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HomeMy WebLinkAboutX2020-0098 - Permits"t'm City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0098 rex 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 9 8 Project No : 0085-2020 �; _ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 ';u �. Combination Type - BLDG Issued Date: 0210712020 0Cm() ` Inspection Area : 4 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: 1 BAYWOOD DR NB Description: COMM /LEASING OFFICE "PEDESTRIAN BRIDGE REPAIRS" Legal Desc.: PBK 189 PG 6PAR 1 �Nv��^^'"'�r�,EV UR Owner: BAYS APARTMENT NEWORT LLC Contractor: DAVIS DEVELOPMENT COMPANY INC Architect: l Address: PO BOX 2450 Address: 8780 PRESTIGE COURT Address: NEWPORT BEACH CA 92658 RANCHO CUCAMONGA, CA 91730 Phone: Phone: 909-944-4899 Phone: State Lic: Applicant: OLLASSO CHRIS Con State Lic: 941816 Engineer: CHRISTIAN DALE • • • ° Address: 8780 PRESTIGE COURT Lic Expire: 01/31/2022 Address: 1744 W KATELLA AVE #107 • • RANCHO CUCAMONGA CA 91730 Bus Lic: BT30047156 ORANGE CA 92667 • • • e • • o Phone: 951-265-2420 Lic Exp Date: 05/31/2020 Phone: 714-997-1145 State Lic:S-002705 i ' ° • ° ° ° • P Code Edit: 2019 Worker's Compensation Insurance Designer: ° °•°° Type of Construction: VB Carrier: TRAVELERS PROPERTY Address: ...... • o Occupancy Group: U Policy No: UBOL7499471825D ••b° • ® ° •• ° Added New sq.ft. Bldg: 0 Expire: 12101/2020 Phone: • • • ° Added/New sq. ft. Garage: 0 `•a °°O'°° No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: Bldg Height: 0 Left: / x ® s o Bldg Sprinklers: Right: / m ° ° • ° • • e Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N , 40 ° `. : •. • ° ° Construction Valuation: $50,000.00 Building Permit Fee: $746.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $649.02 Additional Fee : $0.00 Plan check Fee : $40.00 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 : $6.00 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 as : $2.00 echanica1 "/o: $0.00 NMUSD Fee: $0.00 $0.00 P bing %: $0.00 $0.00 TOTAL FEE : $1,(43.02 Plan Check Fee : $689.02 Fee Due at Permit Is uance : $754.00 PROCESSED BY: PUBLIC WORKS AP ROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSU 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 ?equires 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 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 not 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 covered by this permit, I cannot legalll sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.[eginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Vtl@I•ffejlalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of 'A 'on 3 of the Business and Professions a my license is in full force and effect. License0lass License No Date n Contractor Signature uyMKjRS' Q.0MeENSATION DECLARATION NDfNIN : FAILURE 7O•SECORE 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 CID O GOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm untlSrpenalty of perjury one of the following declarations: �vB and wXl•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 e anice of the'A"'for which this permit is issued. Policy No. . , j1 and wA'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 fur • p: carrier algid policy number are: al er • • =� Policy Number Expiration Date u_...... _s A.-, • • • Phnnc R :er*ify that, in the performance ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become subject rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X^/ ature of Applicant �— 4��'Z�'� , A. Ar,n.r I it rims r cunwr_ Ar_ klry hereby affirm under planalty 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) Ender's Name Lender's Address ly 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 have provided real. I agree to comply with all applicable city and county ordinan Si'a ate laws relating to building construction. I authorize representatives of this city or county to ante %WF identified property for inspection purposes. ���� S :ionnture of PrnnP.rty Owner or Authorized Aaent� /� Print Prooertv Owner's or Authorized AOent's Name ACTION DATE 8Y DECLARATION OF REGG3 LAT ONS PA TD 1 OF MPLIATITLE 40 AND QMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY — EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED Iq UAQMD PERMITFINAL /b 40= 1LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF d N PROPOSED DEMOLITION OCCUPANCYISSUED U� `, SIGNATURE: