HomeMy WebLinkAboutX2019-3672 - Permits.gwrok City of Newport Beach - Building Division
^ gt 100 Civic Center Drive, Newport Beach, CA 92660
H t,� Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3672
Project No : 2524-2019
Issued Date : 0212412020
Inspection Area : 4
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: 17 DARTMOUTH NB
Description: SFR KITCHEN/GREAT ROOM ADDITION 484 SF, INTERIOR REMODEL 1200 SF AND PATIO COVER 480 SF
Legal Desc.: N TR 15409 LOT 57
Owner:
BENEHMED DANEIA SANADIKI
Address:
17 DARTMOUTH
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MACBETH DANIEL
Address:
37 PARKCREST
NEWPORT BEACH, CA 92657
Phone:
949-584-4999
Code Edit, 2016
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 484
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $4,223.00
Plan Check Fee: $3,493.16
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$58.00
Energy Compliance:
$268.00
CA Seismic Safety:
$65.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE : $11,718.01
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: MAC BETH DANIEL GARRISON
Address: 1539 MONROVIA 911
NEWPORT BEACH CA 92663
Phone: 949-584 4999
Con State Lic:
700795
Lic Expire:
1213112020
Bus Lic:
BT30047260
Lic Exp Date:
0513112020
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: 5'
Front: 15'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$875.00
$761.25
$0.00
$295.61
$168.92
$380.07
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
INE3PECTOR
State Lic:
KARNS JESSE
24161 ADONIS
MISSION VIEJO CA 92691
800-754-3030 State Lic:S-004321
MACBETH DANIEL
37PARKCREST
NEWPORT BEACH, CA 92657
949-584-4999
Special Conditions: TIGHT QUARTERS TO HAUL
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $165.00
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$160.00
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
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $11,718.01 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).
[11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
❑ I am exempt from licensure 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 Iegalll
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:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Propuny Owner or Authorized Agent ate
LICENSED CCI4 —, RACTOR'S DECLARATION
' )cmt)y affirm u.lder penalty of perj at I am licensed under provisions of Chapter 9 r n�ing with Section 70G of Division 3 of the Business and P4re
e, and �fi�nse�fullforce
and effect. Licen-,e Cass License No (l ✓ Date �2'/`Zd Contractor Signa
NORKERS' CO..MPENSATION DECLARATION
NARNING: FAILURE TO SLCURE 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
CuST GF CONIPENSATIUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
her�Ly affirm under penalty of perjury one of the following declarations:
❑ 1 ha"e and wil' :T.3 ntain 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
ueriornance of the work for which this permit is issued. Policy No.
Ell haw,' and wil; mari,ain 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' compensatioi
insurance carrier aid pjlicy number are:
('wrier Policy Number Expiration Date
kha[m
of Agent Phone #
ertify that, in the perfo mance 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
f I should become su ject to the workers' compensation provisions of Section 3700 Of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant /�el
DECLARATION REGA IN NST CTION LENDING AGENCYI hereby affirm under p nalt of perju t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3ivil Code).
Lender's Name Lender's Address
By my signature below, I c 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 haWthea
orrect.
I agree to comply with all applicable city and countyd state laws relating to building construction.
I authorize representatives of this city or county t identified property for inspection purposes. VF4+.) i t L
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's No a ate
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I I LCJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED 1 1 14 AJAQMD
PERMITFINAL 08/N/Z1 E5TOS NOTIFICA N IS NO APPLICABLE TO
CERTIFICATE OF gcCAlk. ROPOS DEMOUTI
OCCUPANCYISSUED �,,,$, SIGNATURE: i