HomeMy WebLinkAboutX2017-3985 - PermitsCity of Newport Beach - Building
^0 Civic Center Drive, Newport Beach, CA 92660
rermit Counter Phone (949)644-3288
v - Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
Division
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Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. aslp•S*Wday fiem 5.-00 a.m. lo 6.
Job Address: 2208 CLIFF DR NB
Description: SFR BATHROOMS/KITCHEN REMODEL AND ENCLOSE BALCONY TO LIVABALE 2000 SF & 52 SF
Legal Desc.: N TR 919 BLK 5 LOT 4
Owner: MILNE SCOTT Contractor: SAZBRO BUILDERS INCORPORATEDArchitect:
Address: 2208 CLIFF DR Address: 512 W CULVER AVE Address:
NEWPORT BEACH, CA 92663 ORANGE CA
Phone
Applicant: SANCHEZ ISRAEL
Address: 13432 WINTHROPE ST
SANTA ANA, CA 92705
Phone: 714-493-9013
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 52
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $1,906.00
Plan Check Fee: $1,586.90
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$60.00
Energy Compliance:
$84.00
CA Seismic Safety:
$15.60
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE : $4,188.70
PROCESSED BY:
ZONING APPROVAL:
` 11
Phone: Phone
Con State Lic:
784999
Engineer:
Lic Expire:
09/30/2018
Address:
Bus Lic:
BT30062209
Lic Exp Date:
02/28/2019
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
EVEREST NATIONAL INS CO
Address:
Policy No:
7600017242181
SJH Trans :
Expire:
01/2512019
Phone:
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: I
Front: I
Left: I
Right: I
COMB Permit: X2017-3985
Project No : 2797-2017
Issued Date: 02115/2018
p.m. No work on
EXLINE DAVID ERIC
71 PRARIE FALCON
ALISO VIEJO CA 92656
949-370-1070 State Lic:CO29388
GRGURIC NENO
2880 S COAST HWY
LAGUNA BEACH CA 92651
949-715-0775 State Lic:C-059487
Special Conditions:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
$133.42
San Dist:
$0.00
$76.24
NMUSD Fee:
$0.00
$0.00
$171.54
$0.00
Plan Check Fee
: $1,820.90
Fee Due at Permit Issuance:
$2,367.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION . ; . . ';' ' c ;.Y?
I hereby affirm under penalty of perjury that I am exempt from the Conga tors' S'ta� Uce�ls� Law for tlje reason(s) indicated below by the checkmark(s) I have placed next to the a0"£ \.�wifem(s) -'
(Section 7031.5, Business and Professions Code: Any city or county that require's'2 permit tocona4ryCt, piter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicariS 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 cnd
Professions Code) or that he or she is exempt from licensure and the bads 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 ($500). •. • :. ' • m
❑ I, as owner of the property, or my employees with wages as their sc$e;omgensatiryn; Mill do altof orlortions 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 nataoply tC an owner of prdpe rti w o, 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 improvementTSSold within on% dear of completion, the Owner -Builder will have the burden of proving that it was not built or
Im roved 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 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,
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 Sectio 700 ftDivision 3 of the Business and Prppf sio ode, and my license is in full force
and effect. License Class License No Date Contractor Signature`!;==n I
AFORKERS' COMPENSATION DECLARATION ®9,7v ,
NARNING: 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 ($10D,000(, IN ADDITION TO THE
DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ryereby 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
Mormance 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:
to of Agent
Policy Number Expiration Date
Phone #
certify that, in the perform a 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 beco�mesubj o t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` /
nature of ApplicanE! Daft rl-- 15 ^'_1 -tit g
CLARATION REdA I NSTRUCTION LENDING AGENCY ✓�
Ireby 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).
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 provided is correct.
I agree to comply with all applicable city and county ordin ces and state laws relating to building construction.
I authorize representatives of this city or county enterr a above -identified property for inspection purposes. n
nature of Pronertv Owner or Authorized ADent h-^-�IKF.i Print Prooertv Owner's or Authorized AGent's Nama! DateR '-- �_a
ACTION DATE BYCLAR4TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
/,f ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
UAQMD
PERMITFINAL
0,AIBIITOS NOTIFICyr IS NOT APPLICABLE TO
CERTIFICATEOF
OCCUPANCY ISSUED
/
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PROPOSEDDjMOLI
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