HomeMy WebLinkAboutX2016-0480 - PermitsNor City of Newport Beach - Buildirg Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
n"tjraa�.; Combination Type - SFP ELEC MECH PLUM GRAD
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COMB Permit: X2016-0480
Project No : 0340-2016
Issued Date : 05/18/2016
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 2928 OCEAN BLVD NB
Description: NEW SFR W/ATT GAR 6667 & 675 SF & BASEMENT 2943 WI TEMPORARY SHORING °
Legal Desc.: RESUB OF CORONA DEL MAR LOT 1 BLK 35 POR AS DESC IN DD -D 32818.7 -(AND .,,.-IEC
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'. o oOwner. 2928 OCEAN LLC Contractor: VAN CLEVE CONSTRUCTION Architect:-LIGHCHRISTIAN R ' is °m
Address: 120 TUSTIN AVE #C Address: 120 TUSTIN AVE #C�Odrgss: 1401 QUAIL ST #120 ° ° ° °
NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92663 y,��s.'-�"'{� NEWPORT BEACH CA 92660 ® m m m o
Phone: 949-566-9888 Phone: 949-275.7971 Phpn&:'�j' 949-851-8345 State Lic:CO22334
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Applicant: CJ LIGHT ASSOC Con State Lic: 637316 �jj cctEFigineer: JARsA_RCIM OUD
Address: 1401 QUAIL ST #120 Lic Expire: 09/30/2016 Addrpssc `2 ORCHARD #250
NEWPORT BEACH, CA 92660 Bus Lic:- " BT30039668 ,./ -� j1'.`n" LAKE FOREST CA -92630
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Phone: 949-851-8345 (°io�Exp Date: 05/31/2016 -Phone: 949.206195 State Lic 03812
Code Edit:
2013 ..nr Worker's Compens ionTnsurance
Type of Construction: V -B SPR ". „°,-' Carn v' WC EXEMPT j+I;"MPLQY9E6H v ddress:
Occupancy Group: R-3/Ugg,, ___ -Pol� No �
Added /New sq.ft. Bldg: 6667,.---� Expire* r-1 Phone:
Added /New sq. ft. Garage: 675F
No of Stories: 2 , Br(tlt�ing'S`etback§ �, Rear �5� , +'a � - Special Conditions: AIC2016076
No of Units : 1 yl mss -^s" ?_ F , ' '�T=ront 20 f� `"�y COASTAL 5.16-0240-w
BldgHeight: 24 `
9 k 8 t. {'<rl.y" '"� Lek
Bldg Sprinklers: Y `� t ,.Rl9ht
Flood Zone: X �� ^ y use Zone. R 1 ,. ,P.,arf[inq SpBc�,� „-, �=u:1. ��' Fire Hazard Zone : d .14
Construction Valuation: $21600000 ° Vr ® yam_+, " a� 'aC� a i
Building Permit Fee: $9,254.00 rT )icise'S` x 4 1,�t74110 Planning De arY nt "� L ,. ytba)Department
Plan Check Fee: $8,050 98 =r,Addibonet,Fee e%/�,,+ ($4,454 62) Plan checl Fee :"x. - $4��Q ca��' Fire InspeC_�
$0.00
Overtime Plan Ck. $0 00 rGradingU nds Fee $0 00 Fair Share a ! �� V�'$000 Fire Plan Re$0.00
Investigation Fee: $0.00 a Gr1ditt•ga Consultant : $827 30 tj `F� SJH Trans : \� $0.00 Dern on
Record Management: $164.00 s, Grading Permit Fee $1,435 O,Q`' b In -lieu Housing Fee: $0.00 Buildi D $0.00
Energy Compliance: $268.00 a Grading PC Fees, � 1 6t� Public Works- Department - ,-/"�� s�l�l`§e iry e-�y:= $0.00
CA Seismic Safety: $260.80 WQ Iu_p Fee'`�,,t f,;,$:IA 00� �* Park�Dedication `. � 01 690' y efon ep0$0.00
Disabled Access: $0.00 _ ; vm �l i
PAN Plan Chec 152.00 aadMg Bond: $0.00
Hazardous Mat $0.00 Ele6,tncal ° $647°78 San Dis $1,397.0
Building Green Fee : $87.00 Mechs CaI %: „ eti,. $692.20 M D Fee: 24,x ,;, $0.00
Plumbing %: $832.86 � � $0.00
TOTAL EE : $21,20624 �Plan C�gk.
yFeLsi$175$ 49 Fee Due at Permit Issuance : $16,409.75
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PROCESSED BY: " PUBLIC WORKS APPR /
ZONING APPROVAL• PLAN CHECK BY: /
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 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
he 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
Irofessions 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
lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements are, gqt jntended 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
mproved for the• etre ose of sale).
a j,vV owner pf tpe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
i'pply to -an owner cf�property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State. License Law).
�J a%exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 4L 64-Ite 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
4olwons Code, is adailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
)ippgtpre of PrroMftOwner or Authorized Agent e
,LC'F�I�SED COINYRACTOR'S DECLARATION
herebyaffirm under penaltyof perjury that I am licensed under rovisionsy"m�p�gvly��r o/./�EmenciEngwith!Sectf ±io f th usiness and Professions an license is in full force
n4eQ,t. Licesse Cllass p I ry License No Li✓ / (—b �on ractor SignatureyVQC t(fRS'MMNSATION DECLARATION
IARNINGI FAILURE iO CGCURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT PENAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
;897*& COMPENj4'AYI �N. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
'ormance of the work for which this permit is issued. Policy No.
have 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' compensa
Trance carrier and policy number are:
Policy Number
Agent
Date
rtlfy that, in the performance of the w for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe
Baton laws of California, and are
t, if I should become subject to the work ompens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provons. l
1latura of Applicant
DECLARATION REGARDING CONSTRU ION LENDI G AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
ander'a Name Lender's Address
y 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 provi d is correct.
I agree to comply with all applicable city and county ordina s and state laws relating to buildin construction.
I authorize representatives of this city or county to enter the b ve-ide If{IZi property fo n action urposes.
_
ture of Property Owner or Authorized Agent party Owner's or Authorized Agent's Nam . • l�
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