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HomeMy WebLinkAboutX2021-1593 - PermitsQ�IM110 City of Newport Beach - Building Division .( 100 Civic Center Drive, NewportBeach, CA 92660 t �, ,`� n Permit Counter Phone (949)644-3288 . N Inspection Requests Phone (949)644-3255 Combination Type - MFP IIII��������������IIII COMNo PPermit:21-1593 a7-zo 2 Issued Date: 06/21/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/21/2024 OR PERMIT WILL BE INVALID 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: 211 32ND ST NB Description: DESCRIPTION CHG -DUPLEX TO CONDOS. 211-20681200 SF LIV/GAR - F13 - 2111/200 SF LIV GAR Legal Desc.: LAKE TR LOT 1B BLK 132(ANO NELY 16 FT LOT 19 BILK 132 Owner: OC LUXURY 2017-01 LLC Contractor: OWNER/BLDR Architect: Address: 12 CORPORATE PLAZA # 260 Address: BAREH MIKE Address: NEWPORT BEACH, CA 92660 Phone: Phone: 949-322-7866 Phone: State Lic: Applicant: BAREH MICHAEL Con State Lic: CIS Engineer: Address: Lic Expire:, Address: Bus Lic:'. Phone: 949-322-7866 Lic Exp Date: Phone: State Lic Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: 11 Special Conditions:No /� of Units : 2 Front: I ?% Bl( Bldg Height: 0 Bldg Sprinklers: Left: /' Right: / � ����PT 1J Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $37.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $37.00 Plan Check Fee : $37.00 Fee Due at Permit Issuance : tl $0.00 O " PROCESSED BY: ^ PUro`1,VO' Rc KmS ekcP� PiPoV" *L: O'C ZONING APPROVAL: I4 PLAN HECK K GRADING APPROVAL:'01fM8R0tYAL,TJta5-UE: u 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 n 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 ly 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). am exempt from licensure under the Contractors' State License Law for the following naso ly signature below I acknowledge that, except for my personal residence in which I must hav a ided, fQr ,least one year prior to completion of the improvements covered by this permit, I cannot legalh II structure that I have built as an owner -builder if it has not been constructed in its entirety licensed'dod ra�ctare I understand that a copy of the applicable law, Section 7044 of the Business and 'r ssions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.tgov/calaw.html. signature of Property Owner or Authorized Agent'- i• ` C'� •'>� Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 4000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date. Contractor Signature YORKERS' COMPENSATION DECLARATION DARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. j 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 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. :1I 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' compensatioi nsurance carrier and policy number are: farrier Policy Number Expiration Date e of Agent Phone # I rtify that, in the perm once of the work f permit' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation law of California, and agre at, I should becomes ject tot worker ' 1 rov' ons jof(/S�1 c' n 3700 of the Labor Code, I shall forthwith comply with those provisions. 3I ure of Applicant fJl� Da"/ �l z/ DECLARATION REGA DING CONSTRUCTION LENDING A NCY hereby affirm under penalty of perjury that there is a construc n lending agency for the performance of the work for which this permit is issued (Section 3097, Civ I 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. L 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 he above -identified r perty r insp ' urposes. Signature of Property Owner or Authorized Agent r t Property Owners or Authorized Agent's Name Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH IZODE OF FEDERAL FOR. OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJiSUBMITrECASSEtOINOTIFICATIOiTO •_ PERMIT EXTENDED LIAQMD - PERMITFINAL / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF Il PROPOSED DEMOLITION• • e OCCUPANCVISSUED u SIGNATURE: : • : •Y�