HomeMy WebLinkAboutX2019-3066 - PermitsCity of Newport Beach Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
"ry .Inspection Requests Phone (949)644-3255.
¢4a ar qxg " Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3066
x 2 0 1 9 3 9 6 6 Project No: 1135-2017
Issued Date : 09126/2019
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 630 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Ho I'd
Job Address: 182SHORECLIFF RD NB`^, U -
Description: SFR'ADD'L SCOPE* CONVERT STORAGE AREA TO ELEVATOR 16 SF I ���EV�V
Legal Desc.: N TR 1116 LOT 100
Owner: HOHMANN DAVID Contractor: TONY VALENTINE CONST INC Architect:
Address:. 182 SHORECLIFF RD Address: 2435 E COAST HWY #2 Address: • °
e
CORONA DEL MAR, CA02660 CORONA DEL MAR CA 92625 e o o • m e • c
• • . e
Phone:.. Phone: 949-723-6449 Phone: State Lie: •°
Applicant:
HOHMANN DAVID.
Address:
151 KALMUS DR E. #201
Record Management:
COSTA MESA CA 92626
Phone:
714.241-3600
Code Edit : 2016
Type of Construction:. VB
Occupancy Group: R3IU
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $18.880.00
Building Permit Fee: $376.00
Plan Check Fee: $327.12
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $750.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: 467553
Lie Expire:
04/30/2020
Bus Lie:
BT00021099
Lie Exp Date:
0212812020
Worker's Compensation Insurance
Carrier:
STATE COMP INS FUND
Policy No:
1794693
Expire:
07101/2020
Building Setbacks
Excise Tax:
Additional Fee,
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: I
Engineer:
MANSHADI FARHAD
Address:
1800 E 16TH ST UNIT B
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-036840
Designer:
Fire Inspection:
Address:
Phone
Special Conditions:
Fire Hazard Zone : N
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atom
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$40.00
Fire Inspection:
$0.00
$0.00
Fair Share ::
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
.$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check : $0.00
Grading Bond:.
$0.00
$0.00
San Dist: $0.00
$0.00 -
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$750.12
_
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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0
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0 0
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0 0
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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
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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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
roved for the purpose of sale).
u 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).
❑ 1 am exemptifsara licensure under the Contractors' State License Law for the following reason:
By my signatu&.4piq l 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 legal])
sell astructure that I h;ve 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
Vro{esaions Corte, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
$jgnajure of Prob€RlOwner or Authorized Agent Date
�IC�VSED COATRACTOR'S DECLARATION
I rerej y affirm yhdesr-*natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of i 'on f the Business and Prof sions C Lf my license is in full force
an eiiffact. License Otass License No Date Contractor Signature
illl(2VrERS' QC VIVIP,NSATION DECLARATION
WARNING FAILURE TO39CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO LARS (E700,000), IN ADDITION TO THE
t;6V F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES.
C RI2Btaffirm upder 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 th
epAence of t4aiwo* for which this permit is issued. Policy No.
Ad .... . .
have and wiff 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
Insu nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the perfor nce of the wo 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
that, if I should become sub' ct tot r er ' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Q ,Q
Signature of Applicant Dat
DECLARATION REGAR ING C ST CTION LENDING AGENCY
1 hereby affirm under pe alty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code).
Lender's Name Lender's Address
By 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 h/er
ided is correct.
I agree to comply with all applicable city and countnces d s laws relating to building construction.
I authorize representatives of this city or county to e ve-i tified property for inspection purposes.
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized A ent's Name Date L�
ACTION DATE BY IaATI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU ONS PART 61 OF TITLE 40 AND AQI RULE
14
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
TO
CERTIFICATE OF
OCCUPANCVISSUED