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HomeMy WebLinkAboutX2018-3659 - Permits (3)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3659 r a{ i 00 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 3 6 5 9 Project No : 2507-2018 Permit Counter Phone (949)644-3288 F $ Inspection Requests Phone (949)644-3255 Issued Date : Combination Type - MFP ELEC PLUM Inspection Area : 8 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: 392 VILLA POINT DR NB Description: MFR-(ADD'L SCOPE) DELTA 1. ALTERATION TO CREATE .76 BATH 80 SF (REV18.2172) 8 REVISE LEDGER DETAIL FOR LOFT Legal Desc.: TRACT 11937 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-411-11 Owner: SERVATI HAMID Address: 610 SAVAGE RD BELLEVILLE, MI Phone: Applicant: JAFARI MASOUD Address: 23 ORCHARD #250 LAKE FOREST CA 92630 Phone: 949-206-9929 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Contractor: FARLEY CONSTRUCTION Address: 87 ADELFA ST LADERA RANCH CA 92694-1284 Phone: 949-424-9834 Con State Lic: 1001455 Lic Expire: 02128/2019 Bus Lic: BT30065271 Lic Exp Date: 12/31/2019 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: AAWC874354 Expire: 11/21/2019 Building Setbacks Rear: I Front: / Left: I Architect: Address: Phone: Engineer: JAFARI MASOUD Address: 23 ORCHARD #250 State Lic: LAKE FOREST CA 92630 Phone: 949-206-9929 State Lic:S-003812 Designer: Address: Phone: Y ^Wu -�/ Special Conditions: Bldg Sprinklers: Flood Zone: Use Zone: Rig"` ' Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,000.00 Bu;16i„g Permit Fee.. , ` $264.00 Excise Tax: $0.00 $0.00 Planning Department - Plan check Fee : $40.00 Fire Department Fire Inspection: $0.00 P'sc Cl.6zk Fee: $229,68 $0.00 Additional Fee : Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan C':: Irv«Pea•ion Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $0.00 Record Manageme6t : $0.00 Grading Permit Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Service $0.00 Energv Compliance. $0.00 $0.00 Grading PC Fee: WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety : PAN Plan Check : $41.25 Grading Bond: $0.00 D-sahled 4ccess : Hazardous Mat - $0.00 $0.00 Electrical %: $18.48 San Dist: $0.00 $0.00 Budding Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $o.00 Plumbing %: $23.76 TOTAL. FEE: $618.17 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $618.17 __„„--„-„ - A PUBLIC WORKS APPROVAL: ell ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: r, APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I.. 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 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). 111, 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). ❑ I am exempt from licensors 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 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 ,: 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division of the Business and Professions I r�-ai ce a is �TUII force and effect. License Class License No Dat©�! rontrador Signal INORKERS' COMPENSATION DECLARATION LAI NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, 1e rmwi6e of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this yemlit is issued, I shall not empl -any person in any manner so as to become subject to the workers' compe s7ionINS of California, and ogre t, if I should become subject to the workers' pro ' of action 370 he Labor Code, I shall forthwith comply with those provisions. nature of Applicant DakO CLARATION REGARDING CONSTRUCTION LENDING AG / ereby affirm under penalty of perjury that there is a constru lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code -ellder's Name Lender's Address 3y 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. I authorize representatives of this city or couril enter th DboP'ia tified pr�rt for inspection purposes. signature of Property Owner or Authorized Agent 1A�� Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION10—F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED .p t1l (,ai L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION CIrNATlmP. f