HomeMy WebLinkAboutX2016-1858 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIillllllllllllllllllllllllllllllllii COMB Permit: X2016-1858
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 1 8 5 6
Permit Counter Phone (949)644-3288 Project No :1255-2016
Inspection Requests Phone (949)644-3255
Combination Type SFP GRAD MECH ELEC PLUM ^�Itjs �l fool Issued Date : 08/23/2016
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 2392 REDLANDS DR NB
Description: NEW SFR W/ATT GARAGE 3,9451441 SF
Legal Desc.: N TR 3062 LOT 3
Owner: BAZARCHI NASSER & SHIHI MARYAM
Contractor:
OWNER/BLDR
Address: 2401 NARNONNE WAY
Address:
EDMOND SAHAKIAN
COSTA MESA, CA 92627
ABARQUEZ JOSE M
$0.00
Phone: 949-697-5755
Phone:
$0.00
Applicant: CARLSON JAMES
Con State Lic:
O/B
Address: 2300 CLIFF DR
Lie Expire:
Grading PC Consultant:
NEWPORT BEACH CA 92663.
Bus Lie:
Record Management:
Phone: 949.645-3051
Lie Exp Date:
$844.00
Code Edit: 2013
Worker's Compensation Insurance
Type of Construction: V-BSPR
Carrier:
$734.28
Occupancy Group: R3/U
Policy No:
$97.50
Added /New sq.ft. Bldg: 3945
Expire:
Park Dedication : $0.00
Added /New sq. ft. Garage: 441
$0.00
No of Stories: 2
Building Setbacks
Rear: 20
No of Units : 1
Electrical %:
Front: 20
Bldg Height: 35
Building Green Fee :
Left: 5
Bldg Sprinklers: Y
$171.60
Right: 5
Flood Zone: X
Use Zone: Parkinc
Soaces: 2
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
18 EL CORZO
RSM CA 92688 m m m
714-277.9895 State Lic:C-051994 m° 4
me em
cooccm
0
Special Conditions: COSTA MESA SANITATION
PERMIT NO:SD16-0367
O/B AUTH ATT
Building Permit Fee:
$4,290.00
CARLSON JAMES
2300 CLIFF DR
i am e °
NEWPORT BEACH CA 92663 v
949-645-3051
State Lic:C013773 °. m
ABARQUEZ JOSE M
$0.00
18 EL CORZO
RSM CA 92688 m m m
714-277.9895 State Lic:C-051994 m° 4
me em
cooccm
0
Special Conditions: COSTA MESA SANITATION
PERMIT NO:SD16-0367
O/B AUTH ATT
Building Permit Fee:
$4,290.00
Excise Tax:
$921.06
Planning Department -
Plan Check Fee:
$3,732.30
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$94.00
Grading Permit Fee:
$844.00
In -lieu Housing Fee
Energy Compliance:
$268.00
Grading PC Fee:
$734.28
Public Works Department -
CA Seismic Safety:
$97.50
WQ Insp. Fee:
$106.00
Park Dedication : $0.00
Disabled Access:
$0.00
PAN Plan Check: $342.00
Hazardous Mat
$0.00
Electrical %:
$300.30
San Dist: $0.00
Building Green Fee :
$30.00
Mechanical W
$171.60
NMUSD Fee: $4,633.12
Plumbing %:
$386.10
TOTAL FEE : $17,325.26
PROCESSED BY:
ZONING APPROVAL:
Doom
o c m
mm o
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $4,734.58 Fee Due at Permit Issuance : $12,590.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
a
° r
omm �
mmE�,
°
mmcco
Fire Department
$375.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:.
Doom
o c m
mm o
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $4,734.58 Fee Due at Permit Issuance : $12,590.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
a
° r
omm �
mmE�,
°
mmcco
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 71;31.5, 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
Pqqq��0ro��}fessiods 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
9+ more than five hundred dollars ($500).
q+ I, as owner of the property, or my employees with wages as their sole Compensation, will doViroperty
l 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 ownwho, 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).
❑ 1, 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 rut
apply to an owrlef pi 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 exerAptfroa licensure under the Contractors' State License Law for the following reason:
Bmrsignatury belpw 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 legalh
SIN structure that I Mave 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 7044ess and
QrofVsions Cone, -is available upon request when Is applic n is submitted or at th=iZ=http://www.leginfo.ca.gov/calaw.html.
eb site:http:!lwww.leginfo.ca.gov/calaw.hlml.
Siy�1tare of Property Owner or Authorized Age ®y Yf6 �R �� Da
LICkNSED QON,TIZACTOR'S DECLARATI
Ilhereby affirm lMer Qenalty 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
and'ehect. Liee nseClass License No Date Contractor Signature
&6V14ERS' EflMPENSATION DECLARATION
....
NARNING: FAILURE Tfl SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E'100,000), IN ADDITION TO THE
COIPOPCOMPENUT10N, AAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,hereby*affirm 6ASer penalty of perjury one of the following declarations:
0'...
I have and vrittrTaintain 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 th(
)MUMance ofehe work for which this permit is issued. Policy No.
❑I have 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' compensatioi
nsurance carrier and policy number are:
Policy Number
Date
e of Agent r1 iii is "
g c rtify that, in the performance 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
iat, I should bacona subject t the workers' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions..
gnatu re of Applica D) e_ b _ 23 —
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ender's Name Lender's Address
ly 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 e4er the ab e-identif' d p pe y for inspection purposes. 'l /
Iicnature of Property Owner or Authorized Age�l{e/_ L� ��i Print Property Owner's or Authorized Agent's Nang ZdMO �4La d /fin. Dat $ -2i
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
U I SUBMITTED ASBESTOS NOTIFICATION TO
'
PERMIT CANCELLED
OEPA
PERMITEXTENDED
qMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
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