HomeMy WebLinkAboutX2017-3229 - Permits,1'1•p,. City of Newport Beach - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
H _ Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
COMB Permit: X2017-3229
x 2 9 1 7 3 2 2 9 Project No: 2243-2017
Issued Date : 01/19/2018
Inspection Area : 2
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: 435 SAN BERNARDINO AVE NB e a m
Description: NEW SFR W/ ATTACH GARAGE 4568 & 750 SF AND COVERED PORCH 229 SF , ° e e
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS ELK 13 LOT 15 seeOme°•eeC
Owner:
PALLEY MARION
Address:
435 SAN BERNARDINO AVE
Occupancy Group:
NEWPORT BEACH, CA 92663
Phone:
949.233-2510
Applicant:
HAMPTON CRAIG
Address:
3615 S. BROOKSHORE PL
No of Units:
BOISE, ID 63706
Phone:
949-209-8883
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4568
Added /New sq. ft. Garage:
750
No of Stories:
2
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
Y
Construction
Building Permit Fee:
$5,888.00
Plan Check Fee: $4,744.00
Overtime Plan Ck:
$3,851.25
Investigation Fee:
$0.00
Record Management :
$80.00
Energy Compliance:
$268.00
CA Seismic Safety:
$113.62
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$35.00
TOTAL FEE : $26,999.51
PROCESSED BY:
ZONING APPROVAL:
Contractor:
SAILHOUSE HOMES INC
Address:
567 SAN NICHOLAS DR, STE 260
$0.00
NEWPORT BEACH CA 92660
Phone:
949-281-6045
Con State Lic:
1007531
Lic Expire:
09130/2019
Bus Lic:
BT30055585
Lic Exp Date:
06/30/2018
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9213113
Expire: 06124/2018
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 20'
Left: 4'
Right: 4'
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$820.00
$713.40
$0.00
$412.16
$235.52
$529.92
Plan Check Fee
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $342.00
San Dist: $2,235.00
NMUSD Fee: $6,340.64
Fire Department
$0.00
Architect:
$0.00
em
Address:
Demolition Fee
j� # • °
o:;:e om
Building Dept Adm
fJ ay e e
Phone:
State Lia
m o n
Grading Bond:
em000
meeeo°
Engineer:
FORBES DALE
€e
Address:
1800 E 16TH ST #13
meemco
SANTA ANA CA 92701
Phone:
714.835.2800 State Lic:C-030407
eo m °
°""'
Designer:
HAMPTON CRAIG
e m • °
Address:
3615 S. BROOKSHORE PL
BOISE, ID 83706
Phone:
949-209-8863
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $342.00
San Dist: $2,235.00
NMUSD Fee: $6,340.64
$9,967.65 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
M
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17,031.86
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$9,967.65 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
M
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17,031.86
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 9►EITgj intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nlproved for 6 -purpose of sale).
ar.4 as own �rrof IffL1P�property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I -am exempt#rom licensureunder the Contractors' State License Law for the following reason:
ly frig signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
ell astructure Intl r&ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'Ibteasions Code, is gvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
jigrWure of Pwpedyy Owner or Authorized Agent Date
JPV$SED 1060kACTOR'S DECLARATION
hereby affirm unser penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivision 3 of the Business and Prof i Co e, and my license is in full force
nW eTf®ct. Licydl§aQ lyass License No Dat If 8 Contractor Signatur
19RaRS' COMPENSATION DECLARATION
'ARNINO. FAILURETQ%9QURE 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
dtfl& COMPENSWIGM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
I 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
I, if I should become act to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ////
nature of Applicant/ DatP�
CLARATION REC)ARDING�RUCTION LENDING AGENCY �(
:reby affirm under 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).
lder'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 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 counttttoo an er t e above -identified property for inspection purposes. /�
nature of Prooertv Owner or Authorized ADenY`"'c ' Print Prooertv Owner's or Authorized Agent's Name / Yq'i'.^:}I_Pf�'� ate t yfr y9
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED iI) / Uff MITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
CERTIFICATE
E TIFANCE OF
kjI7 J(�///V SIGNATURE II��N IS NOT APPLICABLE TO