HomeMy WebLinkAboutx2021-2259 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
*X2021-2259*
I SPEC
COMB Permit: X2021-2259
Project No: 1953-2021
Issued Date : 1011812021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011812024 OR PERMIT WILL BE INVALID
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: 17 SAN MATEO WAY NB
Description: SFR REMODEL KITCHEN, (3) BATHROOMS, CIO DOORSIWINDOWS 600 SF, DRAINAGE, REROOF - T/O TILE, REPLACE W/ALUMINUM CL A 30SQ
Legal Desc.: N TR 7844 LOT 24
Owner:
TOCCI ROBERT
Address:
17 SAN MATEO WAY
CORONA DEL MAR, CA 92625
Phone:
954-547-1880
Applicant:
SKENDERIAN TODD
Address:
1100 S COAST HWY, #316
LAGUNA BEACH CA 92677
Phone:
949-715-5461
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
11 Construction Valuation: $20
Building Permit Fee: $1,837.00
Plan Check Fee: $1,598.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$48.00
Energy Compliance:
$140.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$8.00
TOTAL FEE : $5,393.34
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LOYNES CONSTRUCTION INC
Architect:
SKENDERIAN TODD
Address:
2009 COSTERO HERMOSO
Address:
1100 S COAST HWY, #316
SAN CLEMENTE, CA 92673
LAGUNA BEACH CA 92677
Phone:
(949) 239-2722
Phone:
949-715-5461 State Lic:C030518
Con State Lie:
1059062
Engineer:
AHMADI MANSOUR
Lie Expire:
1013112021
Address:
32262 VIA DEL SOL
Bus Lic:
BT30076970
TRABUCO CANYON CA 92679
Lie Exp Date:
1013112022
Phone:
949-715-9990 State Lie C-076370
Worker's Compensation Insurance
Designer:
Carrier:
WESCO
Address:
Policy No:
WWC3501164
Expire:
11/10/2021
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: /
Front: /
Left: /
Right: I
larking Spa
$0.00
$0.00
$0.00
$0.00
$237.00
$199.00
$0.00
$128.59
$73.48
$165.33
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department
-
Park Dedication :
$0.00
PAN Plan Check,
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
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
$27.00
$265.00
$664.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,650.19 Fee Due at Permit Issuance : $3,743.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
•
aasae•
• •
•
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
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
rrofessions 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
lot 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,
3usiness 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
mprovements 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
Ipply 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 exempbfoom licensure under the Contractors' State License Law for the following reason:
3y my gignature 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 Iegallt
I& a structure�tlT&1 %ve 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 Codepisevailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi.
Ygpa%e of Property Owner or Authorized Agent CL
ICENSED CQNTRACTOR'S DECLARATION
kereby�affirm 5AMp§natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ivisi n 3 of the Business and Profes ns mylicense is in full force
inJefiect. License lass License No Date / Contractor Signature
N(3RKERS' CQMP^SATION DECLARATION
go
CRR a: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU WECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS ($100,000), IN ADDITION TO THE
iri57Qg FOMPENSATTON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:lefebyhffirm gpiie4Penalty of perjury one of the following declarations:
..i�Ieae and will maiivtain 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
Wo"ance of theaoork for which this permit is issued. Policy No.
I 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' compensatiol
s nce carrier and policy number are:
arrier Policy Number Expiration Date
ame of Agent Phone #
I certify that, in the performano—or 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
Iat, if I should becom ubjec o t rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G
ignature of Applicant Date / Oh /I
2
DECLARATION REGAFIDII STRUCTION LENDING AGENCY
hereby affirm under pen ty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civli Code).
Ender's Name Lender's Address
y my signature below, rtify to each of the following:
I am the property owner or authorized to act on the on
I have read this application and the information I have
I agree to comply with all applicable city and c u ty oI
I authorize representatives of this city or count erj
owner's behalf.
led is correct.
•es and state laws relating to building construction.
Rbove-idgaWed property for inspection purposes.
Signature of Property Owner or Authorized Agent /n/ // 4� Print Prop
ACTION
DATE
BY
D CLARATION OF COMPLIANCE WITH CODE OF FEDEI
EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMITFINAL
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ASBESTOS TIFIC I N IS NOT APPLICABLE TO
CERTIFICATEOF
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POSED E OLI 0�
OCCUPANCY ISSUED
SIGNATURE:
FOR OFFICE USE ONLY
Name
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