HomeMy WebLinkAboutX2018-2823 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E err Permit Counter Phone (949)644-3288
a - Inspection Requests Phone (949)644-3255
azrgoav`b Combination Type - SFP ELEC
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COMB Permit: X2018-2823
Project No: 2237-2017
Issued Date :09/19/2018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday- Friday7:00 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: 504 HAZEL DR NB
Description: SFR DELTA 2 & 3, INSTALL ELEVATOR & CREATE 4TH BEDROOM
Legal Desc.: N TR 673 BILK B LOT 36
Owner:
LEAH ALPERIAN
Contractor:
OWNERIBLDR
Architect:
BRANDON CHRISTOPHER
Address:
504 HAZEL DR
Address:
LEAH ALPERIAN
Address:
151 KALMUS DR #G-1
No of Units :
CORONA DEL MAR, CA 92625
Bldg Height:
29
Bldg Sprinklers:
COSTA MESA CA 92626
Phone:
X
Phone:
310-403-2474
Phone:
714.754.4040 State Lic:C031637
Applicant:
ALPERIAN LEAH
Con State Lic:
Die
Engineer:
DEIHIMI AMIR
Address:
504 HAZEL
Lic Expire:
Address:
4400 CAMPUS DR
NEWPORT BEACH CA 92625
Bus Lic:
NEWPORT BEACH CA 92660
Phone:
310-403-2474
Lic Exp Date:
Phone:
949-752-1612 State Lic:C047283
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
1077
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
1
Bldg Height:
29
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $32.000.00
Building Permit Fee: $512.00
Plan Check Fee: $445.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$36.00
Energy Compliance:
$0.00. .
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat -
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,871.78
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone: R1
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 5
Left: 3
Right: 3
Parking Spa
$0.00
$0.00
$0.00
$1,354.64
$0.00
$297.36
$0.00
$35.84
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions: REV18-1474
K
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $0.00
San Dist: $803.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,871.78
_ m
.PUBLIC WORKS APPROVAL:
'- PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$37.50
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: $0.00 Fee Due at Permit Issuance : $1,871.78
_ m
.PUBLIC WORKS APPROVAL:
'- PLAN CHECK BY:
APPROVAL TO ISSUE:
t V`
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oc� cc. uu o � aco eye
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 exemptio, . Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of
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,
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
vements 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
r d for the purpose of sale).
I, p 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
ppl ' o an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractorpursuantto the Contractors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 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 legaiii
ell a structure that I have built as an owner -builder if it has not be c trLe ted 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 application 's iItd or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent D
.ICENSED CONTRACTOR'S DECLARATI
hereby affirm under penalty of perjury that I am licensed under p vi ' n of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class ILice se Date Contractor Signature
I/ORKERS' COMPENSATION DECLARATION
DARNING: 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 ($100,000), IN ADDITION TO THE
OST 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:
I have --add v/111 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
erformance of the work for which this permit is issued. Policy No.
:1I 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' compensatiol
nsurance carrier and policy number are:
3arrier Policy Number Expiration Date
Jame of Agent Phone #
certify that, in the performance okhe 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
IT if I should become su ct to th o rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� J
'Signature of Applicant Dat 7 / / 5'
DECLARATION RE DING C U LENDING AGENCY
hereby affirm under penalty of per' ry ere is a construction lending 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 toe dW 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 ordinan s and state laws relating to building construction. '
I authorize representatives of this city or county ent he ove-id tified property for inspection purposes. ,
Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DE A N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R 10 SPARTGIOFTITLE40ANDAQMD RULE
1403 • ••.
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION Ti • • :• . ` ° `
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PERMIT CANCELLED EPA • • • i • `
PERMIT EXTENDED EIAQIVID
PERMITFINAL EIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION •• •°' • • • •+•
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OCCUPANCY ISSUED SIGNATURE: • * • •
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