HomeMy WebLinkAboutX2017-0332 - PermitsCity of Newport Beach - Building Division
J 100 Civic Center Drive, Newport Beach, CA 92660
e: Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH
PERMITS EXPIRE 180 DAYS
Job Address: 20 SANDY COVE NB
Description: SFR ADDITION 270 SF & REPLACE WINDOW W/ SLIDER
Legal Desc.: N TR 15445 LOT 10
Owner: TAFRESHI JULIAN E
Address: 20 SANDY COVE
NEWPORT BEACH CA 92657
IWT-rm:A
Applicant:
SALAT JOHN A
Address:
22386 WOODGROVE RD
LAKE FOREST CA 92630
Phone:
949-2354847
Code Edit: 2016
Type of Construction: V-B•SPR
Occupancy Group: R3/U
Added /New[TI sq.ft. Bldg: 270
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation:
$150,000.00
Building Permit Fee:
$1,177.00
Plan Check Fee:
$854.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$72.00
Energy Compliance:
$105.00
CA Seismic Safety:
$19.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $2,588.47
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2017-0332
Project No: 0285-2017
Issued Date : 03/20/2017
Inspection Area : 6
s
LAST VALID INSPECTION.
Contractor:
AMERICAL CONSTRUCTION MGMT
Architect:
SALAT JOHN A
Address:
26081 MERIT CIR #114
Address:
22386 WOODGROVE RD
LAGUNA HILLS CA 92653
LAKE FOREST CA 92630
Phone:
949-276-1604
Phone:
949-235-4847 State Lic:CO24445
Con State Lie:
949438
Engineer:
RICHARDS GEORGE LEWIS
Lie Expire:
06/30/2018
Address:
20162 SW BIRCH ST
Bus Lic:
BT30058463
NEWPORT BEACH CA 92660
Lie Exp Date:
03/31/2018
Phone:
949-752-0601 State Lic:C-037096
Worker's Compensation
Insurance
Designer:
Carrier:
EXCEMPT
Address:
Policy No:
Expire:
Phone:
Building Setbacks
Rear: 10
Special Conditions: SPECIAL FIRE PROTECTION
Front: 10
AREA
Left: I
Right: I
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$187.50
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department-
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$38.00
Grading Bond:
Electrical %:
$82.39
San Dist:
$0.00
Mechanical %:
$47.08
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee : $996.50 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: `
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,591.97
OWNER -BUILDER DECLARATION I?
I hereby affirm under penalty of perjurythat 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 L) 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).
❑ 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 owrer 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 exeTp! `rom licensure under the Contractors' State License Law for the following reason:
By my signature helow 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
sad 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.html.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 o he Business and Pro Code, license is in f force
and effect. LiaLrsa Class License No Date — — Contractor Signatur
iiORKERS' COMPENSATION DECLARATION
,VAHNING: FAILURE'r0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN4L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
MST C7 COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heretl affirm Udder penalty of perjury one of the following declarations:
Q I nave 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 thl
D;ffLnnance of Oe work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
Pi,certify that, in the pert rmance f e work for whi mn is issued, I shall not y erson in any manner so as to become subject to the workers' c. pensation laws of California, and agre
tat, should become bjec t workers' pensati Isions of Se 00 of the Labor Code, I shall forthwith comply with those provisions. 7 �7
lignature of Applicant Da�C--® / C
IECLARATION REG N TRUCTION NDING 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
ly 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 pro ed is correct.
I agree to comply with all applicable city and coun ordi nces and state laws relating to building construction.
I authorize representatives of this city or county a he ab entifil"perty for inspection purposes. / y s ,7 ♦ / A �y ��
of
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
Owner or Authorized Agent rent Property Owners or Authorized Agent's Name
DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
Date
All required alarms, latches gates and fences which Serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
IS NOT APPLICABLE TO life of the pool.