HomeMy WebLinkAboutX2022-0710 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
•1 v. Permit Counter Phone (949)644-3288
cD Inspection Requests Phone (949)644-3255
f'u�3raitl+'cb Combination Type - SFP ELEC MECH PLUM
'X2022-0710' COMB Permit: X2022-0710
Project No : 0626-2022
'4 s Issued Date : 06116/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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
Jab Address: 2615 BAMBOO ST NB .,
Description: SFR DETACHED POOL HOUSE & CABANA 253 SF LIVABLE, 276 SF PATIO/NON-HABITABLE) "
Legal Desc.: N TR 4892 LOT 60
Owner:
GRAMIAN ANNETTE
Contractor:
OWNER/BLDR
Architect:
Address:
2615 BAMBOO ST
Address:
GRAMIAN ANNETTE
Address:
NEWPORT BEACH CA 92660
0/8 FORM ATTACHED
Phone:
949-573-3093
Phone:
949-573-3093
Phone:
Applicant:
GRAMIAN ANNETTE
Con State Lic:
O/B
Engineer:
Address:
2615 BAMBOO ST
Lic Expire:
Address:
NEWPORT BEACH CA 92660
Bus Lic:
Phone:
949-573-3093
Lic Exp Date:
Phone:
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 253
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 24
Bldg Sprinklers: Y
Construction Valuation:
Workers Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: 6'
Front: 10'
Left: 6'
Right: 6'
Use Zone: R-1-6000
State Lic: > > > > >
MANSHADIFARHAD
1800 E 16TH ST UNIT B
SANTA ANA CA 92701
714-835-2800 State Lic:C-036840
Designer: TRABERT ERIC
Address: 9521 IRVINE CENTER DR
IRVINE CA 92618
Phone: 949-861-2244
Special Conditions
Zone : N
Building Permit Fee:
$1,744.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,341.92
Additional Fee :
$0.00
Plan check Fee :
$208.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$28.00
Grading Permit Fee:
$237.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$61.00
Grading PC Fee:
$199.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$10.40
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
P/W Plan Check : $50.75
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$122.08
San Dist: $0.00
Building Green Fee :
$4.00
Mechanical %:
$69.76
NMUSD Fee: $0.00
$0.00
Plumbing %:
$156.96
$0.00
TOTAL FEE :
$4,232.87
Plan Check Fee
: $1,272.92 Fee Due at Permit Issuance :
$2,959.95
PROCESSED BY:
PUBLIC WORKS APPROVAL:
R9
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ZONING APPROVAL:
I"t`I�
PLAN CHECK BY:
GRADING APPROVAL: S M 1:2 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 nerd to the applicable item(s)
(Section 7031.51 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).
❑ I, as owner of th= 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,
Business and ?rofess,ons 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
Pit proved for the purprse 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
ly 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).
n 1 am exemp' fors !icensure under the Contractors' State License Law for the following reason:
By 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 legally
sell a structure Taut I have built as an owner -builder if it has nppt been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Frotes^ions Circa, 's available upon request when thi 6'arr-issHbmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. II
Siyriamre of Property Owner or Authorized Agent Date X I (�-Z4) 9.)_
Ll,'FNSED CONTRACTOR'S DECLARATION
I hereby affirm'under penalty 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
--id e`fcct. License Class License No Date Contractor Signature
WORKERS' COMPHNSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), 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:
❑ I 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 the
performance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
:ertify 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
if I should become subject to Oe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date W 10 ( v)-�
:reby 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 owners 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 enteAthe above -identified property for inspection purposes. A 11
u1
Signature of Property Owner or Authorized Agent e Print Property Owner's or Authorized Agent's Name Yly — I VALLAJLJkn Date D
J I I L-0
ACTION DATE BY EC OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED UEPA
PERMIT EXTENDED LIAQMD
PERMIT FINAL f7UAsBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOUTIQU�
OCCUPANCYISSUED SIGNATHRE: Y