HomeMy WebLinkAboutX2017-3991 - PermitselxNcr$ City of Newport Beach -Building
a 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
IhQkfetion Requests Phone (949)644-3255
FaymeRra Combination Type - SFP ELEC MECH PLUM
Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-3991
x 2 6 1 7 3 9 9 1 Project No : 2802-2017
GRAD Issued Date : 03105/2018
Inspection Area : 6
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: 14 SANDY COVE NB
Description: SFR ADD 438 SF, REMODEL 322 SF, EXPAND DECK 266 SF
Legal Desc.: N TR 15445 LOT 7
Owner: SANTA CATERINA LLC
Address: , 215 STONE OAKCT
Code Edit :
HOLLAND OH 43528
Phone:
V -B
Applicant:
GONZALEZ MICHAEL
Address:
3195 RED HILL AVE LOFT F
Added /New sq. ft. Garage:
COSTA MESA CA 92626
Phone:
714-754-4500
Code Edit :
2016
Type of Construction:
V -B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
438
Added /New sq. ft. Garage:
638
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee: $2,887.00
Plan Check Fee: $2,341.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$66.00
Energy Compliance:
$210.02
CA Seismic Safety:
$39.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$13.00
TOTAL FEE: $7,362.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LUCCO CUSTOM CONSTR
Address:
P O BOX 4448
Bus Lie:
SAN CLEMENTE CA 92674
Phone:
949-325-3028
Con State Lie:
473808
Lie Expire:
02128/2020
Bus Lie:
BT30052415
Lie Exp Date:
0 913 0/2 01 8
Worker's Compensation Insurance
Carrier: NATIONAL UNION
Policy No: WC001994819
Expire: 01/1412019
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 10'
Left: 0'
Right: 0'
'arking Space
$0.00
$0.00
$0.00
$0.00
$293.00
$0.00
$0.00
$202.09
$115.48
$259.83
Architect:
WEE RICHARD
Address:
3195 RED HILL AVE LOFT F
Fair Share
COSTA MESA CA 92626
Phone:
714-754.4500 State Lic:CO22994
Engineer:
CHRISTIAN DALE
Address:
1744 W KATELLA AVE #107
$0.00
ORANGE CA 92667
Phone:
714-997-1145 State Lic:S-002705
Designer:
NMUSD Fee:
Address:
Phone
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $2,701.72
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $4,660.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: q
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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:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $4,660.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: q
APPROVAL TO ISSUE: `�llr\.l A,,
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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 reatl the applicant for
I 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
t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
Drovements 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
Droved for the purpose of sale).
I, as owner of the property, am exclusively contracting withlicensedContractors to construct the project (Section 7044, Business andProfessionsCode: The Contractors' State License Law does not
oly to an owGneeraof 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 exegW&f;8m licensure under the Contractors' State License Law for the following reason:
rgy 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 legalll
f p structhre thaGl 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
Aessions-Codi available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
jhature of Property Owner or Authorized Agent Date
SENSED Ct)W.RACTOR'S DECLARATION
ie�by affirir under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section QQ) f Di ision 3 of the Business and Profa to Codey�nd yy licen Is is full force
It.effect. I,ig®nse Class L?, License No X17 S� Da s lam. r Contractor Signatur _/�//G;�/��
DFtJ(ERS:CbMPENSATION DECLARATION
RISING: 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 ($700,000), IN ADDITION TO THE
3 .QF COMPENSATIOrt, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
ITerelsy affirm 6rK" penalty of perjury one of the following declarations:
34 -have and jvil611naintain 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
piffNAance of t,( vi&k for which this permit is issued. Policy No.
have 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' compensatiol
rsurance carrier and. policy number are:
farrier Policy Number Expiration Date -
of Agent
❑I certify that, iVer
erforma a .the ork for w 'ch this rmit' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, if I should bsubj t e w kers' co pensait pr ions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
Signature of Appte��
DECLARATIONRDING CONS RUCTION LENDING AGENCY
I hereby affirm unalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti 3097, Civil Code).
Lender's Name Lender's Address
By 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 ave provided is correct
I agree to comply with all applicable city and co my o din nces d sta laws r tin ullding construction.
I authorize representatives of this city or couto ter e a ve-Id tifiEd e r i pection purposes.
Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name iG i GL„ e 3 6
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED 0i SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED DEPA
PERMITEXTENDED
PERMITFINAL G, SBESTOS IC NI OT LIC LE TO
CERTIFICATEOF ?.1 ..Til; PROPOSED
OCCUPANCYISSUED ( I�{� SIGNA7UR ,� iI