HomeMy WebLinkAboutX2019-0150 - PermitsCity of Newport Beach - Building Division I�GIIIIIIIIIIIiIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-0150
64° 100 Civic U Mter Drive Newport Beach CA 92660 X 2 0 1 9 0 1 5 0 Project No ` 0130-2019
Permit Counter Phone (949)644-3288 I
Inspection Requests Phone (949)644-3255. �►tRE+ lQ 7P`i I�p�L/
`\
'"darrxe
Combination Type- SFP ELEC MECH PLUM GRAD Issued Date : o311e/2019
action Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID I(NSPECTION.
Co sfru( rs: Monday Friday 7 00 a m to 6:30 p.m. and Saturday ybds 00 p.m tork on nc#ays gYHolydaJob A Pdress: 3004 W OC N F��� Descri tion: NEWSFR& TT GARAGE 29441442 SF o ' Legal Desc.i NEWPORT EAC30 L ANGERL
Uitd f -
Owner. VAN DAELE ICH L hit Address: 3004WACE N F to �fhe=, r
NEWPORT B AC - O/B AUTH ATTACHED
Phone. 951-256.9348 Phone: Phone: t11-ic:
Applicant GUIDERO BI X11"PrOat,
i /B Engineer: GABRIEL MICHAELAddress: 425 30TH ST TE Address: 483E 20TH STREE NEWPORTB ACH A 926 . COSTA MESA CA 9 27 Phone 949-675-2626 : - Phone: 949-646-6596E tat�Lic:S-002939
t E D
Code Edit 16 Workers, Cympepeation Insurance Designer: GUIDERO BILL�.�
Type of Construction B -SPR P i r 1' l ® Address,42 30TH ST #23 "r;
Occupancy Group 4' /U 8 � 1 P p'� EACH 9263
Added /New sq.ft.BldgS,� 29 can xp E
Added /New sq. ft Gar a: 4 Y a '' ;;{{�,.,
No of Stories: ",' 2 / din backs Rear: 5 no wol k Stp`OE �ditions: SANITATION E EMf?7
No of Units: 'r 1 (work S�r Ia Front: 5 DEMO 4 BDRM UI6`p 4 BDRM ° : -
89bmf.0
Bldg Height: f;29 Left: 3 LIQUEFACTIO Zdfyi 1 °
Bldg Sprinklers: N Right 3
Flood Zone: °y'..0 /Note: s: - Fire Hazard Zone
Construction Valuation
, ' 580 000.0. t^
_ -._.r..-..
Building Permit Fee r ,4;66.00 Excise Tax: partmenE.+.-- - FireDepartment
Plan Check Fee:. $3,0ko i rona ee'.. $0.00 Plan check Fee: $417.00 Fire Inspection: - $0.00
Overtime Plan Ck: $2,589.00 Grading Bonds Fee $0.00 Fair Share: $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 ' Grading PC Consultant: $677.32 SJH Trans : $0.00 Demolition Fee
Record Management : $64.00 Grading Permit Fee: $875.00 In -lieu Housing Fee : $0.00. Building Dept Adm $0.00
Energy Compliance: $268.00 Grading PC Fee: $909.93 Public Works Department- General Service $0.00.
CA Seismic Safety: $75.40 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 - PAN Plan Check: $165.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $340.62 San Dist: $0.00
lBuilding Green Feer $24.00 .:Mechanical %: $194.64 NMUSD Fee: $1,221.76 $0.00
Plumbing %: $437.94 $0.00
TOTAL FEE: $16,871.67 Plan Check Fee: $7,017.00 Fee Due at Permit Issuance : $9,854.67
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: � PLAN CHECK BY:
V
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,per,{n t*tvcgngf �c,�yelt�r�,wi p ova go ,"al' In 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 provi o „I. @1bd,4Sto(e,�" "' 4?4 (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 ex Q,lion. Any vi Iatlon o 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 (L) all of or (_) 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
i ovements 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
Im r ved for the purpose of sale).
, 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
ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor Dursuant to he Contr c l,aw).
❑ I am exempt from licensure endeFtlie-Contractors'-State Lldense Saw'—or the follo-� wingreasons
Bymy signature below I ackj%owldge that, except for my personal residence in which I must have resided for at least one year prior to"completion of the improvemen "cd Bred by this permit, 1 cannot legal
sell a structure that I have blillz an of f)err¢uilder if it has not been constru its entirety by licensed contractors.jf JjC8bJ6opy of the applicable law eQon 7044 of the B amass and
Professions Code, is availa e u n redBe tw�hreh-this- rca' t e o ovyng g: p://www.leginf6. a.gov/calaw.htmL
Signature of Property Own •6r thorized Agent "'- / D
LICENSED CONTRAC DE -RAT r`, 3u rr o 0
I hereby affirm gptltlr�pc3nal fp rjury 1 a IenseQ,gndefiirov ' of t 9 ommen tion 7000) of Division 3 of the Business and Profession CQe, and my license is in full force
vd effegt Licens0 ass _ �""" __ - L se �' v ate Contractor Signature &
L4_ .
IVNINg: FAILUREPTO SESURE B¢Rk S' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSD LLARS (E700,0001, IN ADDITION TO THE
USW OF GOMPENSATIpN DAMA F A ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.hereby affirm untter pP�palt�✓.pf p jury Ilowi rp' °+s.•.•••,T..:. ,=�rT j�a0e and will maintainr'�.: c ific of con t to `Kure ' wo - o e • y e D ctor of Industrial Relations as provided for by tl"�Fy 3700 of the Labor Code, for thi
�rtoimance of the work for0ahtc this rmit is i _ ed. o:oii1.4w& and wilt WWntainf4YQrk s' co insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this peris, sued. My workers' compensatior
igyrpp�e carrier and policy '0' r are:
;aFrier _ r, a 01 Policy Number Ex ration D to
IaG+E.of Agent e S
�f ecRtify that•in The perforgoAnc of t or it is I II employ any n a s co' su ct o kers co pen tion laws of California, and agre,
iat, if I should bMC& sub' t to he wo ers com risatioqq rov sion f action 3700 of the Labor Code, I sh I f rt t i rT rovisions.
pkworKpS�ui 2Ci� ��t� �tFY�n'faf �' p
signature of Applicant Date_
IECLARATION REGARDI - C STRUCTION LENDING AGENCY `f
hereby affirm under penalt¢,Zl p -U am is a construction lending agency for the performance of the work for which. this permit is issued (Section 3097, Civil C ek
ender's Name x;I fYUICWebb
Iy my signature below, I cerji, to ach of the following: {.• t
F„ Insp. Finitia.s: - -
I am the property owner de,au or' ed to ^ r th dy owner'e hahalf - - -
I have read this applicati$nant the infora v P iq correct,I?
I agree to comply with all applicable city and county ordinances ands a la s relating to building construction.
I authorize representatives of this city or county to ter h j� ntifi roperty for inspection purposes.
:idnnhire of Prnnertv Owner or Authorized Anent �A h Print Property Owner's or Authorized Agent's Nam—PA-1:29 V te
ACTION DATE BY'� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED UEPA
PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
O
3�
CD
& cmp
J
ft-
O
0 v < a
CD y
7 O N y
m 3 m m
moa
m a
m ; CS
o — j ma
COD
O N m
M a N O�
� N p°j 3
CEP C j d
0 0 0 0
� M O
m
N n N
° O Z E
m o
O N C N-
N -
3QaCO
CD
CL
CD
S
m J 3 0
CD
° 3 s
0 N Nm
= s
m
O = N
N
�.c
2-
6 O =
m O Q
N N
ID J a
O
N mN W
aN 3 S.
CD
J
o N
O
J
@ X N F
O
o m O
C. CD O
0 C 0 N
=I
a a
� m o
y C (D J O C
CL
° > o o m
O O N
..n N
C
y Ol
a m 3 J 0 n
N a m a o
0 j� N ^ C
0
O 5= N C d
an d N 0 7
3 ° O m O
Er
c 3 0 0 m
JN -
a'm N m O m N
o'm 3�apmm
,J.. C m. p G. J fD
=� 3dm
O _
O 7 m n
d C.
O m'
O^ S m a
Cr .11 m o
vo 8N
N N N ^
J
CL a_ n
O-
cl
J G
0
J ° O 3 G
N N
CL m R
a —
(im mO
= CD
CiN a m
N a
0 m
n 'y0 C,
N m 0 N
O- N
d N _ 3
O 3 G
CL- m
o 0
m*°A
O y -O O
O
CD J D
N J m C J cb
CO
a3$ O n
m o 9! m - ;
m C
J J c o.3 j_ d
amyl m
mym�sa m
3>>'<m@ _
HcCCD
_ CO
- ma d
m? Q N° m m
� J O
M
O m JOS
C y
CD m �' N N
J mm 3 y F
y 6 'O m
tla W m a O
° ° � N-0 y
,o-0 a m �.
Gmm�y
3< am= O
m o 3 y
O J
C < m N G
m am o ° z
O f0 m D W X
m CD N N
O
'0 m
CD N N
6 m
(p �°,mm -0 O
m m 3 m o'
a .-o J m -0 m
m N 0 K
NCD <f0 6
CD
N .°-. m) N
0 3 m o? o
O .O yN N
CD O
CD o
m c i m F3
N G O N J
a O 'o I
m?'o�0m*mDO
3(D mmo=�
x yF'm0mo��
f0N 0- y C N N 'O O
m J J m y .o `G N N
O1 G 3 -o'
S D a -O J Q
`G n a G Q f0 < O�
cym0*.G mym
= J 0'< 3
N cr
aU m g c J c
c 00 m * y n
N ^ -• C. N N J
o> o m v 0 o
O m fO I N= a m
CD ao Qp D
�m
H 3 m M
N �M e N
N C W N
<3MCM,S.
m
C O O O N
N C
syc 0
J
m d S
MAE
O
0
n
:5.
n
m
O
J <
CD m
v
H
O
CD W C"
d
0 x
N 41
02 z
Z
m �
who
-p-'0
7
.N m
W
N S
00
N
m
9D
OD
saID
Qo
T
y O N
N N
m J —
a
C
N p -
C
m C m a
m y j
m m
N
m m
3 m 3
—_
m
N
p� m<oJ
mJoa
.
a
Q° m "
3 -
a
m B
m-0 3 3
°
33CD 0
�,mm
O 7 N
O m -O
O = m
CL
CL
c am
= <
mD0)
CD 0 0
m3
m
J 'o
N m
v ^
.GAN
° J_3
N 0 W p
ti m
m
v m Nc
m
JCmS -
NMM
O j
CC
� d M
o'
3Q
mnm�
-O m
I ° CD
Ja m O
mem
N C N
N a
m o
m 0 CD
N
O °a
3m
m
m ao
J-6 N
a S
O
CL
CD
m
N m
N s
_
J J 3
_
EA 7
aac
o
3 of
�m
CD
a
O
6 J S
N N
O N S
0 m
C - m
, a
=I
a a
� m o
y C (D J O C
CL
° > o o m
O O N
..n N
C
y Ol
a m 3 J 0 n
N a m a o
0 j� N ^ C
0
O 5= N C d
an d N 0 7
3 ° O m O
Er
c 3 0 0 m
JN -
a'm N m O m N
o'm 3�apmm
,J.. C m. p G. J fD
=� 3dm
O _
O 7 m n
d C.
O m'
O^ S m a
Cr .11 m o
vo 8N
N N N ^
J
CL a_ n
O-
cl
J G
0
J ° O 3 G
N N
CL m R
a —
(im mO
= CD
CiN a m
N a
0 m
n 'y0 C,
N m 0 N
O- N
d N _ 3
O 3 G
CL- m
o 0
m*°A
O y -O O
O
CD J D
N J m C J cb
CO
a3$ O n
m o 9! m - ;
m C
J J c o.3 j_ d
amyl m
mym�sa m
3>>'<m@ _
HcCCD
_ CO
- ma d
m? Q N° m m
� J O
M
O m JOS
C y
CD m �' N N
J mm 3 y F
y 6 'O m
tla W m a O
° ° � N-0 y
,o-0 a m �.
Gmm�y
3< am= O
m o 3 y
O J
C < m N G
m am o ° z
O f0 m D W X
m CD N N
O
'0 m
CD N N
6 m
(p �°,mm -0 O
m m 3 m o'
a .-o J m -0 m
m N 0 K
NCD <f0 6
CD
N .°-. m) N
0 3 m o? o
O .O yN N
CD O
CD o
m c i m F3
N G O N J
a O 'o I
m?'o�0m*mDO
3(D mmo=�
x yF'm0mo��
f0N 0- y C N N 'O O
m J J m y .o `G N N
O1 G 3 -o'
S D a -O J Q
`G n a G Q f0 < O�
cym0*.G mym
= J 0'< 3
N cr
aU m g c J c
c 00 m * y n
N ^ -• C. N N J
o> o m v 0 o
O m fO I N= a m
CD ao Qp D
�m
H 3 m M
N �M e N
N C W N
<3MCM,S.
m
C O O O N
N C
syc 0
J
m d S
MAE
O
0
n
:5.
n
m
O
J <
CD m
v
H
O
CD W C"
d
0 x
N 41
02 z
Z
m �
who
-p-'0
7
.N m
W
N S
00
N
m
9D
OD
° y 0 C Y O O O
c > E - N
E E 2i o ai
c rn�p E 4
`L CO U U c '.> O N L
o OE N m ° 0
° E c a E
E E E°N c
NO j o
Om O
c O
C�- m ` n °
N U° L CD
d o N v
0Y CU)i a° wCLa 0 vi
c = N E (D C C
O c 0 N O
O N m E a N>
6)m m� o o M m
CL
EEmc� o a, w
E° O h v m N N O
D1Q U O C N C T
d E N E m
m c N -o =Cu E `O
)a� c '9 E
cm 'O m mi T C_ N E
0= C J
'� E ,� fn c '0 -o a E E
Ev�oU pm mm o0
c w N
O N O ` c y T( N
m 3 w
�cc
lApm� om 0)oo
E
E C ym
o _U o f d•�. W O
s E l0 "j N O >^ N a E d
0=0 m c v CU w =- E
E $ w co ° E cc `-T L
'O 70 .L.. _ C E cc _
C !n m°E m •L.• •EO ° O
Uca co
N O C O m f6 d N (�0 N C
m E o m E1: m- o>o
a mUE ma m m 3 N m E
Q.' c - ` m
o 10 o E tm N w
�
E c o 0 E o > o 0
EI�� ma m
E >, O O O N N
o m N t 0
c
0 3 o� y 3
N
d
3 Ty a N N
NOLoY
U'0 p m a� O
Co N OI U T 3 N
CoE E
O, T E O N
° m ° C J > y
0 wEmT�C)
TE E�
C
` N
N Tr N `a
U a c a°C m
21 T o C P O
�E mnUv
E
p N C
Y > a > t v
E
No r C c U
CO C O 0—
ov�°0L�
N a O C o
a c E o` 3N
n
O U o T O o O
O.
a�mE dmm
m�ow�t`Em
o 0-0,5
3 a N
`o
N o w E� CO
N N O E CC
E W N O
T� E. -OU
O NE N
-00 E'
r C � co
° E i E
d
N C N° D d C O
co N
f0 U E° a c° U
` E E O C .Y c
o f= Em M L
m L T O L C
6 0>.3 c
U C O N CD a)
cD O
Co
'a 0).6'6
o
EmEa
m o m c E E> E
J w 0 o 'm o U
a
o
CL
o v
CL
i
O
a o• L'
C_ O
•O N N
C y V
mo«0C
r w C N
N C H
cL.
E U) o E
o.>_"' 3
d O/ O O
-0
W•o d a
Em,
`o u i �
=mcg
r v i
'a CL
U) zN
;
m o ° h
a >,
CL
C += d N
Y a Y
E
t
CL •O +_+ W
tm Cw w
C ° C
'3a'03
me
E Q
` aCi
m
m o2
75 2
am
c
T m
EZ
m
Q
v
N
`o
w
0
m
E
E
Z
-io
C j L
E •G 3
oaa
ca N N
m3 CD
coq
N.�O�
N O O
ao O
E U �.
a)
w �.h
O z U
N
c U �
N
T U `
VCUO LD
0— ,Q
E
o o. a
v m
to
G
Emp
- c m o
U >
6 ca 'IrE m 2 Q ` E
L
J _o
a.> o .
a_o
M
.2:,a)
E w (0 O
c _
aC a
o .m.
N a ° 0
.o N G y
E c a
o
ZID
Q
a o m m
N
L
c
O
N
c
°c cE
c
o .N
o
c c
U_ O
>CL
O
-o a
N m
w
FN
O d
N >
w O
O a
N
C, N
o .�
C .v
ui E
2 a
N
0
N
E
V