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HomeMy WebLinkAboutX2017-1398 - Permits��"t.�, City of Newport Beach - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-1398 ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 7 1 3 9 6 Project No : 2065-2016 H i� Permit Counter Phone(949)644-3288 s5 3 Inspection Requests Phone (949)644-3255 "�!aarrx`9 Combination Type - MFP ELEC MECH MECH GRAD Issued Date : 05/0112017 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 INSTALL OR VERIFY SMOKEICARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 710 NARCISSUS AVE NS "I I Description: NEW DUPLEX W/ ATT GARAGE 2,9451394 SF, CARPORT 162 SF, DECKS 2981295 SF Legal Desc.: CORONA DEL MAR BLK 741 LOT 12 Owner: MALEK HAD[ Contractor: LAGUNA CONSTRUCTION Architect: BENHAM GEORGE L Address: 3131 MICHELSON DR #1804 Address: 1186 GLENNEYRE Address: 1150 E ORANGETHORPE AVE '. IRVINE CA 92612 LAGUNA BEACH CA 92651 PLACENTIA, CA 92870 - k Phone: Phone: 949-497-4575 Phone: 714/572-2384 State Lic:C016997 Applicant: ABGHARI MIKE �3 Con State Lie: 785473 Engineer: FARAH MOHEB Address: 2616 SAN MIGUEL DR #177 Lie Expire: 10/3112018 Address: 1787 POMONA RD NEWPORT BEACH CA 9660 Bus Lie: BT30036507 CORONA CA 92680Y`}ai Phone: 949-903-0624 Lie Exp Date: 0 813112 01 7 Phone: 951-738-1215 State Lic:C-051477 Code Edit: 2016 Worker's Compensation Insurance Designer: <w Type of Construction: V-BSPR Carrier: EMP SERVICE GROUP Address: Occupancy Group: R31U Policy No: RWCC4882268A j] '�., Added /News sq.ft.Bldg: 2945 Added /New sq. ft. Garage: 400 Expire: 0910112017 - Phone: / �UiIN R SPRINKLERS �®�LE` No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: No of Units : 2 Front: 15 ��` Bldg Height: 0 Irrl� Left: 3 Bldg Sprinklers: Y ' Right: 3 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $654,415.00 Building Permit Fee: $4,563.00 Excise Tax: $859.74 Planning Department - Fire Department Plan Check Fee: $57.00 Additional Fee : $0.00 Plan check Fee: $0.00 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 : $621.42 SJH Trans : $0.00 Demolition Fee Record Management : $76.00 Grading Permit Fee: $861.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $136.40 Public Works Department - General Service $0.00 CA Seismic Safety: $85.07 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $266.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $638.82 San Dist: $1,412.00 Building Green Fee : $27.00 Mechanical %: $501.93 NMUSD Fee: $3,681.84 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $14,055.22 0 o Plan CL1eek Feat. o $0.00 Fee Due at Permit Issuance : $14,055.22 o c o 0 0 0 o e c 4 00 O O V 9 4 G O PROCESSED BY: ° e o e o o m o o o e ° o 0 o c� PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 4c G (i Oli CL GRADING APPROVAL:c `. o o �. < < APPROVAL TO ISSUE: c c c c v goo co 00 o c occ oc 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) ction 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 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 fessions 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 more 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 �rovements 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 roved 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' Statakicense Law does not ily 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 \I LJ 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 JV t s permit, I cannot legally 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 704 f t Busi as and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of ivi on_, of the Business and Pro as 'ons C , and yl' ns is in full farce and effect. License Class License No Date Contractor Signature NORKERS' 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 THOUSAND DOLLARS (S70D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of ,cggrisapt, self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Derf mance of the work grwhloh gYOs..;p",.I I I 's(y§IIPolicy No. fS � p b$ Jl have and` 31Rta LfJvI/8'rl�er�' corn ti n 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 nsurance car rle p Lcy» o rnq' I : I. a" barrier IiC 3 �oli bar Expiration Date Vame of Agent Phone # :1I certify that, in the performaAthefo hi his permit isissued, 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 su ject' c tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ate J.1 DECLARATION REGA DING CONSTRU T N ING AGENCY hereby affirm under penalty of perjury tha ere is a constructs nding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr&e-en I have read this application and the information I have I agree to comply with all applicable city and county ows relating to building construction. I authorize representatives of this city or county to entparty for inspection purposes. Si nature of Pro ertOwner or Authorized A entPrint Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARAtCrN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • .• PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO i �''"ei• PERMITCANCELLED EPA • • •Ali regyyey a:mTis, 13t=h4s &tes and fences which serve as part of a pool/spa barrier, shall PERMITEXTENDED QMD be in Mace prior to 51arov31 to fill pool/spa & shall remain in place & be maintained for the PERMIT FINAL a ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool. CERTIFICATEOF I l I PROPOSED DEMOLITION •• • • • • • ••• OCCUPANCYISSUED SIGNATURE: o e s a e i• i •• ••• • • •• •• •••