HomeMy WebLinkAboutX2016-0432 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
0 Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIII IIIIIIIIIIIIIIIIIIIIII III II COMB Permit: X2016-0432
x 2 6 1 6 0 4 3 2 Project No : 2876-2013
Issued Date : 02/11/2016
Inspection Area : 5
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARSON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address:
157 SHORECLIFF RD NB
Description:
Legal Desc.:
SFR -ADD 200 SF TO NEW SFR AND 30 SF STORAGE (X2013.3405)"�--
N TR 1116 LOT 109
M]�Is S
Owner:
WANG WILLIAM TRUST
Contractor: SEACREST DEVELOPERS INC
Architect: LIGHT CHRISTIAN R
Address:
6 STRAFFORD
Address: 755 W 17TH ST #A
Address: 1401 QUAIL ST #120
NEWPORT BEACH CA 92660
COSTA MESA CA 92627
NEWPORT BEACH CA 92660 '
Phone:
Phone: 949.499.1381
Phone: 949-851-8345 State Lic:CO22334
Applicant: VILLALPANDO ALEX
Con State Lic:
803634
Engineer:
MOKHTAR TAREK
Address: 1401 QUAIL ST #120
Lic Expire:
01/31/2018
Address:
31645 S COAST HWY
NEWPORT BEACH CA 92660
Bus Lic:
BT30032302
LAGUNA BEACH CA 92651
Phone: 949-851-8345
Lic Exp Date:
06/3012016
Phone:
949-499-6254 State Lic:S-004189
Code Edit:
2010
Worker's Compensation Insurance
Designer:
Type of Construction:
V-B-SPR
Carrier:
STATE FUND
Address:
-
Occupancy Group:
R3/S-2
Policy No:
9034365
Added /New sq.ft. Bldg:
200
Expire:
12101/2016
Phone:
,
Added /New sq. ft. Garage: 0
'
No of Stories:
2
Building Setbacks
Rear: 6'
Special Conditions: LANDSLIDE AREA
,
No of Units :
1
Front: 25'
SPECIAL FLOOD ZONE
.. '
Bldg Height:
24
Left: 6'
AIC2012010, 5.09.157-A2
"
Bldg Sprinklers:
Y
Right: 6'
Flood Zone:
Use Zone: R1-6000
Parking Spaces:
3
Fire Hazard Zone : N
Construction Valuation:
$40,000.00
Building Permit Fee:
$583.00
Excise Tax:
$42.00
Planning Department -
Fire Department
Plan Check Fee:
$507.21
Additional Fee :
$0.00
Plan check Fee :
$37.60 Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant: ($103.18)
SJH Trans :
$0.00 Demolition Fee
Record Management:
$14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance:
$56.00
Grading PC Fee:
$103.18
Public Works Department
-
General Service
$0.00
CA Seismic Safety:
$5.20
WQ Insp. Fee:
$0.00
Park Dedication .
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
P/W Plan Check:
$38.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical W
$0.00
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$0.00
NMUSD Fee:
$368.00
$0.00
Plumbing%:
$0.00
$0.00
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$1,652.91 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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 Iicensure 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
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 Iicensure under the Contractors' State License Law for the following reason:
By my sigr.sture 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 legal)
sell a struC'L� ;hat 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 CocE, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Sigmature of Prop-orty 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 Sect 7000 of Divi I n 3 of the Business and Prp�9essi y license is in full force
and effect. :..;Ise Class License No D"%�� Contractor Signatur@�b
GRKERS' COMPENSATION DECLARATION
ARNING: FAI:.LFc ro 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
UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
.J I ;,ave and w;.1 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 the
ormance of the work for which this permit is issued. Policy No.
have and Nil, 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
'Ins rance carrier and policy number are:
C mer Policy Number Expiration Date
ame of Agent Phone #
certify that, in the pe*CNSThRUCTION
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
that, if I should beco a kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dot'{
DECLARATION RE LENDING AGENCY
I hereby 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).
Lender's Name Lender's Address
By 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 pro ' e 's correct.
I agree to comply with all applicable city and c my ordir,a c nd state laws relating to building construction.
I authorize representatives of this city or c y to ante e-identified property for inspection purposes.
Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's N Da
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