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HomeMy WebLinkAboutX2018-2262 - Permits1'G City -of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 k° k, Permit Counter Phone (949)644-3288 E Inspection Requests Phone (949)644-3255 aitra-rR�'�� Combination Type - BLDG PLUM COMB Permit: X2018-2262 IIIIIIII�IIIIIIIIIII�IIIIIIIIIIII6lllllg ll Project No: 1784-2018 Issued Date : 07127/2018 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: POINSETTIA AVE N DE B Description: DEMO DUPLEX 8 SF T 17 - INSPECTOR Legal Desc.: CORONA DEL MARAR BLBLK 442 LOT 17 Owner: ADG INVESTMENTS Contractor: AHA DEVELOPMENT GROUP INC Architect: Address: 20331 IRVINE AVE #E2 Address: 3700 NEWPORT BLVD #102 Address: NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92663 Phone: 949-612-9170 Phone: 949.612-9170 Phone: State Lic: Applicant: AHA DEVELOPMENT GROUP INC Address: 3700 NEWPORT BLVD #102 NEWPORT BEACH CA 92663 Phone: 949-612.9170 Code Edit : 206 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $7,500.00 Building Permit Fee: $103.00 Plan Check Fee: $189.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00�� FEE: $1,744.27 PROCESSED BY: ZONING APPROVAL: Con State Lic: 931225 Engineer: Lic Expire: 04/3012019 Address: Bus Lic: BT30048935 Lic Exp Date: 10131/2018 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9058784 Expire: 06/01/2019 Phone: Building Setbacks Rear: / Front: / Left: I Right: I State Lic: Special Conditions: TIGHT QUARTERS IS HAULER 1 STREET TREE Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $90.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PM Plan Check: $0.00 - Grading Bond: Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.27 Plan Check Fee : $0.00 Fee Due at PerMiMisis Itce PUBLIC WORIfS APPROVAL: PLAN GRADING APPROVAL: I / APPROVAL TO e•ee o •e•e e e eee m meemme era e o e o 0 0 •e o 0 0 • o mo ® o 0 me ° °O° ° e m omoee 00 euoe m o ommoo omemoo • ° ° 000moo om m o m m • ° o000 ram m $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 $1,744.27 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) action 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 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 �fessions 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 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, Oness 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 Hovements 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 Proved for the purposegf sale).- 1, 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 Ply 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). I am exempt from licegsure undbAthe Contractors' State License Law for the following reason: 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 legally 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Proi wV.Owner or Authorized Agent Date TENSED Ct WT"CTOR'S DECLARATION Ireby affirm yndelrgenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Ca In lic s is' 14f rce I effdct. Li(nnse Class License No Date Contractor Signature\ )RKERS' COJNPENSATION DECLARATION IAIAG: FAILUREJO S�CURE 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 IT OF COMPENSATID 41AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. ieby affirm under penalty of perjury one of the following declarations: maintain have and �vRl 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 thi ance of the work for which this permit is issued. Policy No. �Fiau and vyll majptain 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' compensatior Ira Me can'!&-hhAPolley number are: ri Policy Number Expiration Date of Ager@.0 0 JI certify that, in the performance of the work 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 lat, if I should become subject to the Wkers c wp€�isl n provisio 3700 of the Labor Code,,II hall forthwith comply with those provisions. signature of Applicant /y%a ��✓ (/%Q/S'o.� Da � 22 W y IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm unde✓penalty 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 sy 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 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 coun nspection purposes. Z/ innaturs of Pmnerty Owner orAuthorized ADen��oPrint PrODertV Owners orAuthorized ADent's Name 7 u 4&11 Date/0 DECLARATION OF COMPLIANCE WITH CODE OF ACTION DATE BY (' REGULATIONS P ASBESTOS STOE 40 AND NOTIFICATIONTO RULE AL' FOR OFFICE USE ONLY PERMIT EXPIRED PERMITFINAL —�S-I� pro— JUASBESTOS FICATION IS CERTIfICATE OF pow^ ROPOSED DEMO OCCUPANCYISSUED M / SIGNATURE: