HomeMy WebLinkAboutX2020-1107 - Permitstti� 1 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
;1 $ Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1107
x 2 0 2 0 1 1 0 7 Project No : 2524-2019
Issued Date: 0911412020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 09/15/2023 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 orrk on Sundays or Holidays
Job Address: DARTMOUTH DEL N8 �1NVPEC-T�
Description: SFR ARCH DELTA 1 THRU 7, STRUCT DELTA 1; ADD DECK 200 SF @MASTER BEDROOM ' V
Legal Desc.: N TR 15409 LOT 57
Owner:
BENEHMED DANEIA SANADIKI
Address:
17 DARTMOUTH
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MACBETH DANIEL
Address:
37 PARKCREST
NEWPORT BEACH, CA 92657
Phone:
949-584-4999
Code Edit:
2016
Type of Construction:
VB
Occupancy Group:
R3IU
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:
N
Flood Zone:
X
Building Permit Fee: $381.00
Plan Check Fee: $266.75
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$0.00
CA Seismic Safety:
$2.80
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $905.80
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
MAC BETH DANIEL GARRISON
Architect:
Address:
1539 MONROVIA#11
Address:
NEWPORT BEACH CA 92663
Phone:
949-584-4999
Phone:
State Lie:
Con State Lie:
700795
Engineer:
MANSHADI FARHAD
Lie Expire:
12131/2020
Address:
1800 E 16TH ST UNIT B
Bus Lie:
BT30047260
SANTA ANA CA 92701
Lie Exp Date:
0513112021
Phone:
714-835-2800 State Lic:C-036840
Workers Compensation Insurance Designer:
Carrier: WC EXEMPT Address:
Policy No: (NO EMPLOYEES)
Expire: Phone:
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: I
Front: /
Left: I
Right: I
-arkino SDaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Special Conditions: SPECIAL FIRE PROTECTION
FUEL MOD.
0 Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$190.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $905.80
PUBLIC WORKS APPROVAL: 1 t
PLAN CHECK BY: l� 1
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 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 (_) 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).
❑ 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 7044Of the Business and
Professions Cooe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi,
Signature of Pnper.y Owner or Authorized Agent
LICENSED rCNTRACTOR'S DECLARATION
I hereby affirm I'nder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) i Sion of the Business and Profes io 'n full force
and effect. License Class License No Date 20 Contractor Signature
NORKERS COMPENSATION DECLARATION
NA^.PING: FAILURE T9 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL I PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU AND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSA I ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
D r 'icve and will mhintain 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
)e.formance o'the Work for which this permit is issued. Policy No.
ar %a and wN T.Lintain workers' cor
-mice carrier and policy number are:
of Agent
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number
Date
certify that, in the p orm nce o t work for w this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre,
'at,
, 'f I should becomes j ct to
orkers' pens of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^2
ignature of Applicant Dat /-/
iECLARATION REGA ING ONSTR ION LENDING AGENCY
hereby affirm under alty of p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code).
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 operty o n s be alf.
I have read this application and the information I h e or(
s Corr ct.
I agree to comply with all applicable city and c n ordina c s nd ate la ating to building construction.
I authorize representatives of this city or count t enter t ve-' led property for inspection purposes.
ionature of PrDDertV Owner or Authorized AD ent Print Prooertv Owners or Authorized ADent's Na
ACTION DATE 8Y V I RDECLARATION OF COMPLIANCE WITH CODE OF WOLATIONS PART 61 OF TITLE 40 AND QMD RULE
RAL FOR OFFICE USE ONLY
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED L.JAQMD
PERMITFINAL /(q/Z( 5pwn $0r SBESTO NOTIFI TI SNO PPLICABLE TO
CERTIFICATE OF p(Y.� PROPOSED DE LI ON
OCCUPANCYISSUED SIGNATURE: