HomeMy WebLinkAboutX2018-3742 - Permits,Y City of Newport Beach Building Division IIIIIIIIIIIIIIIIIII�II'llllllllllllllllllll II COMB Permit: X2018-3742
a 100 Civic Center Drive, Newport Beach, CA 92660 x 2 9 1 8 3 7 4 2 Project No : 2907-2018
r5. "rs Permit Counter Phone (949)644-3288
at Inspection Requests Phone (949)644-3255
akArr�F" Combination Type BLDG ELEC GRAD Issued Date: 2018
Inspection Area: 3
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: 1839 HIGHLAND DR NIB
Description: SFR DRAINAGE & ELEC FOR GATE/FOUNTAIN
Legal Desc.: N TR 3057 LOT 6
Owner: ROBERTSON JOHN
Address: 1839 HIGHLAND DR
NEWPORT BEACH, CA 92660
Phone
Applicant:
MEYERJOHN
Address:
1257718THST
Record Management:
YORBA LINDA, CA 92399
Phone:
909-557-6003
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. 8. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Building Permit Fee: $136.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $638.52
PROCESSED BY:.
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CONSCIOUS ENVIRONMENTS
Address:
17762 CALGARY AVE
Phone:
YORBA LINDA, CA 92399
Phone:
714-882-4750
Con State Lie:
902395
Lie Expire:
0913012019
Bus Lie:
BT30066372
Lie Exp Date:
12130/2019
Worker's Compensation Insurance
Carrier: BENCHMARK
Policy No: CST5013622
Expire: 09/01/2019
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
Parking Spa
$0.00
($136.00)
$0.00
$0.00
$312.00
$312.00
$0.00
$9.52
$0.00
$0.00
Architect
Address:
Phone: State Lie
Engineer:
Fire Department
Address:
Fire Inspection:
Phone:
State Lie:
Designer:
MEYERJOHN
Address:
12577 18TH ST
Public Works Department -
YORBA LINDA, CA 92399
Phone:
909-557.6003
Special Conditions
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
' San Dist:
$0.00
NMUSD Fee:
$0.00
Zone : N
Plan Check Fee $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
oe • • e p3- F: -�..
o ee
oe000 J` m
° e o
e000° u�'-:ymomoo
• 4
e 4`„seoe
sn3;
m
0o m ooeeoo
o° • Doom
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$638.52
(C-
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
\
S
Plan Check Fee $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
oe • • e p3- F: -�..
o ee
oe000 J` m
° e o
e000° u�'-:ymomoo
• 4
e 4`„seoe
sn3;
m
0o m ooeeoo
o° • Doom
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$638.52
(C-
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 itern(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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 1 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 1 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 Qft@gZ Owner or Authorized Agent I Date
LICENSED CONTRACTOR'S DECLARATION
I berety affirm vnqw enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000 of Division 3 of the Business. and Prof ssl o0 my license is in full force
and effect. Coeese lass License No Da /�_l'7� 1� Contractor Signatur
640RKERS' COMPENSATION DECLARATION
NARMNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($10000 IN ADDITION TO THE
EOSTDF COMPET43fiT dW DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Naseby affirm rindergenalty of perjury one of the following declarations:
T figve anti will mointain 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
"91Mnance of the work for which this permit is issued. Policy No.
clave and will •rU fltain 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' compensatiol
sur be carrier and policy number are:
'„• • • Policy Number Expiration Date
Name- f Agent • • • Phone #
:1I certify that, in toperfance of thework for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre:hat, if I should beca workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applic Da41vil
7ECLARATION RONS RUCTIO N NG AGENCY
hereby affirm underjury that th is a construction lending agency for the performance of the work for which this permit is issued (Section 3097ode).
-ender'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 owners behalf.
I have read this application and the information I hav provided is correct.
I agree to comply with all applicable city and count ordinances and state laws relating to building construction. -
I authorize representatives of this city or county t er -ide i y for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namz_ Date 2 .%2
ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EyULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT EMENDED 4LAQMD
PERMITFINAL BESTOSN IFICATI IS NOT APPLICABLE TO
CERTIFICATE OF 7�/U—IS OF
ED DE OUTIO
OCCUPANCYISSUED SIGNATURE /'~
00
N
I
�
s
M
�
b
10U
O N
U
W b O
O
O �
q 0 q
� � U
O � O
W �
V O
O �
z
3
O
•y
tel"
O y
_ r�i
�
N
W S r
cq
Oi
� cc 0
kyr
v oNo
w
0-60
V
N
p 00
q O� CIN
U
V O U
•N
woo
N
� b❑❑
U
p
U
...�yyy
�^
PIS A N
a3
0
Ud
00
N
I
t �
m �
O a)
C
m
�.d
'C
rc
o E c
d c 0
0 V
E�0
d �
o.'fl c
tm®
a+ N O
w
m m
m
t .Y m
t ° .�
ate) C
C N
L
v m
c
c
v
woeyi
as
r
O
N
m
c
m
m
'o
1� U
'c moo,
Y�
ya
y J- o
~ O U
pamici c
2.c
47
rn
N
Er CO
z m
0
X
UNo
0.—
zz o
T N
U°
O
g o
W
-M
Azv
oo €
E Oarn
z��
m� °
CL
O
5z>
L)
L)
aA(D
0z:Quo
q coo
V
Z
O
`
Way
o
W
W o
o
H
c
Q
N
Y
U
o >_
U U
o
�
.0 a)U
r
y
�
t �
m �
O a)
C
m
�.d
'C
rc
o E c
d c 0
0 V
E�0
d �
o.'fl c
tm®
a+ N O
w
m m
m
t .Y m
t ° .�
ate) C
C N
L
v m
c
c
v
woeyi
as
r
O
N
m
c
m
m
'o
1� U
'c moo,
Y�
ya
y J- o
~ O U
pamici c
2.c
0.—
O
T N
O
m � V'
`
O"'O
N O Q
C O .g
O
.0 a)U
T�
V1
a)
NYN
U
'O
.O
m mcn
2
O°
N
N
rL-
-OO
E
N
m
O O
.x
N
C
U
N m m
C
O N N
I
'E
0
4)
.= O 4-
#k
O
E
c)
O�
O =
— - O
a)
��
E
3CCL
(n
io
a 0.
e
U m
o Eo
°.E
v oa
Ec
o
'6
m
c 3
nN N E
s
(2�
m
mo
M w d
—�c
.a) d
E°
O a)
�. E�
O NF w
Y
'00 .=
O 3
O`L
F
C C
Q
7
o
ca��
a)
Lzz,
o
C
°�m`QE
r1
W
0Ec
O.EwN
a) a)
ny'°n
_
p
m
cq Nr=
>�
c_
m
° °vv
Z
M
s
4)
d
€ ° rom
L
a m ��m
O
N
d
3
0
a
'
V
N
7 m
M
-O r
U
0)
Q ; a
a) N N
m
W O
N N
a) a) _
CX
N
Qc
m
c
a� E—
c
.m0 a—
�}O
v
O=U
f0
N
O
a
m
m
c r
Qm
o m
E_= N
E
Cc Ma
a) m
a_ N
0,0
a.
2
°
N
L:
CY)
NE
D.
1 a)
m
°
c
;
Ua)
N
mE
co°
a)a` L+ra�)
.
)
m06
v
E
°
�
o
Z00
Evan
o
m
(BdE_
w mg°
_
o
°
1°
° gip
mi-
oIn = O L
CL
a
a`
�.�
v my
m
a�m
t �
m �
O a)
C
m
�.d
'C
rc
o E c
d c 0
0 V
E�0
d �
o.'fl c
tm®
a+ N O
w
m m
m
t .Y m
t ° .�
ate) C
C N
L
v m
c
c
v
woeyi
as
r
O
N
m
c
m
m
'o
1� U
'c moo,
Y�
ya
y J- o
~ O U
pamici c
2.c