HomeMy WebLinkAboutX2016-4019 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
4-M)
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
III`I�IIIIIIIIII�III��IIIII�IIIII II COMB Permit: X2016-4019
x 2 e 1 6 4 0 1 9 Project No: 1792-212M °°
Issued Date : 12108/2016• • • ° ° ° °
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- Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • o 0 0 0 ° o ° ° ° o
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Job Address: 1729 IRVINE AVE NB INSvcCl-
.....OR:::
Description: SFR/GARAGE ADD 1,024 SFN1 SF &REMODEL 1,000 SFLegalDesc.: NEWPORT HEIGHTS LOT 238 FOR OF LOT °°
Owner: SABO PARIS Contractor TRAN BAD Architect:
Address: 1729 IRVINE AVE
Address:
2521 W AVENUE 31
Address:
NEWPORT BEACH, CA 92660
LOS ANGELES CA 92265
Phone:
-. Phone:
818-335-23669
Phone:
State Lic:
Applicant: HAMILTON BEVERLEY -
Con State Lic:
849538
Engineer:
MILLOT GILBERTO
Address: 13671 WOODSIDE ST
Lic Expire:
11/30/2018
Address:
860N VICEROY AVE
CORONA CA 92880
Bus Lic:
BT30057415
COVINA CA 91723
Phone: 818336-2368
Lic Exp Date:
12131/2017
Phone:
818-335-2366 State Lic:C-053464
Code Edit : 2013
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
STATE FUND
Address:
Occupancy Group: R3/U
Policy No:
9119789
Added /NewfTI sq.ft. Bldg: 1024
Expire: �'-
12/08f017
Phone:
Added /New sq. ft. Garage: 11
No of Stories: 2
Building Setbacks ,
Rea : 10
Special Conditions:
No of Units : 1
Front: 15
Bldg Height: 29
Left: 10
Bldg Sprinklers: N
,.
Right: 10
Flood Zone: X
Use Zone: R1-10000 Parkidg Spaces:
2 -
Fire Hazard Zone : N
Construction Valuation: $256,332.80
Building Permit Fee: $3,575.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$150.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading, Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
GradingyPC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $50.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
CA Seismic Safety: $33.32
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
PIW Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$250.25
San Dist :
$1,410.00
Building Green Fee : $11.00
Mechanical %:
$143.00
NMUSD Fee:
$0.00
Plumbing %:
$321.75
_
TOTAL FEE : $5,944.32
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $5,944.32
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
R
DECLARATION
;,I.Vj*y affirm undpg 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-7031.51Buslness 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, pew it 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
F*o%46ns Code) fir that he or she is exempt from icensure 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
no moje than fi EPITL red dollars ($500).
%Vlowner of'tRLP property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Eh inp sus 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 a�e.notintended 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
iit P?bve'd for the pujpose of sale).
12 ...
i, asowner oflhe 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 5n owndr'Mf ?c:)erty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
ID i em exempt karw iicensure under the Contractors' State License Law for the following reason:
B?r" Signature belgyg Packnowledge 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[,
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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe Uury that I am licensed under provisions o �h�apter commencing with Section�}0O) of �Divi§ion 3 of the Business a ro ion Sde admy ' nse is in full force
and effect. License Class ,� License No Y+9 � DaZe 1?4 W, A Contractor Sig ure
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND 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 following declarations:
111 have and will maintain 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
rmance of the work for which this permit is issued. Policy No.
ave 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' compensatiol
ance carrig a�nlld p�olic�y number are:
arner J ♦.ra �r Policy Number Expiration Date —t�lf 417
Name of Agent Phone #
:1I certify that, in the performance of work for whi 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
hat, if I should become ect to wo nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \, %
Signature of Applicant Datd �JQ/ESP
)ECLARATION REGAIRDT111011 CONSTRUCPN MENDING AGENCY
hereby affirm under penalty of perjury that here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-enders Name Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have pro ed is correct�J
I agree to comply with all applicable city and tyttr noes and st laws relating to building construction. C
I authorize representatives of this city or cotoe the a ve tified p; perty for inspection purposes.
Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Name Dat(/ ea
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 NOTI FICATION TO
PERMITCIINCELLED LIEPA 14 All required alarms, latches gates and fences which serve as part of a pool/spa barrier, Shall
PERMIT EXTENDED QMD 1Z be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMITFINAL nti E��P,,CA TO life Of the pool.
CERTIFICATEOE ROPO ED EM
OCCUPANCYISSUED SIGNAT _.