HomeMy WebLinkAboutX2020-3003 - Permitswru� City of Newport Beach - Building Division
�4 100 Civic Center Drive, Newport Beach, CA 92660
H. Permit Counter Phone (949)644-3288
1+ W Inspection Requests Phone (949)644-3255
rLr,rrixta`> Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-3003
x 2 0 2 0 3 0 0 3 Project No: 2388-2020
Issued Date : 03108/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/08/2024 OR PERMIT WILL BE INVALID
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: 12 DRAKES BAY DR NB
Description: SFR-ADD 42 SF TO KITCHEN & REMODEL 906 SF, C/O WINDOW & DOORS I ���
Legal Desc.: N TR 7844 LOT 90
Owner:
TAGHDIRI KAMRAN
Contractor:
FLOORING KITCHEN & BATH DEPOT Architect:
TEALE MARK
Address:
12 DRAKES BAY DR
Address:
701 S RAYMOND AVE #1
Address:
2900 BRISTOL ST BLDG A203
CORONA DEL MAR, CA 92625
FULLERTON CA 92831
COSTA MESA CA 92626
Phone:
949-290-9330
Phone:
714-870-1575
Phone:
949-975-0123 State Lic:CO22162
Applicant:
TEALE MARK
Con State Lic:
965892
Engineer:
MANSHADI FARHAD
Address:
2900 BRISTOL ST BLDG A203
Lic Expire:
0913012021
Address:
1800 E 16TH ST UNIT B
COSTA MESA CA 92626
Bus Lic:
BT30053966
SANTA ANA CA 92701
Phone:
949.975-0123
Lic Exp Date:
02128/2022
Phone:
714-835-2800 State Lic:C-036840
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 42
Added ]New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $1,829.00
Plan Check Fee: $1,510.91
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$26.00
Energy Compliance:
$61.00
CA Seismic Safety:
$10.53
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $3,992.24
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9255163
Expire: 06/04/2021
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 3541
Front: 6 (Street)
Left: 5
Right: 5
arkino Spaces:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$128.03
$73.16
$164.61
0
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$185.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $1,756.91 Fee Due at Permit Issuance : $2,235.33
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
lusiness 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
nprovements 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
nproved for the purpose of sale).
11, 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 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
ell a structure !hat 1 hLve 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:Llwww.leginfo.ca.gov/calaw.html.
�i3T�tu.e of Pruperty Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm undsr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) ivision 3 of the Business and PrgI Sion oqe, and my Icense is in full force
nd efiect. Licerse Class License No Date Contractor Signatures ��--_
VORKFRS' COL172NSATION DECLARATION
ARNING: FAILURE -D EF-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000I, IN ADDITION TO THE
_S-0, COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h7-eS,; afflrm under penalty of perjury one of the fallowing declarations:
] I have and Wl 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
arformaace of b3R work for which this permit is issued. Policy No.
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'
carrier and po'icy number are:
Policy Number Expiratic
of Agent Phone #
Date
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
L if I should become subject jd th workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��` ��/
mature of Applicant X ! 4 Date�//t !�
CLARATION REGA DD CONSTRUCTION LENDING AGENCY - ✓y
3reby 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).
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 courityjto entVthe,above-identified property for insp_f"ion purposes. / i7
of Property Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I BY
Print Property Owner's or Authorized Agent's Name
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
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