HomeMy WebLinkAboutX2015-3756 - PermitsCity of Newport Beach - Building Division
II COMB Permit: X2015-3756
IIII�IIIIIIIIIIIIIIIIIII
100 Civic Center Drive. Newport Beach, CA 92660
X 2 0 1 5 3 7 5 6
Project No: 2828-2015
a°4
Permit Counter Phone J,9491844-3288
u Inspection Requests Phone
(949)644-3255
Issued Date : 05I05/2016
Combination Type - SFP
ELEC MECH PLUM
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER
ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 2012 SEADRIFT DR NBA-
Description: SFR - REMODEL KIT/LIV/BATH ROOM 1500 SF, NEW PERGOLA 224 SF
Legal Desc.: N TR 2813 LOT 14
d
Owner: SRINIVASAN SUNDAR
Contractor:
OWNER/BLDR
Architect:
RANIERI RANDY*
�y3
Address: 37 SALISBURY RD
Address:
AUTH AGENT:
Address:
3141 LIMERICK LN
BROOKLINE MA 2445
ALEX BRANA
COSTA MESA CA 92626�
Phone:
Phone:
Phone:
714-296-5502 State Lic:CO24225
Applicant: BRANA ALEX
Con State Lic:
O/B
Engineer:
XIAO GANG
Address: 707 ACACIA AVE
Lic Expire:
Address:
1520 BROOKHOLLOW DR #45..
CORONA DEL MAR CA 92625
Bus Lic:
SANTA ANA CA 92705
Phone: 949-887.0477
Lic Exp Date:
Phone:
714-662-0510 State Lic:S-005289
Code Edit: 2013
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $150,000.00
Building Permit Fee: $1,324.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,151.88
Additional Fee :
$0.00
Plan check Fee :
$37.50 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $36.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $105.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $38.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$92.68
San Dist: $0.00
Building Green Fee : $6.00
Mechanical %:
$52.96
NMUSD Fee: $0.00
$0.00
Plumbing %:
$119.16
$0.00
TOTAL FEE : $2,963.18
Plan Check Fee :
$1,227.38 Fee Due at Permit Issuance : $1,735.80
�, /
PROCESSED BY:
_ _ _ _
_
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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).
❑ 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 BQ�jness 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
Fm_prq0Eq,nems 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
improve for the purpose of sale).
❑�pp�[,-an
wner 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
Eowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from Iicensure 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 legall,
sell a structure that I have built as an owner -builder if it has not been constr died i A s 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 whe th' applicatiuRissul� tte at the following Web site:http://v�.leginfo.ca.gov/calaw.htmi.
.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent �y Date L,
LICENSED CONTRACTOR'S DECLARATIJN
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ARMING: 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:
7 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 thl
erformance of the 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
IS of Agent
certify that, in the performance of the work for which this
if I should become subject to the —workers' comI
of
Date
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
ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '
e
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
: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
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 stat laws relating to building construction.
I authorize representatives of this city or county�Joyrnter the above ' tified property for inspection purposes.
nature of Property Owner or Authorized Agent xx Print Property Owner's or Authorized Agent's Name L
Civil Code).
Ai&,o 0-
ArYWN! DATF
By
DECLARATIOfT OFCXNWPLIMJCE fA@Tff CODE OP
I.IN1 Uwa D5k Ulwy
FEDER4L REGULATIONS PART 61 OF TITLEA0 AND
AONfD ROLE I46-1.
❑ i Sf NYLfITTT7 aLafY_iTDS K77fTK'A'h�1N T?'C:
❑ EPA
❑ AQuic,
ASBESTOSSNN017FICAT IWISNOTAFPLICABLETO
P�f'LfliEl/
PFRUIT ,YPrR,=T3
^l
P01,41TCAPKLLLLP
PER1,41TEYTEAXED
PERMIT EOF
0CCUDAFJCYi35UEO