HomeMy WebLinkAboutX2016-1986 - Permitsawrnr City of Newport Beach - Buildir.,g•DWsion IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit :X2016-1986
100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288 Project No : 0340-2016
Inspection Requests Phone (949)644-3255
r cx Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : 0611512016
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Job Address: 2926 OCEAN BLVD NB INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Description: NEW SFR "CHANGE OF CONTRACTOR- W/ATT GAR 6667 & 675 SF & BASEMENT 2943 W/ TEMPORARY SHORING
Legal Desc.: RESUB OF CORONA DEL MAR LOT 1 ELK 35 POR AS DESC IN DD -D 328/87 -(AND
Owner: 2928 OCEAN LLC
Address: 120 TUSTIN AVE #C
NEWPORT BEACH CA 92663
Phone:
Applicant: CJ LIGHT ASSOC
Address: 1401 QUAIL ST #120
NEWPORT BEACH, CA 92660
Phone: 949-851.8345
Code Edit : 2013
Type of Construction: V -B -SPR
Occupancy Group: R-3 / U
Added /New sq.ft. Bldg: 6667
Added /New sq. ft. Garage: 675
No of Stories: 2
No of Units: 1
Bldg Height: 24
Bldg Sprinklers: Y
Flood Zone: X
Contractor:
C L VAN CLEVE CONSTRUCTION INCArchitect:
LIGHT CHRISTIAN R
Address:
120 TUSTIN AVENUE # C
Address:
1401 QUAIL ST #120
Left: 4'
NEWPORT BEACH, CA 92663
Right: 4'
NEWPORT BEACH CA 92660
Phone:
714-323-9891
Phone:
949-851.8345 State Lic:CO22334
Con State Lic:
1013302
Engineer:
JAFARI MASOUD
Lic Expire:
04/30/2018
Address:
23 ORCHARD #250
Bus Lic:
BT30055484
$0.00
LAKE FOREST CA 92630
Lic Exp Date:
06/30/2017
Phone:
949-206.9929 State Lic:S-003812
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9151737
Expire:
01/27/2017
Building Setbacks
Rear: 5'
$0.00
Front: 20'
Building Permit Fee:
Plan Check Fee:
Left: 4'
Excise Tax:
Right: 4'
Use Zone: R-1
Parkinn Snar
Designer:
Address:
Phone:
Special Conditions: AIC2015076
COASTAL 5-16-0240-w
REPLACE X2016-0480
construction Valuation:
$0.00
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
Building Permit Fee:
Plan Check Fee:
$0.00
$0.00
Excise Tax:
$0.00
Planning Department -
General Service
Overtime Plan Ck:
$0.00
Additional Fee:
Grading Bonds Fee:
$32.00
$0.00
Plan check Fee
Investigation Fee:
$0.00
Grading PC Consultant:
$827.30
Fair Share
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
CA Seismic Safety:
$0.00
$0.00
Grading PC Fee:
$181.60
Public Works Department -
Disabled Access:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
Hazardous Mat
$0.00
Electrical W
$0.00
PAN Plan Check :
San Dist:
$0.00
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $32.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Zone: N
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee® • $0.00 Fee Due at Permit Issuance : $32.00
--<_` ` c • • PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4PFROVAL TO ISSUE:
c
� c m
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee® • $0.00 Fee Due at Permit Issuance : $32.00
--<_` ` c • • PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4PFROVAL TO ISSUE:
c
� c m
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 items)
(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
mption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Professions Code) or that he or she is exempt from licensure and the basis for the alleged axe
,not more than five hundred dollars ($500).
131, 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
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)_ _
❑ 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
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 licensure under the Contractors' State License Law for the following reason:
e year prior to completion of the improvements covered by this
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least onpermit, I cannot legally
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://wwwleginfo.ca.gov/calaw.html. to
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION 77
I hereby affirm under penally of perjury that am licensed under provisions of Chapter 9 (commencing with Section 0 ) f �idis pn�3 � ConBtractor Signaturefe ions o e, an y license is in full force
and effect. License Class License No LL
WORKERS' COMPENSATION DECLARATION
WARMING COMPENSATION,(LURETOURE WOS AS PROVIDED FOR IN N SECTION COVERAGEIOP THE UNLAWFUL,
AND
SH INTEREST, AN EMPLOYER ATTORNEY'S FEES.
RIMINAL PENALTIES A D CIVIL FINES UP TO ONE HUNDRED THOUS ND DOLLARS (E100,Oa01, IN ADDITION TO THE
COST
DAM
LABO
I hereby affirm under penalty of perjury one of the following declarations:
13 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 th
neiformance of the work for which this permit is issued. Policy No.
't � issued My workers' comoehsatio
have and will mE
rance carrier and
workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thiIs
s perm)
number a`Si r- e. Fxniration Date
IS of Agent T '
certify that, in the performance of the
if I should become subject to the wo
of Applicant
for which this permit 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
compens Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ✓� t./ ) %
A- I Da - J /'6
;reby affirm under penalty of perjury that here is a conIrucbc
Ider's Name
my signature below, I certify to each of th following:
I am the property owner or authorized to t on the property
I have read this application and the inform ion 1 have provic
I agree to comply with all applicable city and county ordinan,
I authorize representatives of this city or cou t enter the
(nature of Property Owner or Authorized Agent
CEATIECATERF 0ep I� I
OCCUPAdJM3,50EP. M
CY
lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
fvNer's behalf.
correct.
;e nd state laws relating to building construction.
ab
E-kivelfiedproperty for inspection purposes.
Print Property Owner's or Authorized Agent's NE
RwllCOEOF
Y JFELCEL1RARLAD
RE&ZAOTi0N5PPARCT6f OF TITLE40 AND
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ASBESTOS lJLtRRCAIHN5NOT APPLICABLE TO
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Permit No : X2016-1986
Plan Check No: 0340-2016
Address : 2928 OCEAN BLVD
Suite No:
Owner: 2928 OCEAN LLC
120 TUSTIN AVE #C
NEWPORT BEACH CA 92663
Code Year Edition :2013
Occupancy Group: R-3 / U
ConstructionType: V -B -SPR
Occupant Load : NiA
Fire Sprinklered: Y
Work Description: NEW SFR *CHANGE OF CONTRACTOR* W/ATT GAR 6667 & 675 SF & BASEMENT 2943 W/
TEMPORARY SHORING
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH
ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH
THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE.
Chief Building Official• Samir Ghosu, MS, PE, CBO Signature: Miv�"ate: [ � ` -)
-
cern n Bw6