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HomeMy WebLinkAboutX2019-0626 - Permits�,tiNl'uk City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII� II COMB Permit: X2019-0626 x 2 0 1 9 0 6 2 6 Project No:0445-2019 Issued Date : 0511612019 Inspection Area : 8 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: 1 PARK NEWPORT DR NB St: 1 Ft: 2 Description: MFR (BLDG 5) PODIUM LEVEL GURADRIAL REPLACEMENT Legal Desc.: N TR 6947 LOT 8 Owner: PARK NEWPORT LAND LTD Contractor: R D M WEATHERPRF & CONTR Address: 201 FILBERT ST #700 Address: PO BOX 130 SAN FRANCISCO, CA 94133 BEDIAS TX 77831 Phone: Phone: 714-404-8739 Applicant: O'CONNELL KEVIN Con State Lic: 724244 Address: 23201 EVALYN AVE Lic Expire: 06/30/2020 TORRANCE CA 90505 Bus Lic: BT0302449 Phone: 213-271-2000 Lic Exp Date: 02/2812020 Code Edit: 2016 Type of Construction: VA Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 921506 Expire: 05/1512020 Building Setbacks Rear: I Front: I Left: I Right: I Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: a ,r 0 CONNELL KEVIN ' 23201 EVALYN AVE TORRANCE CA 90505 213-271-2000 State Lic:S-004707 Special Conditions: State Lic: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $149,000.00 Building Permit Fee: $1,462.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,271.94 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: $10.00 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 PAN 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 %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,789.94 Plan Check Fee : $1,311.94 Fee Due at Permit Issuance : $1,478.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: s. 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 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 U all of or U 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 toanowner 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 legally 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.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION If I hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 01D' % ision 3 of the Business and ProfMioo , and li n is in full force and effect. License Class License No Date b Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: rAILURE To SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I �ierehv.affirm under penalty of perjury one of the following declarations: ❑ 1 have and wKI n.&h.tain 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 Cade, for th �^ formance of the work for which this permit is issued. Policy No. Lnd wi.1 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' carrier and policy number are: Policy Number Date ame of Agent rnune +r 11 certify that, in 'be pe: rmance 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 work rs' compensation laws of California, and agre tar, it I should becvmP upp��yyC to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant ate-WL IN iECLARATION REG RDING CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 0 77, Civil Code). ender's Name Lender's Address y 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 cou}tY ordinances and state laws relating to building construction. I authorize representatives of this city or county/0 ente#hy^ abWp-idpJjfed property for inspection purposes. signature of Property Owner or P ACTION DAT PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF .IS, OCCUPANCY155UED BY /DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NDTIFICATON IS NOT APPLICABLE TO FOR OFFICE USE ONLY