HomeMy WebLinkAboutX2018-1912 - PermitsCity of Newport Beach - Building Division *X2018-1912* COMB Permit: X2018-1912
't. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1496-2018
A" Permit Counter Phone (949)644-3288
'rq Inspection Requests Phone (949)644-3255
Combination Type - CIP Issued Date :
Inspection Arearea :2018
7
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: 1113 NEWPORT CENTER DR NB
Description: COMM - REMOVE/R l re rt A&fi•BANE6i m ew, rH+;e{•S,S;j,�p.�+A...,,. _ _ �i,� .�
Legal Desc.: P BK 221 PG 30 PA 8 ¢¢'�44 q tL.�'1
Owner: IRVINE CO Date: i � / l 99 ¢ IN ��� �r'd�-EABAYJ3L �L!.DiN�GROLIP LLC f� � itAr;�s YJIG�.
Address: 550 NEWPORT CEN R DR Address 205 S CLARK DR, STE 1 Address:
NEWPORT BEACH, k 92660 T PE 52 RO% or �J '�0�J% refund
Phone: On y , a20 17 pl'ione: State Li
Applicant: BUCHMAN NATHAN _ n>�1"c r2.; Ang'�nee[' �SI3MS0 BGOkSEHWY"—�
Address: 23575 CABOT DR#2 - c ire. V��i , 0 A/2 � EM �� �� Y!'H1� !�
HAYWARD CA 9454 - '°'� R Bus Lic: ST30063605 LONG BEACH CA 90804
Phone: 206-775-5004 Lic Exp Date 06130/2019 Phone: State Li C-058238
Code Edit 2016 eJ's `den lionIJley�F.Designer:
T e of Construction: III-B-SP ,,' 'Carr IIN , - f Address:
Ocupancy Group: M .;u ;N 916.," '.
meem
Added /New sq.ft. Bldg: 0 Expire: 0412612019 Phone: • e
ommo
Added /New sq. ft. Garage: 0 m m
No of Stories: 2 Building Setbacks Rear: / Special Conditions: e ° ° o ° ° o • • ° ° °
No of Units : 0 Front: / rc m
BldgHeight: 0 t l � r •, �„�. S � ��-
Bldg Sprinklers: Y a 4kA-IRfii I 3
Flood Zone: Us Zone: �arking Spaces: 0 Fir@ Yipapd, on
Construction Valuation: $149, 00.00 " oe
e o ° 000<•<
Building Permit Fee: $1,340.00 Excise Tax: $0.00 Planning Department- Fire Department
Plan Check Fee: $1,165.80 Note, Additional Fee: loon Plan clyypgEe"� --$3Z s^ `'-^ ^^-�^r^ $0.00
oeomoc
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire ev o 304c c °
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : _ l VJ C �1; $d.P. ,tj,�!1 "s: Dem li ion Fee ° ....
°
Record Management : $16.00 Grading rmi erF e:----$0:00'-`-'--1n-lieu ousiH- ng Tee- $0.00 Building De t Ad ° •i0.00° ° m
Energy Compliance: $0.00 =g' rading•P(s'�Pe � $0:00�:�.. ..^PObi WbiYFS=Dep"ftPtriYefft'=°""""'.. `"'`:"""'-'<"°•"`°"'uneiia e`rvic'e� 40.00
CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 PM Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee: $6.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00
Plumbing W $0.00 $0.00
TOTAL FEE : $2,565.30 Plan Check Fee: $1,409.40 Fee Due at Permit Issuance : $1,155.90
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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
he 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
lot more than five hundred dollars ($500).
I, 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,
3usiness 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
mprovements 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
m roved for the purpose of sale).
1, at Ownerof 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
Ipply 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:
3y 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 Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent - - Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7009) gf DiyZop .3 the Business and Professions Co d tL7eree
Ind effect. License Class License No Da �D/ 7/ C r Signature _�
VORKERS' 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
;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES..
hereby affirm under penalty of perjury one of the following declarations:
I have and -Alt tr(pintain 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 lh
erformance oftl"work for which this permit is issued. Policy No.
V111ajptain 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'
aAQ policy number are:
Policy Number Expiration Date
ieof Agent•
..
Cartfy that, in the gertormance of the work r which this permit is
„it :should becene subject to the s comp IpD•provist6
I shall not employ any person in any manner so as to become subject to ffie
efli of the Labor Code, I shall forthwith comply with those provisions.
affirm tinder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
Name Lender's Address
it T 1.*nature. 15W54„1 certify to each of the following:
I am the pro;:11artf 1owner 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter ov 'denti A•p a or inspection purposes.
signature of Property Owner or Authorizeg-ngenr Print Property Owner's or Authoria
ACTION DA BY DECLARATION 0 MPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
)•)j r(Ol"
I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
0EPA
PERMIT EXTENDED
MACMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
compensation laws of California, and
%/Z a/1
, Civil Code).
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