HomeMy WebLinkAboutx2019-2496 - Permits41r City vofic cNewenter Dport Beach ortaohBA(9tl66og Division IIIIIIIIIIIII�IIINIII�IIIIIIIINIIIIIIIIIIIIu COMB Permit: X2019-2496
100 Ems. ✓ Permit Counter Phone (949)644-3288 - Project No : 0353-2019
"iv Inspection Requests Phone (949)644-3255
"a y�,c* Combination Type - BLDG PLUM Issued Date : 08/0712019
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 1807 GALATEA TER NB
Description: DEMO SFR 2234 SF (4 BDRM)
Legal Desc.: N TR 2813 LOT 144
Owner: MOHSEN PEGGY
Address: 621 MALABAR DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: SPINNAKER DEVELOPMENT LLC
Address: 42832ND ST
NEWPORT BEACH CA 92663
Phone: 949-544-5806
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $103.00
Plan Check Fee: $0.00
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0
Building Green Fee:
00
TOTAL FEE: $2,041.27
PROCESSED BY:.
ZONING APPROVAL:
Contractor: SPINNAKER DEVELOPMENT LLC
Address: 428 32ND ST
NEWPORT BEACH CA 92663
Phone: 949-644-6806
Con State Lie:
985114
Lie Expire:
0713112021
Bus Lie:
ST30029026
Lie Exp Date:
04/30/2020
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9106623
Expire: 07/01/2020
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:.
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Architect:��
Address:
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Phone:
State Lie:
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Engineer:
Address:
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Phone:
State Lie: °`°°
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Designer.
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Address:
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Phone:
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Special Conditions:
JD DEMO IS HAULER °o o"°o
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1 STREET TREE.
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:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$210.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Due at Permit Issuance: $2,041.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ( I APPROVAL TO
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)
action 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
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
�fessions 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
more than five hundred dollars ($500).
I, 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,
ainess 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
)rovements 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).
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
)ly 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:
my signature bsl®w 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,
I a structure N1,61;Ae 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
I"§Ons Code, is gvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
TENSED c6lsi- FACTOR'S DECLARATION
*waffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o ivi� 3 gf le Business and Prof ss� and my license' #ul force
1 efLect. LicpA?e (%ass License No Date �t'� contractor Signature
5RKtRS'C(5NtNSATION DECLARATION
YVNG: FAILURE TG SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION To THE
O COMPEN6RfION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
� b"affirm under penalty of perjury one of the following declarations:
ve andawL' ak'rintain 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 IN
Inca of the work for which this permit is issued. Policy No.
and will rneiMain 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' compensator
uraUce carrier'a'n"d�olicy number are:
der Policy Number Expiration Date
lame of Agent Phone #
3 certify that, in the performance of the work for which thAermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer
iat, if I should become s o/1¢ workers' compensa sions oof Ga'coon 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant�7�Pl - l/ Dat" [ C
IECLARATION REG DING CONSTRUCTION LENDING AGENCY -
hereby 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).
.ender's Name Lender's Address
sy 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.
1 agree to comply with all applicable city and coun Ihanc and state laws el ' to building construction.
I authorize representatives of this city or cou _ o e ter above-identifi art r ction purposes.
Signature of Property Owner or Authorized Age, / Print Property nets or Authorized Agent's Name vllr� Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
ASBESTOS NOTIFICATION TO
PERMIT EMENDED MD
PERMIT FINAL IP ASBESTOS NOTIFICATION 15
CERTIFICATE OF D, ROPOSED �J�
OCCUPANCY ISSUEDhI ! IGNATI�LCJ��'TI�O6'