HomeMy WebLinkAboutX2019-3947 - PermitsCity of Newport Beach - Building Division Illlllllllllllllllllllilllllllll II COMB Permit: X2019-3947
100 Civic Center Drive, Newport Beach, CA 92660 x 2 e 1 9 3 9 4 7 Project No: 2722-2019
^? M, +'• Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM Issued Date: Area
: 2020
yJUµ'
Inspection Area
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 Sundays or Holidays
Job Address: 44 TIMOR SEA NB
Description: SFR ADD 959 SF, ALT 380 SF, DECK 103 SF & TRELLIS 194 SF
Legal Desc.:
Owner:
MASHOUR NICK
Address:
1 KENT CT
LADERA RANCH CA 92694
Phone:
Applicant:
SALAT JOHNA
Address:
22386 WOODGROVE RD
LAKE FOREST CA 92630
Phone:
949-235-4847
Code Edit :
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
959
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flnnd Zone:
X
$400,000.00
Building Permit Fee: $4,851.00
Plan Check Fee: $3,897.16
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$78.00
Energy Compliance:
$268.00
CA Seismic Safety:
$52.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$16.00
TOTAL FEE: $11,158.61
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ELITE CONSTRUCTION & ENG
Architect:
SALAT JOHN A
Address:
23121 LA CADENA, STE 1-2
Address:
22386 WOODGROVE RD
LAGUNA HILLS CA 92653
LAKE FOREST CA 92630
Phone:
949-699-3717
Phone:
949-235-4847 State Lic:CO24445
Con State Lic:
940597
Engineer:
BURKE THOMAS
Lic Expire:
05/3112020
Address:
151 KALMUS DR #140
Bus Lic:
BT30044500
COSTA MESA CA 92626
Lic Exp Date:
08/31/2020
Phone:
949-494-0776 State Lic:S-005088
Worker's Compensation Insurance
Designer:
Carrier:
BENCHMARK
Address:
Policy No:
CST5016969
Expire:
0811012020
Phone:
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: 10
Front: 10
Left: 0
Right: 0
'arking SpacF
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$339.57
$194.04
$436.59
Special Conditions: ROBERTS WASTE
TO HAUL DEBRIS
Fira Hazard 7nne : N ' N S • �'�'���
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $4,406.41
Fire Department
$200.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $6,752.20
PUBLIC WORKS A?PR'OVA! : -
PLAN CHECK BY:
GRADING APPROVAL: I 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 fot
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).
❑ I, 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).
❑ 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 year prior to completion of the improvements covered by this permit, I cannot legally
sell 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 law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property 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 Section 70 0) of Divis' n 3 of the Business and Pro Itmy license is in full force
and effect. License Class License No Dat Contractor Signat
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1D0,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
Fhave and will 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
rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ie of Agent
certify that, in the performance of the
. if I should become subiect to the -we
Policy Number
Date
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
t provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da
CLARATION REGARDING`
ONSTRUCTIO f ENDING AGE_
:reby affirm under penalty of perjury that there Is a construutivii lending agency for the performance of the work for which this permit is issued (Section 3097, CI 'I Code).
Ider's Name Lender's Address
3y 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 t r t a -id, ntified property for inspection purposes.
signature of Property Owner or Authorized Agent Int Propert Owner's or Authorized Ag
ACTION DATE BY 78ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I "LL I S'UBMITTEC ASBE`1 OS NOTIFICATION TO
PERMITCANCELLED
DEP. - ' '
QMD
PERMIT EXTENDED
PERMITFINAL
l Z,—, (,� _
eA—ASBESTOS
NOTIFY IS NOTAPPLICABLE�TO
CERTIFICATE OF
`
P,
POSED DFM
OCCUPANCY ISSUED
aGAA
el