HomeMy WebLinkAboutX2017-1476 - PermitsCity of Newport Beach - Building Division
a �'> 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
ysa` Combination Type - SFP GRAD
COMB Permit: X2017-1476
IIIIP�X 2 0 1 7 1 476
Project No: 1250-2016
Issued Date : 05/08/2017
Inspection Area : 5
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. -•
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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 an Sundays or Holidays• "• ° ° °
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Job Address: 1653 BAYSIDE DR NB ®•"°oo
Description NEW SFR W/ATT GARAGE 4898 R 624 SF ( DESCRIPTION CHANGE I CHG OF ENGINEER (X2016-3448)
Legal Desc : N TR 6927 LOT 2 . o
Owner: PSC STRATEGIC INVESTMENTS Contractor: B D R INC ✓y •+�•: ;'� "O
Address: 27489 AGOURA RD Architect: BRANDON CHRISTOPHER ^,�-
Address: 27489 AGOURA RD Address: 3001 RED HILL AVE, BLDG 1 STE 102 ° " •`*�" ;/•-
AGOURA HILLS, CA 91301 AGOURA HILLS CA 91301 COSTA MESA CA 92626 • •k�;6-r�=
Phone: Phone: 818-435-7775 Phone: 949-533.2340 State Lic:C031637 •• • '
Applicant:
LINSDAY BRANDON
Con State Lic:
735996
Address:
3001 RED HILL AVE 1/102
Lic Expire:
05/31/2017
COSTA MESA, CA 92626
Bus Lic:
BT30051626
Phone:
714-754-4040
Lic Exp Date:
07/31/2017
Code Edit: 2013
Type of Construction: V -B -SPR
Occupancy Group: " R3/U
Added /NewfFI sq.ft. Bldg: 4898
Added /New sq. ft. Garage: 624
No of Stories: 3
No of Units : 1
Bldg Height: 29
Bldg Sprinklers: Y
Flood Zone: X
Worker's Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No: CA10002812151
Expire: 08/16/2017
Building Setbacks Rear: 10
Front: 10
Left: 4
Right: 4
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Engineer: DEIHIMI DAMIR HOSSEIN - o eee s••eoo
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Address: 23172 PLAZA POINTE DR STE 145
LAGUNA HILLS CA 92653
Phone: 949-954-7244 State Lic:C-078194
Designer:
Address: t • 1'N
Phone: i +' 15nf% ,O�C� FM
Special Conditions: a K'or({,/ ED
Zone:
Building Permit Fee:
Plan Check Fee:
$0.00
$0.00
Excise Tax:
$1,159.62
Planning Department -
Fire Department
Overtime Plan Ck:
$0.00
Additional Fee :
Grading Bonds Fee:
$1,379.50
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$1,286.90
Fair Share :
SJH Trans :
$0.00
$0.00
Fire Plan Rev
$0.00
Record Management:
Energy Compliance:
$32.00
$150.50
Grading Permit Fee:
Grading PC Fee:
$0.00
In -lieu Housing Fee:
$0.00
Demolition Fee
Building Dept Adm
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee :
$282.50
$0.00
Public Works Department -
General Service
$0.00
Disabled Access :
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Hazardous Mat
$0.00
Electrical %:.
$0.00
P/W Plan Check :
San Dist:
$0.00
Grading Bond:
$0.00
Building Green Fee :
$9.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
$0.00
TOTAL FEE: $4,300.02
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: _ S Lr_r
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $4,300.02
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: K -t1
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARAI IUN
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).
••
Qb''"i,es own *0 property, or my employees with wages as their sole compensation, will do `) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
that
Pj.&Js 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 1&%r"+ntended 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
rm r®®ed for the�purpo9e of sale).
4
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owner of4he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ep PI� roan owrlEYpt prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
U' Irrl exempt4rolicensure under the Contractors' State License Law for the following reason:
&y my signet ptCCIDd li 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 legal)
sail a structure she! shave 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
ProlesSjpns Code,4S available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
�gnatare of PrypertyQwner or Authorized Agent
I' ENSED CQ(JTIjptCTOR'S DECLARATION
.. ..
I�lere�by.affirm unde# enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7@q0) f Division 3 of the Busines nd Pole ode, an my license is in full force
and effect. License lass License No Date t(� rector Signature
We
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE H AND DOLLARS ($
100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the fol) i orations:
n
I have and will rgeint-al iji`ca°Pe@n`� s ure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, or I
rmance of the Wa�klfs I permI Is issue Policy No.
n
�l4i
I and will maintain w�'eeli1n rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa for
rance carrier and policy n are:
Carrier Policy Number Expiration Date
Phone #
Name of Agent
I certify 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,
that, if I should become subject to th ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,-
4 `
Date
Signature of Applicant ,.
DECLARATION REGARD ONSTRUCTION LENDING AGENCY
I hereby affirm under p a ty 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).
Lender's Name Lender's Address
By 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. S�
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 o nt he above -identified property for inspection purposes. Date
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Na
ACTION DATEjBY*DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ONS PART 61 OF TITLE 4D AND AQMD RULEPERMITEXPIRED ITTED ASBESTOS NOTIFICATION TOAll required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT CANCELLED PERMIT EXTENDED Mpbe in place prior to approval Yo fill pool/spa &shall remain in place & be maintained fort e
PERMIT FINAL TOS NOTIFICATION IS NOT APPLICABLE TOlife of the pool.
CERTIFICATE OF D DEMOLITIONOCCUPANCYISSUED E:
city
Permit No
X201-7-1_476
Plan Check No
Address :
Suite No:
Owner:
Work Description
X2016-3448
1250.2016
1653 BAYSRAYS�DR
PSC STRATEGIC INVESTMENTS
27489 A—RA RD
2011- 1g1w,
Code Year Edition :2013
Occupancy Group: R3/U
ConstructionType: VV–SPR
Occupant Load : N/A
AGOURA HILLS CA 91301
Fire Sprinklered: v
IVG3 �AySide Dr`
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS...� � c.rlG OF ENGINEER
ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH
THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATIN BUILDINGONS Y OF NEWPORT BEACH
TRUCTION OR USE.
Chief Building Official: Samir Ghosn
MS PE CBO. Signature
Date: I