HomeMy WebLinkAboutX2020-1287 - Permits,,vr1Pr,� City of Newport Beach - Building DivisionIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� III COMB Permit: X2020-1287
off' 1 o0 Civic Center Drive, Newport Beach, CA 92660 ' Project NO : 1152-2016
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 0610412020
Combination Type - SFPELEC MECH PLUM Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0610512023 OR PERMIT WILL BE INVALID
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: 15 ROCKY POINT RD NB
Description: SFR "CHANGE OF CONTRACTOR" ADD 770 SF, REMODEL 2500 SF & ADD 74 SF DECK -REPLACE PERMIT X2019-0578
Legal Desc.: N TR 7386 LOT 86 M
Owner: OWNER:GHANSITYAM LOHIYA
Contractor:
OWNERIBLDR
Architect:
FALCONE GEORGE
5 WINTERBRANCH
Address: 15 ROCKY POINT RD
Address:
OWNER:GHANSITYAM LOHIYA Address:
IRVINE CA 92604
CORONA DEL MAR, CA 92625
949.202-9426
Phone:
949-863-7020 State Lic:CO25581
Phone: 949.202-9426
Phone:
Applicant: FALCONE GEORGE
Con State Lie:
O/B
Engineer:
Address:
MANSHADI FARHAD
1800E 16TH ST UNIT 8
U
Address: 18 SAWEETRAIN
Lie Expire:
SANTA ANA CA 92701
IRVINE CA 92614
Bus Lie:
Phone:
714.835-2800 State Lic:C-036840
Phone: 949-863-7020
Lie Exp Date:
p�
Code Edit: 2013
Worker's Compensation Insurance
Designer:
Address:
�/ J
Type of Construction: V -B
Carrier:
Occupancy Group:
Policy No:
Phone:
'-
Added /New sq.ft. Bldg: 770
Expire:
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: 10
Special Conditions: RPLC PERMIT X2018-1386
No of Stories: 2
Front: 6
& X2019-0578
No of Units : 1
Left: 5
Bldg Height: 0
Right: 5
Bldg Sprinklers: N
X
Use Zone: Parkin Spaces:
0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department-
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $0.00
Additional Fee :
$35.00
$0.00
Plan check Fee:
Fair Share :
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Investigation Fee: $0.00
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
$0.00
Record Management:
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
Refund Deposit
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication: $0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Disabled Access: $0.00
Hazardous Mat $0.00
Electrical oID:
$0,00
San Dist: $0.00
$0.00
Building Green Fee : $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
TOTAL`FEE : $35.00
a
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
esn o
$35.00
e c
6 � �
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WORKS APPROVAL:
PROCESSED BY:
,`, .PUBLIC
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
-
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..c no o c
rroa r.o
UININER-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).
❑ 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,
ness 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
rl ro ants 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
rlm�yaved))))))for the purpose of sale).
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
❑pf�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 legal)
sell a structure that 1 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 wheat s application is subp I ed or at the folloZing eb site:htlp://www. Ieginfo.ca.gov/calaw.html. D
Signature of Property Owner or Authorized Agent Y [i'1 y �
LICENSED CONTRACTOR'S DECLARATIy)
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section '"^a` of Division 3 of the Business and Prr`---'Yns ode, and my license is in full force
and effect. License Class License No Dats Contractor Signatur
NORKERS' COMPENSATION DECLARATION
VARNING: 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
:DST 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:
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,
v ,mance of the work for which this permit is issued. Policy No.
.I 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' compensatior
isurance carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance 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
It, if I should become bject to the/wyrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant (/\ /�.,1
CLARATION RE ING CONSTRUCTION LENDING AGE Y "V
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
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 laws relating to building construction.
1 authorize representatives of this city or county tt ant ej t -he above -identified property for inspection purposes. Z
nature of Property Owner or Authorized A ent� V v' e \
9 "7 /�'� /` Print Property Owner's or Authorized ADenfs NarnoY `� L�
ACTION
DATE
BY
DECLARATION OF COMPLIA C WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERM/TEXPIRED
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