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HomeMy WebLinkAboutX2017-2750 - PermitsCity or n... _ t Beach - Building Division rp " 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rRx� Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'lull Project No oermit:012017-2750 Issued Date : 10/0512017 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: 611 DAHLIA AVE NB Description: SFR -ADD BDRM & BATH OVER GARAGE 347 SF & REMODEL 170 SF Legal Desc.: CORONA DEL MAR BLK 631 LOT 9 Owner: MOSHAYEDI MANOUCHEHR Contractor: OWNER/BLDR Architect: Address: 2121 BAYSIDE DR Address: MOSHAYEDI MANOUCHEHR Address: CORONA DEL MAR, CA 92625 Phone: 949.232-5023 Phone: Phone: State Lie: Applicant: GARCIA ROBERTO Con State Lie: -O/B Engineer: ESPINOZA MANUEL Address: 580 YORKSHIRE ST Lie Expire: Address: 12109 WOODRUFF AAVE COSTA MESA CA 92627 Bus Lic: DOWNEY CA 90241 Phone: 949-307-6247 Lie Exp Date: Phone: 5621622.6927 State Lic:C-055526 Code Edit: 2016 Worker's Compensation Insurance Designer: VAZQUEZ HUGO Type of Construction: VB Carrier: Address: 8050 E. FLORENCE AVE #3 Occupancy Group: R3/U Policy No: DOWNEY, CA 90240 Added /New sq.ft. Bldg: 347 Expire: Phone: 562-928-9175 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 2 112' Special Conditions: OWNERIBLDR ATTACH No of Units : 1 Front: 15' Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 974.850.00 Building Permit Fee: $1,454.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,094.99 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $20.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $9.73 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check : $152.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $101.78 San Dist: $0.00 Building Green Fee: $3.00 Mechanical %: $58.16 NMUSQ-Fee:\ $0.00 Plumbing %: $130.86 e m oeol'= 'iee oom uoe .- 0 =e o 0 eeee moom�_,., fle Oe o • oom 'mono ee a �' •moo °moo m .mmm.i"'......m ° 0 0." ommo0c oom ® o c o c 0000 em $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $3,230.52 Plan Check Fee: $1,004.00 I Fee Due at Permit Issuance : $2,226.52 PROCESSED BY: _ iy-_CI PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: L 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 P ofe Bions 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 Fre than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signatur"clowd acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I hAve built as an owner -builder i t has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7,944 of the Business and Vrofes�sJons CgdQ• It -available upon request when t Is application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Da Sjgnalure of PropeAr6wner or Authorized Agent LIC€NGED CONTRACTOR'S DECLARAT N 1pereby affirm under penalty of perjury the . ice under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force end effect. L18Pr7$E•Olass rise No Date Contractor Signature WORKERS' CAMPENSATION f3 ARATION WARNING: FAILURE 10,WtURE 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 Wls tGF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I'YJ dI7•V affirm under penalty of perjury one of the following declarations: ❑ 1 have ano WAR Ajrdintain 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 perrIftance of the York for which this permit is issued. Policy No. 016 have and•wip 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' compensatlol insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 01 certify that, in the pert rmance of the work f this issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should become bject to thew compe In visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date >l7 1 DECLARATION NG CONSTRUCTION LENDING AGENCY I hereby affirm under enalty 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. I agree to comply with all applicable city and county ordinances an t relating to building construction. 1 authorize representatives of this city or county to nter the a -I rfied grope for inspection purposes. 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