HomeMy WebLinkAboutX2018-1920 - Permitswta,
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - SFP ELEC
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COMB Permit: X2018-1920
Project No: 2797-2017
Issued Date : 0711712018
Inspection Area : 2
PERMITS EXPIRE 180 DA VS 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: 2208 CLIFF DR NS
Description: SFR DELTA 1, REMOVE/REPLACE ALL INT. FINISHIES (DRYWALL, LIGHTING) REVISE STAIRS, INSTALL (2) NEW CANOPIES 900 SF
Legal Desc.: N TR 919 BLK 5 LOT 4
Owner: MILNE SCOTT
Contractor:
SAZBRO BUILDERS INCORPORATEDArchitect:
EXLINE DAVID ERIC
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Address: 2208 CLIFF DR
Address:
512 W CULVER AVE Address:
71 PRARIE FALCON
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NEWPORT BEACH, CA 92663
ORANGE CA 92868
ALISO VIEJO CA 92656
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Phone:
Phone:
714-493-9013
Phone:
949-370-1070 State Lic:CO29388
Applicant: SANCHEZ ISRAEL
Con State Lie: 784999
Engineer:
GRGURIC NENO
Address: 13432 WINTHROPE ST
Lie Expire:
0913012018
Address:
2880 S COAST HWY
SANTA ANA, CA 92705
Bus Lie:
BT30062209
LAGUNA BEACH CA 92651
Phone: 714-493-9013
Lie Exp Date:
0212812019
Phone:
949-715-0775 State Lic:C-059487
Code Edit: 2016
Worker's Compensation Insurance
Designer:
° ° ° °
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Type of Construction: V -B -SPR
Carrier:
EVEREST NATIONAL
INS CO Address:
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Occupancy Group: R3/U
Policy No:
7600017242181
0
Added /New sq.ft. Bldg: 0
Expire:
0112 512 01 9
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: REV18-1100
No of Units: 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
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Construction Valuation: $278,500.00
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Building Permit Fee: . $1,990.00
Excise Tax:
$0.00
Planning Department -
Fire Department
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°,$p.00
Plan Check Fee: $1,731.30
Additional Fee :
$0.00
Plan check Fee:
$37.50 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $58.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$24.00
Energy Compliance: $194.95
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access : $0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$139.30
San Dist: $0.00
Building Green Fee : $12.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $4,948.05
Plan Check Fee:
$1,731.30 Fee Due at Permit Issuance : $3,216.75
PROCESSED BY:
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PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
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PLAN CHECK 8Y:
_
GRADING APPROVAL:
APPROVAL TO ISSUE:
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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)
(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 penalty 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 U 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
im roved for the purpose of sale).
I, as owner of theyproperty, 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 orproperty 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.govicalaw.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 Section 7000) of Division the Business and Professions C e nd my license is in full force
and effect. License Class License No Date oContractor Signature
WORKERS'COMPENSATION DECLARATION
WARNING: FAILURE R'[q,I$EFURE 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
COST OF COMPENIIAil'ON, gAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I.herebyaffirm unligroenalty of perjury one of the following declarations:
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' I ha0e�nd ppvvjll'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
erforrnag e.Qf fhe work for which this permit is issued. Policy No.
ilj, 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'
carriertrnd policy number are:
—.�.. Policy Number Expiration Date
that, in the performance o 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
Iould become, d6ject V1 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.....
of Applican Date_,11
Gjr6RATIOf{ RPSA,jtDIN6%CONSTRUCTION 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 prope y owner's behalf.
I have read this application and the information I have p ided is correct.
I agree to comply with all applicable city and county dances and state laws relating to building construction.
I authorize representatives of this city or county toove-identified property for inspection purposes.
Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
CERTIFICATE
�'hb'^^� I' % OSEDD�MOLITBESTOS IIONION TAPPLICABLE TO
CERTIFICATE OF 'Y� (��II U'l//
OCCUPANCYISSUED SIGNATURE: