HomeMy WebLinkAboutX2020-0205 - Permitsawsa�i City of Newport Beach - Building Division
�+ ^� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v fi Inspection Requests Phone (949)644-3255
r, SFr wc* Combination Type - SFP ELEC MECH PLUM GRAD
IIII������������� III Project No
Permit:
e i zo s020-0205
Issued Date : 01/23/2020
Inspection Area : 6
PERMITS EXPIRE 160 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: 11 SARTEANO DR NB
Description: SFR*CHANGE OF CONTRACTOR* ADD 1124 SF LIVABLE, 522 SF GARAGE, REMODEL 3120 SF
Legal Desc.: C
Owner:
SABOUNIAN SUSAN
Address:
11 SARTEANO DR
Occupancy Group:
NEWPORT COAST CA 92657
Phone:
1124
Applicant:
MCCLOSKEY SHANNA
Address:
540 N GOLDEN CIR DR #212
No of Units :
SANTA ANA CA 92705
Phone:
949-945.4163
Code Edit :
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
1124
Added /New sq. ft. Garage:
522
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Contractor:
WYSS GROUP
Address:
196 TECHNOLOGY DR #J
Expire:
IRVINE CA 92618
Phone:
949-325.5515
Con State Lic:
1015500
Lic Expire:
06/30/2020
Bus Lic:
BT30069671
Lic Exp Date:
06130/2020
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9209391
Expire:
04/27/2020
Building Setbacks
Rear: 0
Address:
Front: 07120
Planning Department -
Left: 0
Phone:
Right: 0
Use Zone:
Parkino Snaces:
Architect:
$0.00
Address:
Fire Inspection:
Phone:
State Lic:
Engineer:
RAHMAN MOKSUDUR
Address:
14616 MCKENDREE AVE
Planning Department -
CHINO CA 91708
Phone:
213-400-8078 State Lic:C-069263
Designer: MCCLOSKEY SHANNA
Address: 540 N GOLDEN CIR DR #212
SANTA ANA CA 92705
Phone:
Special Conditions: VHFHSZ
REPLACE X2018-3721
Construction Valuation:
$0.00
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
General Service
Plan Check Fee: $0.00
Refund Deposit
Additional Fee :
$35.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PMI Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00
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PUBLIC WORKS APPROVAL:
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PLAN CHECK BY:
GRADING APPROVAL: APPRO�A L TO ISSUE:
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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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00
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PUBLIC WORKS APPROVAL:
o coo a o
PLAN CHECK BY:
GRADING APPROVAL: APPRO�A L TO ISSUE:
oco roc oc c c coo ou
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
:he 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
Drofessions 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
iot 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
'mproved for the purpose of sale).
❑ I, 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 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/caiaw.htmi.
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 00 of D�iy ito!�3 of the Business and Profes ions C my license is in full force
and effect. License Class License No Date 7S V: Contractor Sig natur
a
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
pnTrance of the work 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' compensatio
insurance carrier olicy number (� -
..In Expiration Date
1e of Agent 1%At::�
certify that, in the performance of
if I should become subject to the
of
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f /23 / ,6 2,Z)
areby 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 ordinance a state laws relating to building construction.
I authorize representatives of this city or county o en F t 'entified property for inspection purposes. fes, y�A,
nature of PrDDertv Owner or Authorized Aqent Print Property Owners or Authorized Agent's Nam,/ .'fJ
DATE BY WMRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • ••• • ••• u•
PERMITEXPIRED U I SUBMITTED ASBESTOS NCI,TiQcATION TO S
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PERMITCANCELLED UEPA • • • • • • • '•
PERMIT EXTENDED LJAQMD
PERMITFINAL L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION •• ••• • • • •••
OCCUPANCYISSUED SIGNATURE: +
sem•^•
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Date
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