HomeMy WebLinkAboutX2017-2882 - PermitsCity of Newport Beach - Building
j 100 Civic Center Drive, Newport Beach, CA 92660
`r�r Permit Counter Phone (949)644-3288
a;+ Inspection Requests Phone (949)644-3255
r rix vow' Combination Type - SFP ELEC MECH PLUM
Division IIIIIIIIIIIIIIIII0-1IIII72. KNIIII IU811III IIIi Ij ee
GRAD
Appricant: JEHEBER ROD
Address: 410 32ND ST #202
NEWPORT BEACH, CA 92663
Phone: 949-723-4393
Code Edit :2016
y
Type of Construction: I�-�'v
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 4737
Added /New sq. ft. Garage: a 12-2
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
=food Zone:
Construction Valuation:_ 5843.000.
Building Permit Fee: $5,888.00
Plan Check Fee: $4,744.00
Overtime Plan Ck:
Construction Hours: Monday
PERMITS EXPIRE 180 DAYS AFTER ISSUA CL Oil.
-Friday 7:00 a.m. to 6:30 Saturdiy6n9
Job Address:
921 CLIFF DR NB
p.m. and
Description:
NEW SFR W/ ATTACH GARAGE 4737 & 728 SF
Legal Desc.:
N TR 1218 LOT 96
Disabled Access :
Owner:
Address:
MANNAWI MASLANTI
24376 PACIFIC AVE
Contractor: BAYLESS JEFF ENTERPRISES
Building Green Fee:
MISSION VIEJO, CA 92691
Address: 11 t DIJE CT UNIT C
Phone:
949-541-1226
SAN CLEMENTE, CA 92672
$840.00
Grading PC Fee:
Phone: 951-830-6264
Appricant: JEHEBER ROD
Address: 410 32ND ST #202
NEWPORT BEACH, CA 92663
Phone: 949-723-4393
Code Edit :2016
y
Type of Construction: I�-�'v
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 4737
Added /New sq. ft. Garage: a 12-2
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
=food Zone:
Construction Valuation:_ 5843.000.
Building Permit Fee: $5,888.00
Plan Check Fee: $4,744.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$84.00
Energy Compliance:
$268.00
CA Seismic Safety:
$109.59
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$34.00
11 TOTAL FEE: $-2-48-8-7.72
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: ✓ fo`
Con State Lic:
371092
Lic Expire:
10131/2018
Bus Lic:
BT30063918
Lic Exp Date:
02128/2018
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9092149
Expire: 03/11/2018
Building Setbacks Rear: /
Fire Department
Front: /
$0.00
Left: /
$0.00
Right: /
Use Zone:
Parkin Spa
$0.00
Demolition Fee
Excise Tax:
$1,147.65
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$287.00
Grading Permit Fee:
$840.00
Grading PC Fee:
$793.80
WO Insp. Fee:
$0.00
Electrical %: $412.16
Mechanical %: $235.52
Plumbing %: $529,92
e
e eO o
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COMB Permit: X2017-2882
Project No : 2002-2017
Issued Date :
Inspection Area : 2
8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Architect
Address:
Phone: State Lic
Engineer: REZAEI ALI
Address: 2575 MC CASE WAY STE 240
IRVINE CA 92614
Phone: 949-872-2040 a 4igt'i ff4"ilOBB
Designer.'
Address:
� 4ar
Phone:
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $380.00
San Dist: $2,235.00
NMUSD Fee: $6,508.08
$0.00
$0.00
Plan Check Fee : $6,133.80 Fee Due at Permit Issuance : $18,753.92
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 2tcl
APPROVAL TO ISSUE:
Fire Department
$0.00
Fin; Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $6,133.80 Fee Due at Permit Issuance : $18,753.92
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 2tcl
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
item(s)
I hereby affirm under penalty of perjury that I am exempt froRi'thBOo requires
per nit to a Law for the reason(s) indicated below repair
the checcture, prior
I have placed next to thequireapplicable
Section 7031.5, Business and Professions Code: Any city or county that requires provisions permit tthe Co trac alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
tors' State
cense Law (Chapter 9 (commencing
is)roa rmit tofile a Coda)sig that statement that he or she is
she is exempt from licensure and u. basis $o ant to the h eallegedfexemption. Any violation lof Section 7031.6 by any applicant or a permit subjeith Section cts the applicant to a civil penalty of
, . . , , • ,
lot more than five hundred dollars ($500). • • '
• • ' • • ' ' • ' portions of the work, and the structure is not intended or offered for sale (Section 7044,
rovoed that the
I, as owner of the property, or my employees with wages as y1Ey'sole.comppr sation,v II do (_i all of or (_) p property,
3usiness and Professions Code: The Contractors' State License Law doesMbt apply to owner of property who, through employees' or personal effort, builds e improves the p
mprovements are not intended or offered for sale. If, however, the building or improvemenfis st)Id within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
mproved for the purpose of sale).
ad Contractors to construct the project apply to an owner 1, as owner of the
property,
who builds exclusively
cocontracting
with licens
who contracts for the projects with a I censed Contractor pusrsuant to he Contractors' State License.
rLaw)s' State License Law does not
-11
I am exempt from licensure under the Contractors' State License Law for the following reason:
By
a structureCurr that I have built as anowner-builder that, i h has not been clonstructed adence in I Its entirety by licensed h I must have Est ad for
I understalnd that a copy of thehappl cable law, Section 7044tof the Buhis siness snandlega
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION s Gp d m license is in full force
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ') of i =ision 3 of tConBhactor Signatu,`e e. an Y
and effect. License Class License No ✓ ,lCT�1
WORKERS' COMPENSATION DECLARATION
LAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,0001, IN ADDITION TO
THE
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby, affirm under penalty of perjury one'df the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issuedpe�by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ormance of the work for which this permit is issued. Policy No.
aabor Code, for the performance of the work for which this permit is issued. My workers' compensatlo
ve and will maintain workers' compensation insurance, as required by Section 3700 of the L
insur nce carrier and policy number are: Expiration Date
r r Policy Number Phone#
Name 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 l become subject to the workers' compensation laws of California, an agree
that, if I should become sub' t the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D
Signature of Applica t
DECLARATION REG R ING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency forLthe ender's Address of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name
By my signature below, I certifyto 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 orrddi as and state laws relating to building construction. rj\/—',�c��—/1
I authorize representatives of this city or county0 eACeflglA v -identified property for inspection purposes. Date [/
Lj/If Print Property Owner's
or Authorized Agent's NamC,
Signature of Property Owner
or AUtnonzeD
DATE
r i i
BY
"--
DECLARATION OF C PLIANCE WITH CODE OF FE
REGULATIONS PART 061 OF TITLE 40 AND AQMD RULE DERAL
FOR OFFICE
ACTION
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXPIRED
PERMIT CANCELLED
EPA
PERMIT EMENDED
QMD
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMITFINAL
PROPOSED DEMOLITION
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
USE ONLY