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HomeMy WebLinkAboutX2015-1855 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllll COMB Permit: X2015-1855 c+$`� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 1 8 5 5 Project No : 1404-2015 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 `maxr* Combination Type - SFP MECH ELEC PLUM Issued Date : 09/09/2015 <FFnP Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 3910 TOPSIDE LN NB Description: SFR ADD 1,912 REMODEL 1,335 SF, COVERED PATIO 909 SF, DECK 473 SF Legal Desc.: N TR 6425 LOT 27 Owner: ALVINO NICK/SUSAN Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: Address: 3910 TOPSIDE LN Address: 3419 VIA LIDO STE 455 Address: CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-466-0090 Phone: State Lie: Applicant: MCNEELY JOHN Con State Lic: 971085 Engineer: MANSHADI FARHAD Address: 1792 SKYLINE DR Lic Expire: 03/31/2016 Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92705 Bus Lic: BT30040067 SANTA ANA CA 92701 Phone: 714.417-9277 Lic Exp Date: 03/31/2016 Phone: 714.835-2800 State Lic:C-036840 Code Edit : 2013 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1912 Added /New sq. ft. Garage: -28 No of Stories: 2 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: X Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: 6 Front: 10 Left: 6 Right: 6 Use Zone: R16000 Parkinq S Designer: MCNEELY JOHN Address: 1792 SKYLINE DR SANTA ANA CA 92705 Phone: 714.417.9277 Special Conditions Construction Valuation: $577.760.00 Building Permit Fee: $3,793.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,730.96 Additional Fee: $0.00 Plan check Fee : $128.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $226.00 SJH Trans : $0.00 Demolition Fee Record Management: $46.00 Grading Permit Fee: $843.80 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $264.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $75.11 WQ Insp. Fee: $23.20 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $226.50 Hazardous Mat $0.00 Electrical %: $265.51 San Dist: $0.00 Building Green Fee : $24.00 Mechanical %: $189.65 NMUSD Fee: $3,518.08 $0.00 Plumbing %: $379.30 $0.00 TOTAL FEE: $12,735.11 Plan Check Fee : $2,503.92 Fee Due at Permit Issuance : $10,231.19 PROCESSED BY: ZONING APPROVAL: .. . . .. . . PUBLIC WORKS APPROVAL: moo- c c v e a.• PLAN CHECK BY GRADING APPROVAL: " ° °< < �, APPROVAL TO ISSUE: 0 u , E ca• o.• •. o • cco a.� OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item (a) (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 U all of or U 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 improved for the purpose of sale). ❑ 1, 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 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 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 ) ggf iv'sion 3 of the Business o e, ense is in full force and effect. License Class License No Date 7 9 15— 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 THOU NO DOLLARS ($100,000), 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: 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 'grmance of the work for which this permit is issued. Policy No. have and will y�tain 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' ,ance carrier a11p poTipy number,gW: Date AAgent �J rnunnn 9`o fyihat, in the pe ormance of he work for hich 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 , if I should become s bject t er pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provsions. nature of Applica Da" e _ CLARATION R RDI CONSTRUCTION LENDING AGENCY ereby affirm under penalty 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 t each of the following: I am the property owner or athorized to act on the rope wners behalf. I have read this application a d the information I ave provided I Corr ct. I agree to comply with all applicable city and cou t� ordi�e ate laws relating to building construction. I authorize representatives of this city or county the ab 6 -SM if property for inspection purposes. nature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's A17M nA7F RY PFRA4rT.FYPIRFf1 PrI�r�TrTcarlcrccrD PERI TIT.EYT€NO€ti PERMIT rwAL CERTfFFCATEOF 0C1TVPA1JCyf35 IED FEDERAL REGiAATIONS PART 61 OF TITLE40 A. ❑ 0.440 N9TFF) b# f.SyOf ?F11 CA1lrV TO. - [I EwA•::•. .... NOT APPLJCABLE TO 0 0 • • o •• o s • • e s Date