HomeMy WebLinkAboutX2019-2984 - Permitsawlvp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2984
so, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 9 8 4.. Project No: 0289-2018
Permit Counter Phone (949)644-3288 -
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM MECH Issued Date : 0911912019
. 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2889 WAY LN NB - - -
Description: SFR REMODEL(NEW STAIRS,. KITCHENIBATHROOMS REMODEL, DOORIWINDOW CHANGE OUTS) NEW STANDING. SEAM ROOF AND STRUCTURAL RENOVATIONS 5,500 SF
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Legal Desc.: CORONA DEL MAR LOT 1 BLK C-33 AND LOT 2 BILK C-33 ....
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Owner, ANIA LOWENTHAL Contractor. MOLA BUILDERS INC. Architect:- RADAC DARIAN
Address:. 31441 SANTA MARGARITA PKWY Address' 3857 BIRCH ST #530 Address: 16897 ALGONQUIN ST #C
RCHO STA MARG CA 92688 NEWPORT BEACH CA 92660 HUNTINGTON BEACH CA 92649 + • ° `
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Phone 310.7094476 Phone: 714-924-3137 Phone: 310-709-4476 State Lic:C-033451 +uI e o m o
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Applicant RADAC DARIAN Con State Lic: 831729 Engineer: SARKIS PETER � .. •Lpo 0 0 0
Address 16897 ALGONQUIN ST #C Lic Expire' 02/29/2020 Address: 20381 LAKE FOREST DR, STE 815 . tomo `
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HUNTINGTON BEACH CA 92649 4Bus Lic: BT30048402 LAKE FOREST CA 92830 ..L.- o
Phone 310.709-4476 Lic Exp Date: 0913012019 Phone: 949-331-8475 State Lic:S-005038 M
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Code Edit 2016 Worker's Compensation Insurance Designer: IN
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Type of Construction. V-B Carrier STATE FUND Address: I V 1�
Occupancy Group: R31U Policy No. `9111013 ` ' V 1 .�
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Added /New sq.ft. Bldg. 0 Expire: 08/3012020 Phone: MmauM o
Added /New sq. ft. Garage:: 0 -
No of Stories 2 Building Setbacks Rear 10' Special Conditions: 117-2344 a Z
No of Units 1 Front: V WATER COASTAL EXEMPT <10 /o Z Zr
Bldg Height: 24 Left: 4' JD DEMO TO HAUL 0Bldg Sprinklers: Right:. 4'
Flood Zone: Use Zone: R-1 Parkino Spaces 3 Fire Hazard Zone: N 110/4.
Construction Valuation:
$500.000.00
Building Permit Fee:$3,568.00
Excise Tax:
$0.00
Planning. Department- -
Fire Department
Plan Check Fee:$0.00
Additional Fee ;
$61.00
Plan check Fee : $320.00
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:
$3,568.00
Grading PC Consultant:
$0.00
SJH Trans: $0.00
Demolition Fee
Record Management:
$108.00
Grading Permit Fee:
$0.00
In -lieu. Housing Fee: $0.00
Building Dept Adm
$24.00
Energy Compliance:.
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access:
$0.00
PAN Plan Check : $618.75
-Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$249.76
San Dist: $0.00
Building Green Fee :
$20.00
Mechanical %:
$142.72 _
NMUSD Fee: $0.00
$0.00
Plumbing %: -
$321.12
$0.00
TOTAL FEE : $9,762.35
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$9,762.35
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
V
PLAN CHECK BY:
GRADING APPROVAL:
_
APPROVAL TO ISSUE:r/�
OWNER- UILDER 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 items)
(Section 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, alter, improve, demolish,. or repair any structure, priorto 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 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 L) 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 ownerof propertywho, through employees' or personal effort, builds or improves the property, provided flat 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 b'vilt or
im roved for the purpose of sale). T.
I, as owner 9Ltr@ property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ap Iy to an Omer of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
•..*
f j.atn exempt Irom licensure under the Contractors' State License Law for the following reason:
ray myslgnatufe 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 iht"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
PI%gplions Coddf, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
Signature of Prop�e�rrtyy��Owner or Authorized Agent to
LtChfNSED MVIMACTOR'S DECLARATION
I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 �!`� DiyVa of the Business and Professi s C de, d my license is in full force
ffr"( ffPct. LlCgrj��Class License No ..Date Contractor Signature
AMKERS' CQMPENSATION DECLARATION
A,}414: FAILUl SWURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST Of COMPSIMATIOHfOAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.hefabr� affirm aunder penalty of perjury one of the following declarations:
DITlave and yujlC 0* intain 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
3e ormance of the work for which this permit is issued. Policy No.
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
nsu nce carrier and poll num�berr are:
.,airier Policy Number /11IOD l3— 2101!2 Expiration Date
Name of Agent - Phone #
JI certify that, in the perform a the work rwhich is permit is issued, I shall not employ any person in any manner as to become subject to the workers' c pensation laws of California, and agre
:hat, if I Should become subj t e worker p r ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
31gnature of Applicant Date -9—l7 /7
DECLARATION REGAR ING or
ENDING AGENCY
hereby affirm under p ally 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 propLnce
ers behalf.
have read this application and the information I hav .padis correct
agree to comply with all applicable city and county dan a re ling to buildingconstruction.
I authorize representatives of this city or county to eIden r any for inspection purposes.
Signature of Property Owner or Authorized Agent Print Pro art Owner's or Authorized Agent's Na Zte
ACTION DATE BY VC&RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMITEXPIRED ID I SUBMITTED ASBESTOS NOTIFIC ION TO
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PERMIT EMENDED
PERMITFINAL y SBESTOS NO [CAT N 11dNOT T
CERTIFICATE OF ANOSED DE LITIO
OCCUPANCY ISSUED Ib SIGNATURE:
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