HomeMy WebLinkAboutX2017-3326 - Permits�wro� City of Newport Beach - Building Division
0 100 Civic Center Drive, Newport Beach, CA 92660
` a Permit Counter Phone (949)644.3288
+p Inspection Requests Phone (949)644-3255
„T Combination Type - SFP GRAD ELEC MECH PLUM
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REQUIRED
COMB Permit: X2017-3326
Project No: 2321-2017
Issued Date : 02/13/2018
Inspection Area : 5
"bHMITS EXPIRE 180 �,!i 51
Construction Hours: Monday -Friday7.•00 a.m. to 6.30 p.m, and Saturday fon ;:60 aAmr�oN6 00 p.m. No work on Sundays or Holidays
Description: NEW SFR W/GARAGE 3AJ/
Job Address: 1801 GALATEA TER N8 L
743 SF, POOL BATH 55 SF, LOGGIA 75 SF, CABANA 316 SF & BREEZEWAY 345 SF
Legal Des¢: N TR 2813 LOT 145
Owner: JOHNSON BRIAN & JULIE
Address: 1424 SERENADE TER
Code Edit: 2016
Type of Construction: V-BSPR
Occupancy Group: R3/1J
Added /New sq.ft. Bldg: 3516
Added /New sq. ft. Garage: 743
No of Stories: 1
No of Units : q
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $5,152.00
Plan Check Fee: $3,795.00
Overtime Plan Ck:
CORONA DEL MAR, CA 92625
Phone:
$0.00
Applicant:
FRANK HERNANDEZ CONST/DARREN
Address:
730 S LYON ST #413
CA Seismic Safety:
SANTA ANA CA 92705
Phone:
619-634-9417
Code Edit: 2016
Type of Construction: V-BSPR
Occupancy Group: R3/1J
Added /New sq.ft. Bldg: 3516
Added /New sq. ft. Garage: 743
No of Stories: 1
No of Units : q
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $5,152.00
Plan Check Fee: $3,795.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$88.00
Energy Compliance:
$268.00
CA Seismic Safety:
$93.08
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$29.00
TOTAL FEE: $17,404.35
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: FRANK HERNANDEZ CONST
Address: 730 S LYON ST #413
SANTA ANA CA 92705
Phone: 619-634.9417
Con State Lie:
1023698
Lie Expire:
02/28/2019
Bus Lie:
BT30060317
Lie Exp Date:
08/31/2018
Worker's Compensation
Insurance
Carrier:
STATE COMP. INS
Policy No:
9212035
Expire:.
02/16/2018
Building Setbacks . Rear:
Fire Department
Front:
Architect:
Address:
Left:
Fire Plan Rev
Right:
Use Zone:
Parkin2_S
Excise Tax:
$894.39
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$1,208.68
Grading Permit Fee:
$1,079.00
Grading PC Fee:
$265.32
WQ Insp. Fee:
$0.00
Electrical %: $360.64
Mechanical %: $206.08
Plumbing %: $463.68
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication: $0.00
PAN Plan Check: $494.00
San Dist: $0.00
NMUSD Fee: $2,616.48
Fire Department
o'n'e
Architect:
Address:
PATE THERON
3919 WESTERLY PL STE 102
Fire Plan Rev
$0.00
NEWPORT BEACH CA 92660
t
Phone:
949.486-0120 State Lic:CO22981
,._ _,-A
Engineer:
SALEM YASSER
Address:
24000 ALICIA PARKWAY STE 17-284
Phone:
MISSION VIEJO CA 92691
�z
Designer:
949-378-5842 State Lic:S•004902
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication: $0.00
PAN Plan Check: $494.00
San Dist: $0.00
NMUSD Fee: $2,616.48
Plan Check Fee : $4,771.00 Fee Due at Permit Issuance
cem mo
- o � m • o au o
c_ o 'PUBLIC WORKS I(PPROVAL:
`PLAUCHECK BY: E L
�. APPRO�VAkTn 15$UE:
G JU C
Nli rJ Ofi ..0 G G LGO LG
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,633.35
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $4,771.00 Fee Due at Permit Issuance
cem mo
- o � m • o au o
c_ o 'PUBLIC WORKS I(PPROVAL:
`PLAUCHECK BY: E L
�. APPRO�VAkTn 15$UE:
G JU C
Nli rJ Ofi ..0 G G LGO LG
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,633.35
OWNER -BUILDER DECLARATION r I t r ason(s) indicated below by the checkmark(s) I have placed next to the applicable pplicant for
_ t I prove, demolish, or repair any structure, prior to its issuance, also requires the app'
I hereby affirm under penally of perjury that I am exempt from the Y y P applicant to a civil penalty of
action 7031.5, Business and Professions Code: Any city or county8ir
•� �qN, ny violation of Section 7031.5 b an applicant for a permit subjects the app'
permit to file a signed statement that he or she is licensed pursuant to thW10,0242
Io srD t .e ntr s t e License Law (Chapter 9 (commencing with Section 7000) of Division 3 t the Business 2to
�,0242w c°W� .-4 A
Ifessions Code) or that he or she is exempt from licensure and the basis f t e e - ge �emjPM."-•
more than five hundred dollars ($500). all of or ortion$ of the work, and the structure is not intended or offered for sale (Section
that the
I to an owner of property who, through employees' or personal effort, builds or improves the property, p
1, as owner roof She property, or my employees with wages as their sole compensation, will do (_) U P
siness and Professions Code: The Contractor' State License Law does not apply
provements 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
not
proved for the purpose of sale).
I to an owner
Of the
property,
who builds oremp overs thereonlicensed Contractors to construct the project (Section 7044, , and who contracts for the projects with a licensed Contractor pursuant to he Contractors' State License iness and Professions Code: The rLaw)s' State License Law does t l
ll
PY
I am exempt from licensure under the Contractor' State License Law for the followmust have �Bslded ing reason: of thea Ilcable law, Section 7044 of the Business and
/II a structurmy e that I have built e below I le an the"owners-bueder f t has not beleresidence in n constructed which t I entirety by licensed contracto s. I underSTar stand that a copy n of thep'IP provements covered by this permit, I cannot legs
, is available upon request when this application is submitted or at the following Web site:httP://Www-leginfo.ca.gov/calaW.htMI.
Date
,ofessions Code
ignalure of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION Contractor Signatur
nereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDale7 00) of 'vis' n 3 of the Business and Pro(essions C0 nd. I Is in fu force
License No
rd effect. License Class
Ul
OSTIOF CO ILURE TTOION DAMAGES AS WORKERS' COMPENSATON
SECURE DED FORIN SECTION GE ISINTEREST, AND ATTORNEY'S FEES
F T E LABOR CODE,
PENALTIES AND CIVIL FINES UP T° ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO T
HE
IORKERS' COMPENSATION DECLARATION SHALLNLAWFUL, AND
hereby affirm under penalty of perjury one of the following declarations: r of industrial Relations
I have and will maintain a certificate th
of consent to self -insure for workers' compensation, issued by the Directoas provided for by Section 3700 of the Labor Code, for
�edormance of the work for which this per is issued. Policy No.
I have and will mai ( workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performan
o oof the work for which this permit is issued. My workers' compensatic
ocurance carrier and poljc�j number are: Expiration Date
n
of Agent
certify that, in the performance of the
if I should become subjg t h W0
compensation laws of California, and ags,
is issued, I shall not employ any person in any manner so as to become subject to the workers'
lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REG DING STRUCTION NDING AGENCY
:rby affirm under penalty l perjury that there 1 a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name
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 law la Ing°toibslplect on purposes, ,� Ac
I authorize representatives of this city or county to enter the a ve-i Is Y Print Pro erty Owner's or Authorized Agent's Na
or Authorized Agent
-
DATE BY RATION OF COM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • • • e
I SUBMITTED AS E OS OTIFICATION TO • . .
EPA
PERMIT EXTENDED
PERMIT FI NAL ( p ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF I PROPOSED DEMOLITICW • • • • • • • s
OCCUPANCY ISSUED SIGNATURE: • >—�
7-110
XZD11'�a32�P;
Permit No :
X2017-3326
Plan Check No:
2321-2017
Code Year Edition :2016
Address :
1801 GALA_ TEA TER
Occupancy Group: R3/U
Suite No:
Owner:
JOHNSON BRIAN & JULIE
ConstructionType: V -B -SPR
Occupant Load: N/A
1424 SERENADE TER
CORONA DEL MAR CA 92625
Fire Sprinklered: Y
Work Description: NEW SFR W/GARAGE 3524/743 SFPOOL BATH 55 SF LOGGIA 75 SF. CdnAMA V./
BREEZEWAY 345 SF
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH
ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, IANCE WITH
THIS STRUCTURE WAS IN COMPL
THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION IA USE.
— n
Chief Building Official: Samir Ghosn MS PE CBO. Signature :�, `I J 1 � I f61 r /�7�� 1
Date
901 G/10IM-CA 16r