HomeMy WebLinkAboutX2018-3451 - Permitsa�PrO , City of Newport Beach- Building Division
' 100 Civic Center Drive, Newport Beach, CA 92660
H_ Permit Counter Phone (949)644-3288
>. Inspection Requests Phone (949)644-3255
r'^+sraw. Combination Type - SFP
*X20183451* COMB Permit: X2018-3451
Project No: 1135-2017
Issued Date : 01/09/2019
Inspection Area : 5
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:
182 SHORECLIFF RD NB
DELTA 3 ARCH, 1 STRUC
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Description:
SFR `ADD'L SCOPE* INFILL 190 SF BREEZEWAY TO CREATE ADD'L GARAGE AREA
Pro
Legal Desc.:
N TR 1116 LOT 100
INFROKAD
Owner:
HOHMANN DAVID
Contractor:
TONY VALENTINE CONST INC
Architect:
Address:
182 SHORECLIFF RD
Address:
2435 E COAST HWY #2
Address:
CORONA DEL MAR, CAS2660
Plan Check Fee: $285.36
CORONA DEL MAR CA 92625
$0.00
Plan check Fee : $200.00
Phone:
+ $0,00.
Phone:
949.723.6449
Phone:
State Lic:
Applicant:
HOHMANN DAVID
Con State Lic:
467553
Engineer:
MANSHADI FARHAD
Address:
151 KALMUS DRE. 0201
Lic Expire:
04130/2020
.Address:
1800 E 16TH ST UNIT B
COSTA MESA CA 92626
Bus Lic:
- BT00021099
$0.00
SANTA ANA CA 92701
Phone:
714-241-3600
Lic Exp Date:
02/28/2019
Phone:
714-835-2800 State Lic:C-036840
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 190
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Worker's Compensation Insurance Designer:
Carrier: STATE COMP INS FUND Address:
Policy No: 1794693
Expire: 07101/2019 Phone:
Building Setbacks Rear: / Special Conditions:
Front: /
Left: I
Right: /
Use Zone: Parking Spaces: 0 Fire Hazard Zone :
DELTA 3 ARCH, 1 STRUC
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Construction Valuation: $15.200.00
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Building Permit Fee: $328.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $285.36
Additional Fee :
$0.00
Plan check Fee : $200.00
Fire Inspection:
+ $0,00.
Overtime Plan Ck $0.00
Grading Bonds Fee:
$0.00
Fair Share: $0.00
Fire Plan Rev
°$0'110
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management : $40.00
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: $1.98
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PM Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: - $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $856.34
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$856.34
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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 pahalty 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 (_) all of or (_) 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).
❑ 1, 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below 1 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Selatktp 70 0 f`D1 'sion 3 of th Business and Professions Code d my licensseI in full force
and effect. License Class License No at ontractor Signature
WORKERS'COMPENSATION DECLARATION
NARNING: FAILURF� Td I ftRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSAT*DN1 DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
NaraW.affirm under penalty of perjury one of the following declarations:
UI 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,
verformance of the -work for which this permit is issued. Policy No.
and MYIi 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 tAd policy number are:
Policy Number Expiration Date
that, in the pgrformance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the
tiuld hAwIine.subject to thq,, s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio
CL• TIOMREQj4RDING CONSTRUCTION LENDING AGENCY
Heby a r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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. j
I authorize represent Is ity or county to entersby+above-identified propertyection purposes. n r f r
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE I BY I DECLARATION OF CCIVPUANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
npensation laws of California, and agre,
Civil Code).