HomeMy WebLinkAboutX2022-1620 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIII III III IIIIUIIIIII II
COMB Permit: X2022-162
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100 Civic Centc,' Lwe,.Newpert Beach, CA 92660
X 2 0 2 2 1 6 2 0
Project No : 1672-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255Combination
Issued Date : 2022
Type - SFP ELEC MECH PLUM GRAD
rea :
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
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: 225 VIA LIDO NORD NB
Description: NEW SFR*CHANGE OF CONTRACTOR* W/ ATTACHED GARAGE 3597 SF & 647 SF (REPLACE X2021-1924)
Legal Desc.: TR 907 LOT 1059(AND NELY 10 FT LOT 1058
Owner: VALDER STEPHEN/TERI Contractor:
TONY VALENTINE CONST INC Architect:
JEANNETTE BRION S
Address: 5702 MOUNTAIN VIEW AVE Address:
567 SAN NICOLAS DR Address:
470 OLD NEWPORT BLVD
YORBA LINDA CA 92886
NEWPORT BEACH CA92660
NEWPORT BEACH CA 92663
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Phone: Phone:
949-723-6449 Phone:
949-645-5854 State Lic:0008012
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Applicant: BARD MARTIN Con State Lic:
467553 Engineer:
DEIHIMI AMIR HOSSEIN
Address: 470 OLD NEWPORT BLVD Lic Expire:
0413012024 Address:
23172 PLAZA POINTE DR STE 145
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NEWPORT BEACH, CA 92663 Bus Lic:
BT30071132
LAGUNA HILLS CA 92653
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Phone: 949-645-5854 Lic Exp Date:
0212812023 Phone:
949-954-7244 State Lic:C-078194
Code Edit : 2019 Worker's Compensation Insurance Designer:
Type of Construction: V-B-SPR Carrier:
STATE COMP INS FUND Address:
A
Occupancy Group: R3/U Policy No:
1794693
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Added /New sq.ft. Bldg: 3597 Expire:
07/01/2022 Phone:
Added /New sq. ft. Garage: 647
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No of Stories: 2 Building Setbacks
Rear: 4 Special Conditions: LIQUEFACTION
No of Units: 1
Front: 10
noise form on plans
Bldg Height: 0
Left: 4
Bldg Sprinklers: Y
Right: 1.5
Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $0.00
Building Permit Fee: $0.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $0.00 Additional Fee :
$38.00 Plan check Fee :
$0.00 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:
$688.80 SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00 Grading PC Fee:
$151.20 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 W
$0.00 San Dist: $0.00
$0.00
Building Green Fee : $0.00 Mechanical %:
$0.00 NMUSD Fee: $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $38.00
Plan Check Fee : $0.00 Fee
Due at Permit Issuance : $38.00
PROCESSED BY: _
- _ PUELIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _
_ APPROVAL TO ISSUE:
V
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 dieted 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
roved for the purpose of sale).
LI 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).
❑ I am exempt from Iicensure 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.ce.govtcalaw.htmi.
Signature of Property Owner or Authorized Agent Qate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of i Si 3 f the Business and Pr f ssio . C de, ' CC 's in full force
and effect. License Class License No Date Contractor Signal
WORKERS' COMPENSATION DECLARATION IF
N.ARNING: 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 ADDII all THE
COST 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:
1 have and will 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,
3erf9fmance of theyro{k for which this permit is issued. Policy No.
have and will aintar worke con ensaJn,,insuranS�,as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ccmpensatio
ranee carrier a d policy numher ar
"ier Po 46v—
certifyExpiration Date
Te of Agent Phone #
that, in the performance of a rk for wh this pert is fall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
if I should become sub' ct tD the or ers' c e ati n pr v ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant
:LARATION REGAMIRM CONSTRUCTION LE DING AGENCY /
�reby affirm under p)Fhalty of perjury that there is a construction lending $gencj for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
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 p ed is correct.
I agree to comply with all applicable city and county or non es and Wile law elating to building construction.
I authorize representatives of this city or county t9l,`S'nt r the alb tified r arty for inspection purposes. ` `/ I ,
nature of Property Owner or Authorized Agent ] K M 1 Print Pmoertv Owners or Authorized Anent's Name Y7 V d C 1 AJJ wl !
ACTION
DATE
BY E
DECLARATION OF COMPLIANCE WITFKgDE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40eO AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
EPA -
QM D
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
OASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE:
a
N N N
A N N
O In A
A
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��wP°Rr City of Newport Beach II II I II I II I III III I I II II Permit: X2022-1620
°� 0 100 Civic Center Drive Plan Check: 1672-2021
u 9K i Newport Beach, CA 92660
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: STEPHEN VALDER
Address: 225 VIA LIDO NORD, NEWPORT BEACH, CA
Tenant:
Use Zone: R-1 - Single -Unit Residential
Description of Work: NEW SFR*CHANGE OF CONTRACTOR* W/ ATTACHED
GARAGE 3597 SF & 647 SF (REPLACE X2021-1924)
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: /eraee /—Zdli
Code Year Edition: 2019
Number of Stories: 2
Construction Type: V-B
Occupancy: U,R-3
Total Occupant Load:
Fire Sprinklered: YES
Date: 12/19/2023