HomeMy WebLinkAboutX2019-1441 - PermitsType of Construction: V -B
Occupancy Group:. R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Carrier: BERKLEY NAT'L INS CO
Policy No: BNUWC0146801
Expire: 03/0112020
Building Setbacks Rear: /
Front: /
Left: /
Right:
Address:
Phone:
Special Conditions:
C
..$2.500.00
City of Newport Beach-B0ilaingTivisit;h° °°
Building Permit Fee: :
$120.00
Excise Tax:
$0.00
Planning Department -
Fire Department
COMB Permit: X2019-1441
Plan Check Fee: $104.40
Additional Fee:
I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Plan check Fee: $40.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair,9hare': $0.00
Fire Plan Rev
$0.00
b
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9
1 4..4 1
Project No: 1007-2019
N'
0r
'- * Permit Counter Phone (949)644-3286 ... • ° e e e
er
e e ° °
Inspection Requests Phone (949)A4:31115)
Grading Permit Fee:
.$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Issued Date :0610312019
wr ° °
Combination Type - MFP
ZXCi31r e e °' e• c o e e
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
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:
5104 SEASHORE DR NB
Refund Deposit
$0.00
Description:'MFR
- RIR DAMAGED BEAM OVER CARPORT/DECK AREA - -
$0.00
Legal Desc.:
N TR 3813 LOT 87
Grading Bond:
$0.00
Owner:
KIEU KEVIN Contractor: GAMBOA MARK -
Architect:
Electrical %:
Address:
5104 SEASHORE DR Address: 3347 W FAIRCREST DR
Address:
NEWPORT BEACH, CA 92663 ANAHEIM CA 92804
$1.00
Mechanical %:
Phone:
714-878-0812 Phone: .714-797-4129
Phone:
State Lie, -.
Applicant;.
GAMBOA MARK Con State Lie: 826496 -
.Engineer:
FINLEY LAWRENCE R
Address:
3347 W FAIRCREST. DR - Lie Expire: 08/3112019
Address:
7372 WALNUT AVE, UNIT F
`ANAHEIM
CA 92804 Bus Lie: BT30061850
BUENA PARK CA 90620
Phone:
714-797-4129 Lie Exp Date: 01/31/2020
Phone:
714-521-5611 State Lic:C-046606
Code Edit :
2016 Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Occupancy Group:. R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Carrier: BERKLEY NAT'L INS CO
Policy No: BNUWC0146801
Expire: 03/0112020
Building Setbacks Rear: /
Front: /
Left: /
Right:
Address:
Phone:
Special Conditions:
.Construction Valuation:
..$2.500.00
Building Permit Fee: :
$120.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $104.40
Additional Fee:
$0.00
Plan check Fee: $40.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair,9hare': $0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
.$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
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
Disabletl Access :
$0.00
PM Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee :.
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:.
$0.00.
$0.00
TOTAL FEE : $265.400y
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$265.40
PROCESSED BY:
W
.O 1
PUBLIC WORKS APPROVAL:
miro
ZONING APPROVAL:
PLAN CHECK BY:
(Zf
GRADING APPROVAL:
APPROVAL TO ISSUE:
o n 0 0
u
• o o n e e e•
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the. reason(s) indicated below y the cher kms rk(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, irgp1gve, r emolisi�, 3r repair any siructura, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Sta%L'ice*e 1-9w jCharge ;9 (topitrli?nCinj with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violallon of Sec tion 3039.9brany opplicaril Mr a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, 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,
iusiness 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
nprovements 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
nf�roved for the purpose of sale).
J 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
pply 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:
ly 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 legally
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION /
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) o vis' n 3 of the Business and Profession )d an y Iie62as is i f'01 for
nd effect. License Class License No Dat Contractor Signatu CC
CORKERS' COMPENSATION DECLARATION
'ARNING: 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 W00,000), IN ADDITION TO THE
OST 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:
eIhave 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 the
mance of the work for which this permit is issued. Policy No.
I hive 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' compensatior
i ur nce carrier and policy number are:
Carrier - Policy Number Expiration Date
Name of Agent - Phone #
I certify that, in the performance of 9ye work for which this 7pvisions
it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, if I should become subjec orker comp�lsaticn of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applican G/ Dat',
(DECLARATION REG IN CO STR CTIOEWDflld
EW CY
'.I hereby affirm under penalty of perjury that th is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Co e).
Lender's Name Lender's Address
By 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 ordmarles Ind state laws r sting to building construction.
J authorize representatives of this city or county t r; r h b ve-i tified r e for inspection purposes.
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name i Date
ACTION DATE BY DECLARATIONCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATION ARTAI OFTITLE40ANDAQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
13AQMD
PERMITFINAL',�U�q
Del
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
/
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:
v as
ai
ca
c
tT
9
u)
yd
U
N
E 1L
E:
O
O O �
N (a N
oru
ww�
v
Bmf
L'
W N
+Z3
4N-•
.Y VA
C;
_
0
to
rn
W
a;
al
(D X
0. a) E
(n
a3 N
•a
U) m
N
(�
O
O A rn
MC
Ox
UO C
a
N 'a :r
N
n
Q
X
ro>l
'
'a)(L'a
>
U
U
Q
OE:o
Cl)
E
O
0U)
a m�
O°cvi
E N
M
Q
C:
U 'O C
a)
at
(D fit
<�}
Q
�1
UP
aO)
O A-
C.H
„
0
Q
O
V)
�/•
0—
Cw—N
Cu
mC
_D90
7
�o
Uma°
m
mm�wm
OD
°LL
:j�E
0 U
Z
E
p.
L
FN
°
O
a) (1)'0
o m
n
a) E
i'a)
`f-
O
O O W ,aa
O
Qu
6
C
�4
vm
m
�m
Fri
at
U
c
>_
Wo
I,L1 C/a U
N
aM
-a to
a>
O
C N
C
N
A N c.
!II
a.�
CO
>a
WG1 u
q
N=W
u
`m
N
2
c
o .�
a O U
O
.CZ
Q N
W 0
n
> 'a N
C)
y
c'�
U�v
w
a)av
c�
6omE
4d
2w
\,
U
A
y O
a)
, N U
00
U
Ci ;�
:t:
C d'
a) v) .
C
O N
C
>
(�
w
0a
n
mm�
p
v
N
!�a
tl"9
d
0Y�v
T
E
3
lim
a
N
� ca(°im
x a
J
a)
J ,
¢
cL
•p
.E
a7 -o U
U
E a)
E
E
m %j
\ a3 a7 IF
rn
O
cL
r-�
s N
12
m x
a\
y�\p/
O
m
rUY
amiro
CL N
1.1
v as
ai
ca
c
tT
9
|
.
a
!
&aa
cli \
5!
���°\��■
—
(
:
,�c0
00
CD
\ 7
:<5�/
|
_
>
.
a
!
&aa
7:1
ow.
\\ �/
»
%
}$ z
»�]
))§ƒ^
0
73
.
9//f
\
»
ƒ to
00
to
\\
\
±f3
)§V
~
.—
ƒ:
&4/5°2
.
_
>
.
a
!
&aa
7:1
\\ �/
}$ z
»�]
))§ƒ^
0
.
.
9//f
\
»
ƒ to
00
to
\\
\
±f3
)§V
~
.—
ƒ:
&4/5°2
.