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HomeMy WebLinkAboutX2015-3726 - PermitsCity of Newport Beach - Building Division - ��Illlllllllllllllllllllllllllllllllllllllllllllllll �� COMB Permit: X2015-3726 100 Civic Center Drive, Newport Beach, CA 92660 X. 2 0 1 5 3 7 2 6 Project No : 1404-2015 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date : 01/04/2016 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 3910 TOPSIDE LN NB Description: INCREASE SCOPE OF WORK,(X2015-1855) NEW SFR W/ATT GAR 3294 SF & 551 SF, ON PARTIALLY (E) FOUNDATION Legal Desc.: N TR 6425 LOT 27 ASPIC Owner: ALVINO NICK/SUSAN Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: Address: 3910 TOPSIDE LN Address: 3419 VIA LIDO STE 455 Address: CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 /0. Phone: Phone: 949.466.0090 Phone: State Lie: eeoe Applicant: MCNEELY JOHN Con State Lie: 971085 Engineer: MANSHADI FARHAD ...... Address: 1792 SKYLINE DR Lie Expire: 03/31/2016 Address: 1800 E 16TH ST UNIT B • • m. • e m ° SANTA ANA CA 92705 Bus Lie: BT30040057 SANTA ANA CA 92701 0 • • e • • o • Phone: 714-417-9277 Lie Exp Date: 03/31/2016 Phone: 714.835.2800 State Lic:C-036840 e m • m o 0 ee o Code Edit: 2013 Type of Construction: V -B -SPR Occupancy Group: R3 Added /New sq.ft. Bldg: 24 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkino Soa 0 Designer: Address: Phone: Special Conditions: REV16-1779-DELTA 1 BEDRM COUNT SAME Fire Hazard Zone : N Building Permit Fee: $278.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $241.86 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Refund Deposit Fair Share, Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : Record Management : $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $1.95 WO Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check: $38.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $44.16 Plumbing %: $0.00 TOTAL FEE: $652.47 PROCESSED BY: ZONING APPROVAL: Plan Check Fee: $317.36 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: oomo o m oomo oomo ooc0 m c c 000000 0 ooco 0 0 0 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $335.11 0 0 e o 0 om 0 00000 0 00000 000000 o o u 000.00 0 00000 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00. Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $317.36 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: oomo o m oomo oomo ooc0 m c c 000000 0 ooco 0 0 0 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $335.11 0 0 e o 0 om 0 00000 0 00000 000000 o o u 000.00 0 00000 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). 111. 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, 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). ❑ 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 improvem( I 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 Is, rfessions Code,dS available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PreM.Owner or Authorized Agent -ENSED COrITRACTOR'S DECLARATION - )reb�y affirm undes penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 Ion 3 of the Business and P J effpct. License Class License No Contractor at iRKIERS' COICAPENSATION DECLARATION .... 2NIN6: FAILUR6T0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH( Y OF COMPENSA"M?DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :r pi affirm uYter-penalty of perjury one of the following declarations: l lieve and willrmalntain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by fpr gVice of the'work for which this permit is issued. Policy No. 7044 of the Business and is in full force DOLLARS ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for I have, and w+lbmeirlin 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' compensatior uj%W. carrier and policy number are: Policy Number Expiration Date e Agent Phone # rt that, in the p ormance of a wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen atio laws of California, and agree eco bjec com e i rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Appli - / CLARATION E ARDIN CONSTRUCTION LENDING AGENCY :reby affirm under penalty 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 lo each of the following: I am the property owner or authorized to act on the I have read this applicationi the information I h I agree to comply with all applicable city and count I authorize representatives of this city or county to e nature of Property Owner or Authorized Age e Mr, 1.• l.: t stay I PFRA4rTFXP1PFf) I 1 I PD1?,11TC. 1CfLLED I ,/ I CEAT1FTATEOiF OCCUPANCYiSSOED behalf. state laws relating to building construction. ispechon purposes. Print Property Owner's or Authorized Agent's AND o nufnii iTr &snrsTaq w mnr-Amm Tn-- 0 EPA AQMD 0 ASBESTOSNOURCATI(WiS NOT APPGCABLETO PRtOPQSEDDEAROfIfION- Sf GNA I W&., M ME l7PIM.7