HomeMy WebLinkAboutX2018-2870 - Permits�wer� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
t, Permit Counter Phone (949)644-3288
s '. - Inspection Requests Phone (949)644-3255
r,xrz w,> Combination Type - SFP GRAD MECH ELEC PLUM
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COMB Permit: X2018-2870
Project No : 0592-2018
Issued Date : 0912612018
Inspection Area : 1
PERMITS EXPIRE 180 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 Sunday lim
Job Address: 1220 W BAY AVE NB > 11
Description: NEW SFR WIBASEMENT & ATTI GARAGE 12,7491760 AF, STORAGE 340 SF $'1IV
Legal Desc.: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BLK 3
Owner: SABO ELIAS J SABO FAMILY TR JR Contractor: GALLO BUILDERS INC Architect: MCCLEAN PAUL
Address: 1220 W BAY AVE Address: 1278 GLENNEYRE ST #412 Address: 190 S GLASSWLL ST #203
NEWPORT BEACH, CA 92661 LAGUNA BEACH CA 92651 ORANGE CA 92866
Phone: Phone: 949-683-3500 Phone: 714-505-0556 State Lic:C036197
Applicant: ZIMMERMAN ANDY
Address: 190 S GLASSWLL ST #203
ORANGE CA 92866
Phone: 714-605-0556
Code Edit :
2016
Type of Construction:
V-BSPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
12749
Added /New sq. ft. Garage:
760
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flnnd 7nne,
0.2
Construction
Building Permit Fee: $9,187.00
Plan Check Fee: $978.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$184.00
Energy Compliance:
$0.00
CA Seismic Safety:
$439.04
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$136.00
TOTAL FEE: $35,324.93
PROCESSED BY:
ZONING APPROVAL:
Con State Lic:
852218
Lic Expire:
01131/2019
Bus Lic:
BT30028998
Lic Exp Date:
08/31/2019
Worker's Compensation Insurance
Carrier: MIDWEST EMPLOYERS
Policy No: BNUWC0142358
Expire: 11120/2018
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 25'
Left: 4'
Right: 4'
Parkina SDaces
$2,836.89
$0.00
$0.00
$1,064.36
$2,637.00
$233.64
$0.00
$643.09
$367.48
$826.83
Plan Check Fee
0
Engineer:
COX STEVEN
Address:
1219 FLYNN RD #203
CAMARILLO CA 93012
Phone:
805-484-4115 State Lic:C-0048940
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
6 BDRM DEMO TO 5 BDRM
NEW HOUSE
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $1,320.00
San Dist: $0.00
NMUSD Fee: $14,471.60
Zone :N
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 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: 1
PLAN CHECK BY:
GRADING APPROVAL: J Elio APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35,324.93
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the C r$ctgF.' S.tt�,LlCpnSpl.aw for the reas[n(s) iodic
(Section 7031.5, Business and Professions Code: Any city or county th Gves_a`permlt to`cgnstruct, alter, Inn ve, deco
the permit to file a signed statement that he or she is licensed pursuant o the provisions of the Contractors' Staticense L
Professions Code) or that he or she is exempt from licensure and the basis for t 11laged exemption. Any violation of Sect!
not more than five hundred dollars ($500). r
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of t
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through r
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
❑ 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 y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.legini
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Lrader peialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700,0) p1
And effept. License Class License No Date wiz
COMPENSATION DECLARATION
'ARNINU; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
DST 0' COMPENSA r1ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES.
tereby affirm Tinder penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
eGc Dance of the work for which this permit is issued. Policy No.
L e9ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
1�maoee carrier and policy number are:
;arrier Policy Number
is of Agent
certify that, h the performance of the work for which this permit is issued, I shall not employ any person in any manner S
, if I should become subje_gM the w91kers' compfisajon provisions of Section 3700 of the Labor Code, I shall forthwith
of Applicant
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
ender's Name Lender's Address
y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county t6 en r t above -id tifi property for inspection purposes.
ianature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Aut
d below by the checkmark(s) I have placed next to the applicable item(s)
sh, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
13 of the Business and Prof es s de, a9d y/ license in full force
Contractor Signature1
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000(, IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and agre
31y with those provisions. ,q
44
permit is issued (Section 3097, Civil Code).
ACTION DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U�E ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
13AQMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
Y _[7 _^L�
V l
J (�
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Name
Date