/31/2019 Address: 1800E 16TH ST UNIT B •} , ®° • ° r COSTA MESA CA 92626 Bus Lic: BT30044186 SANTA ANA CA 92701 Phone: 714.754-4040 Lic Exp Date: 0 713112 01 9 Phone: 714-835-2800 State Lic:C-036840 ma • fa•. ra ••' m000ar Code Edit : 2016 Worker's Compensation Insurance Designer: °e'f�, ° m • o ° r Type of Construction: Carrier: STATE COMP FUND Address: m `i`s •' Occupancy Group: U Policy No: 9129520 tr Added /New sq.ft. Bldg: 0 Expire: 04/0312019 Phone:'^" Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: FRANCHISED HAULER: No of Units : 2 Front: I TIGHT QUARTERS Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2.000.00 Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 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 Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 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 %: $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $105.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $105.00 PROCESSED BY: PUBLIC WORKS APPROVAL: �`/� ZONING 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) 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 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 got more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Y.rovedfor the$Lrp6ge of sale). L 3: owner ofiFie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owpdrgf 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 exempf frons licensure under the Contractors' State License Law for the following reason: Iy my signature Ifelow 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 lega11, ell a structur etfiat I -Nave 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 I teesions Coals, Is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Xnature of PropejV.Owner or Authorized Agent Date dINSED C NTRACTOR'S DECLARATION Mr9by affirm urgder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Prof BID my tic ,rise is in full force Od a ject. License Class License No Date — Contractor Signatur ✓� YORKERS -COMPENSATION DECLARATION 'AAMOG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HU GRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 49"OF COMPFX;118ij, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirmllnEtr 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 of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th Clnce of the work for which this permit is issued. Policy No. ve 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 Isurance carrier and policy number are: carrier Policy Number Expiration Date flame of Agent Phone # :1I certify that, in the/perfrmance of the work for which this permit is issued, I shall not employ any personin any manner so as to become subject to the workers' c mpensation laws of California, and agre hat, if I should becombject to worke o pensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of ApplicanDate C/—%/k )ECLARATION REGNG CONSTRIULENDING AGENCY hereby affirm underty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). -ender's Name Lender's Address 3y 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 hav provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city or county to nter a above= ified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 0S �>Su Date 'a � ACTION DATE BY DECLARATION OrPtOrOLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITCANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I SUBMITTED ASBESTOS NOTIFICATION TO IS NOT APPLICABLE