HomeMy WebLinkAboutX2017-1155 - PermitslawtrxpA City of Newport Beach.; Building DivisionI�iIIIIII�II�II�I�l�llllll I III I COMB Permit: X2017-1155
100 Civic Center Drive, Newport Beach, CA 92660[fit Project No: 0766-2017
E' = Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 �1Vi�C�
Combination Type- MFP ELEC MECH PLUM GRAD �J Issued Date :11/02/2017
- ZZ) 1`6 "� 1 Inspection Area : 5
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: 618 NARCISSUS AVE NB
Description: NEW DUPLEX WITH ATTACHED GARAGE2948
& 400 SF=
Legal Desc.: CORONA DEL MAR BLK 641 LOT
20
Owner: CASSIS A G & K
Contractor:
OWNER/BLDR
Architect: GENER JULIO C
Address: 501 ORCHID
Address:
KENIA CASSIS
Address: PO BOX 3793
CORONA DEL MAR CA 92625
COSTA MESA CA 92628
Phone: 949-644-9277
Phone:
Phone: 949-660-7985 State Lic:CO20599
Applicant: GENER JULIO
Con State Lic: O/B
Engineer: SKUDLARSKI JASON
3 "u
Address: PO BOX 3793
Lic Expire:
Address: 9751 OLYMPIC DR
° k`
COSTA MESA CA 92628
Bus Lic:
HUNTINGTON BEACH CA 92646
°•°•° d
°
Phone: 949.660-7985
Lic Exp Date:
Phone: 949-752.1612 State Li¢C-067712
• ° _ f ••°e
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
° - 4`e • ° °o
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 2948
Expire:
Phone:
° ° ° ° ,v- • ° ° °
Added /New sq. ft. Garage: 400
No of Stories: 3
Building Setbacks
Rear: 5'
Special Conditions:.
No of Units: 2
Front: 20'
°
Bldg Height: 0
Left: 3'
Bldg Sprinklers: Y
Right: 3'
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $552,617.00
-° •pO°
Building Permit Fee: $4,563.00
Excise Tax:
$703.08
Planning Department - Fire Department
Plan Check Fee: $2,903.00
Additional Fee:
$0.00
Plan check Fee : $0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $1,792.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $58.00-
Grading Permit Fee:
$820.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$713.40
Public Works Department- General Service
$0.00
CA Seismic Safety: $71.84
. WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $304.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$638.82
San Dist: $734.00
Building Green Fee : .$23.00
Mechanical %:
$501.93
NMUSD Fee: $2,024.00
$0.00
Plumbing %:
$410.67
$0.00
TOTAL FEE : $16,919.74
Plan Check Fee:
$4,218.40 Fee Due at Permit Issuance : $12,701.34
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
%
6y6n
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the C� �a . r ". " (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 ermlt o c s ve, 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 pr - e ' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of •the Budiness and
Professions Code) or that he or she is exempt from licensure and the basis forth I%b 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 (_) 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
proved for the purpose of sale).
proved
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 y 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 legall)
sell a structure that I have built as an owner -builder it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of tf a Business and
Professions Code, is available upon request when is application 1 milted or at t following �A/eb site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Age-��f�4-B.� �Lli7�l � Da O 2
LICENSED CONTRACTOR'S DECLA ION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, and my license is in full force
and effect. Lic8its2'Class License No Date Contractor Signature
It GRKERS' CGMPEdJSATION DECLARATION
NARNING: FAILURE TO gf'CDRE 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
FQ%T OV OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'heretry affirm under Penalty of perjury one of the following declarations:
❑d h6e and ;: ZTntain 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, forth
ierfo'hhance of toe wsr� for which this permit is issued. Policy No.
...
T and iviY �riairitain 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' compensatiol
nsurance carrier cVd policy number are:
Policy Number Expiration Date
cariify that;inlRtperformance of the 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
I. if I should -become s bject to the workers' comp5gsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Appcel � /DaCLARATION RE RDING CONSTRUCTION LENDING AGENCY
:reby affirm and penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3Code).
Ider's Name Lender's Address
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 to me above-identifi property for inspection purposes. ,
nature of Prooertv Owner or Authorized ADent-[.GGL�.. Print Propertv Owner's or Authorized Agent's Nam Keo f Ct Ca 5S !S De 11n
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
/
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
UBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
O EPA
PERMIT EXTENDED
QMD
PERMITFINAL
ASBESTOS�y(WTIFICATION IS NOT APPLICABLE TO
CERTOCCUI PANCYIOSSUED
a'ir8
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