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HomeMy WebLinkAboutX2019-4036 - PermitsCity of Newport Beach - Building Division I�III�I���II�I'�IIII���I�II��IIII�������IuI�I�IIII P OMB Permit: 80 20X 019-4036 - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination T e - SFP ELEC MECH PLUM GRAD Issued Date: 03/09/2021 YP Inspection Area : PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912024 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: 894 SANDCASTLE DR NB Description: SFR ADD 138 SF & 576 SF ROOF DECK, AND REMODEL 2000 SF, RAISE ROOF HEIGHT 12" Leoal Desc.: N TR 6228 LOT 76 Owner: VASQUEZ RAYMOND G Address: 894 SANDCASTLE DR CORONA DEL MAR, CA 92625 Phone: Applicant: SULEIMANI BOB Address: 2178 CANYON DR COSTA MESA CA 92627 Phone: 818-481-9524 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq_ft. Bldg: 190 Added /New sq. ft. Garage: 32 No of Stories: 0 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $272,000.00 Building Permit Fee: $2,523.00 Plan Check Fee: $2,180.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $190.40 CA Seismic Safety: $35.36 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $11.00 TOTAL IEEE: $8,181.05 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor. OWNERIBLDR Address: Phone: Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Architect: Address: Phone: State Lie: Engineer: CHRISTIANSEN SCOTT Address: 1003 WILSHIRE BLVD 202 SANTA MONICA CA 90401 Phone: 310-395-7641 State Lic:C-037989 Designer: NICHOLSON TONYA Address: 906 SANDCASTLE CORONA DEL MAR CA 92625 Phone: 949-278-1327 Building Setbacks Use Zone: R1-6000 Rear: Front: Left: Right: Parking 6' 10' 6' 6' Spaces: Special Conditions: 0 Fire Hazard Zone: N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee: $0.00 Plan check Fee: $185.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $232.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $195.00 Public Works Department - General Service WQ Insp_ Fee: $0.00 Park Dedication: $0.00 Refund Deposit PM Plan Check: $344.00 Grading Bond: Electrical %: $176.61 San Dist: $945.00 Mechanical %: $100.92 NMUSD Fee: $0.00 Plumbing %: $227.07 Plan Check Fee: $2,734.92 Fee Due at Permit Issuance PUBLIC WORKS PLAN CHECK BY: APPROVAL TO ISSUE: 0000 o v 0000 0 0 0 0 0 00 00 $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $5,446.13 0 0 000000 © o 0 0 0 0 0 00 0 0 0 0 0 0 00 0 00000 0 00000 000000 0 0 0 0 0 000000 0 0 0000 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 applicr ' ; 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 requF.,applicant for the permit to file a signed sta efr ent 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 hehor' 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 d11 ollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pro€ession' 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 Ior 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 im ved for the purpose of sale). k2k!1, as owner of the I apply to an owner of pr ❑ 1 am exempt from I By my signature below sell a structure that I N Professions Code., is a, <.ec Signature of Property Ce LgCENS,ED COATkt I<tierebyaffirm u<hder 15 and effect. License Vd6W,ISRS' COMPS NARNINO: FAILURFfdO g G EJS6 OF COMPENSIk7all,� I hereby affirm urrder pi ce�c e 1 C hBve C and wr1F ma Y,prnce of the=wor �Ichave and v,�ll rngif �m iva[-Fe carrier`and p Agent :rty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ty'who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). sure under the Contractors' State License Law f r the following reason: knowledge that, except for my personal residue in�nfhich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, )uilt as an owner- builder'rf it has not been co stru din its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of th Business and ble upon request wh t 'catio i s b d or at the following Web site:http:11www.leginfo.ca.gov/calaw.htm1. sror Authorized Agent Date 'OiR'S DECLARATION ty!of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force License No Date Contractor Signature DECLARATION LS' 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 PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. rjury one of the following declarations: rtificate 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 this permit is issued. Policy No. 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' number are: Policy Number Expiration Date 9ftify that, in the performance he work which t s pe 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 if I should become subject'to the r r ' o e a ' n ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENbING 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, ivil Code). Lender's Name ° � ' Lender's Address By my signature below, l certifylto each of the following: I am the property owner or authorized to act on the property owner's belpalf. I have read this application and the informati rovided is orr t_ I agree to comply wrth all'applicable city and county o 'Wane stat ws relating to building construction. L7 I authorize representatives of this city or county to ente -ez- i - tified property for inspection purposes. 7 QI Signature of Property Owner or Authorized Agents Print Property Ownel's or Authorized Agent's Nam - Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL L FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED LI I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD � ASBESTOS NOTIFICATION IS NO AP LIC E TO ROPOSE ON SIGNATURE: