HomeMy WebLinkAboutX2019-2639 - Permitsw,ro4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2019-2639
d �4 ' .100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 6 3 9
Project No :0532-2019
� Permit Counter Phone (949)644-3286 -
v 'Inspection Requests Phone (949)644-3255
T''�aeauv�' Combination Type - BLDG PLUM Issued Date : 0 812 3/2 01 9
9
Inspection Area : 2
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. 4o 6:¢Op.m\,No`work on Sundays or Holidays
JobAddress:. 108 PEARLAVE NB !\
Description: DEMO SFR 1417 SF (3 BEDROOMS) ,t
Legal Desa: BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 30 ,
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Owner: LISSOY SCOTT Contractor FAR WEST INDUSTRIES* Architect: r a. m.
Address: 108 PEARL AVE Address 2922 DAIMLER ST,R.6T tom,£ ` Addf s F �V' '� 1s�
NEWPORT BEACH, CA 92662 SANTA ANA QA S r ) ��10
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Phone: 940.224-1970 - Phone: 949 22, xJ'i0 .x,'�" sr We,. �,t State Lic:
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Applicant: GUIOERO WILLIAM Con State Lic Fs 333665 n t Clp Engme�'�:GABRIEL MICR C'F�. o °
Address: 425 30TH ST, STE 23 Lic Ex ire �` 0 813112 0 21 �\ . � "` Addr�ss'i 483E 20TH STIR T "' ®s+—°
NEWPORT BEACH CA 92663 Bus,W. BT300 8630 v ;�� /'� x COSTA MESA CA B
Phone: 949-675-2626 &1 Date: /2020 xtx�j� PFione. 949-646-6596 ta)e`yLic:S-002939
Code Edit : 2016 ker' p n as`tion Instr Grl 1`� ��� Designer: ljittIDERO BILL
Type of Construction V -B arrle �:94K%t F,W A F E Address: 425 301-H ST, STE 23
Occupancy Group: ,, , R31U /icy o Fi1'�IVC 75 9g5 NEWPORT BEACH CA 9 8 x ° <, �
Added /New sgft:Bl g"' 0 0 Expire 'f3', v912/01j2T$ Phone: 949.675-2626 `"� - °o�>
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'Added /New sq. ft. Gari O y `� `t �` , "Al o o Z ZOO
No of Stones: t�7- .t:�" \ �- Bml S Setbadks ,x Rear / , �` Special Condits�6 - ULE ?,
No of Units : aaallt� j' t ', '"" Front I 1 O RTE ^"+ (�
Bldg Height x`a 0 ` .� 'K " ?� " Le i t, r
Bldg Sprinklers: r 1x its Rh Y ISL'•,,, -jt ' .�+% O
Flood Zone:+Ise Zone: _.�`1sddFlA Soaces'.'��'`d ° .s.FBe Idrd Zon®�IJ� �.
TOTAL FEE: $1,476.27
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PROCESSED BY:
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ZONING APPROVAL:
�
:" R ` D
',y�aRADING APPROVAL: _
Plang a. V ent- �i it en
Plar�cFee :1� - $0.00 p $0.00
Fair Sfiaie S $ . 0 -,,tq\ ire ev $0.00
SJH Trans : - ,,�'�$0.0Q., ` olition Fee -
In -lieu Housing Fee: / $0,''0' Building Dept Adm $26.00
Public Works DeP AMent- �/ General Service $210.00
Park Dedic n :. ' $0 FY Refund Deposit $1,127.00
PNJP Check: OA Grading Bond $0.00
rS rat : :,�,$ .000
MUSD Fe a,F-`r*' $0.00 - $0.00
.<* $0.00
$0.00 Fee Due at Permit Issuance : $1,476.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: ss
t / V
Building Permit Fee.
$1 0A.00 Y*AExcise
4
Tax's' 4t r2 10
$0.00
Plan Check Fee: $0.00
Additio`Oa) Foe =.'
$0.00
Overtime Plan Ck
$0.00
Grading Bonds'i3r#.
$0.00
Investigation. Fee:
-$0.00
Grading P,O:G6hsultant :
$0.00
Record Management:
$0.00
Grading Permit Fee
$4 o6",z' 3
Energy Compliance:
$0.00
Grading PC Fee: ar$
QO.�'
CA Seismic Safety:
$0.00
WQ Insp. Fee:
Disabled Access .
$0.00
Hazardous Mat
.$0.00
Electncaf %
Building Green Fee'
$1.00
Mechanical
$0.00
Plumbing %°:
$9.27 -�
TOTAL FEE: $1,476.27
t�1
PROCESSED BY:
c
ZONING APPROVAL:
�
:" R ` D
',y�aRADING APPROVAL: _
Plang a. V ent- �i it en
Plar�cFee :1� - $0.00 p $0.00
Fair Sfiaie S $ . 0 -,,tq\ ire ev $0.00
SJH Trans : - ,,�'�$0.0Q., ` olition Fee -
In -lieu Housing Fee: / $0,''0' Building Dept Adm $26.00
Public Works DeP AMent- �/ General Service $210.00
Park Dedic n :. ' $0 FY Refund Deposit $1,127.00
PNJP Check: OA Grading Bond $0.00
rS rat : :,�,$ .000
MUSD Fe a,F-`r*' $0.00 - $0.00
.<* $0.00
$0.00 Fee Due at Permit Issuance : $1,476.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: ss
t / V
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 thecheckmark(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, 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 70dO) 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 ($500).2
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work;' and the structure is not intended;cr offere"" for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through_employees or personal effort, builds Dr improves th roperty, provided that the
improvements are not. intended or offered for sale. If, however; the building or improvement is sold within one year of•Dompletion, the dwner-Builder will,hav� the burden of ro .. g that it was not built or
improved for the purpose of sale). • ,�
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 Business at'd f f' ''ssions Code: Th ntractors' 'St
apply to an owner of property who builds or improves thereon, and who contracts for the projects,WWa licensed Contractor pursparyt'1;q the Contractors' S icense Law).
❑ I am exempt ¢pr1ijicensure under the Contractors' State License Law for theMO
n:
By my signaturePlieJq>ry f acknowledge that, except for my personal residentine reside t r at least•oRear prior to cD(�1p( �ibhof the improvements coveresell a stmcture that I have built as an owner -builder if it has not been constli sedcontgot-- I `d erstand4l9t� copy of the applicable law, Section 7lrofess'$ns Code,,js ?%silable upon request when this application is sub iebsit...... �p ' c v/balaw.hfml.
Signatyre of Propbrt§Owner or Authorized Agent `� 'j`fif'E` "'- Date
CIMSED CONTRACTOR'S DECLARATION y
1 hereby affirm under penalty of perjury that I am lig nder provi [ter oelftlppNng0,4A S ons Div' of the Business and P fessiOr Code
%ERS' OOMPiENSATION DECLA TION �,/�� .
V]NGf FAILURRiO iECURE WORKERS' COMPENSA N COi>AGE IS
F" COMPENSATION, DAMAGES AS PROVIDED FORT SECTION 3706 01
'2affirm urlder pgnalty of perjury one of the ollowin t^'cYl
have and velli Maintain a certificate of copse t to If -in:
)TA:nce of tt>.e wor(f for which this permit is issu�gt P
have and will xtuintain workers' compensatiop in�iranc
re,nce carrier and policy number are: ������
roe of Agent --
certify that, in the perf mance, of the work for _ ich this ermi
I. if I should become s Jett to the wo ffers%•co ensatigii rpvisa
nature of Applicant
CLARATION REG DING CO STRUCTI9N:LEN)L f GAG Cl
areby affirm under enalty of perjury that there Is a construction r
ider's Name
my signature below, I certify to each of the following:
1 am the property owner or authorized to act on the property ownE
I have read this application and the information 1 have provided is
I agree to comply with all applicable city and county ordinances a
I authorize. representatives of this city or county enter t e abov
nature of Property Owner or Authorized Agent
.rc .,Z I:3s ate Contractor Signa
V riy xi t� s /
0 SHALL �OECI�-0AA EMPLOYER TONaA Pr IES A 0 EINES UP!f0 ONE HL]F
I�DE, .ET AND ATTORNEY SfIlEE}� t d
vorkers' comp gp at is`,by rector of Industrial Rey Idi
by f5Ve
1070 abor Code, for the perfor once the it c�fatw✓Tic
WN %gap -
Expiration Date
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? Phone #�
ed, I shall not employ,�I�' p gh any manner so to become tett to the
of Section 3700 of�fl5$�L�b�r.0 e„7shall forthwith comply wlihttiose provisiyps!
behalf.
ACTION I DATE I /-BY DECLARATION OF CC.
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCVISS
REGULATIONS PART
003/
I SUBMITTED A—SI
nse Law does not
rermit, I cannot legally
Business and
:eOSB s in full force
J
IN AD\TION TO THE
bor for th
laws of California, and
Y for th r ante of the wor whichthis it i ed (Section 3097, Civil Code).
Lenier's Address
�eElating to built in cores[ ction.
property fo ' D' jotf purposes.
x -Pnt Property Owner's or Authorized Agent's Name
Da
NCODE OF FEDERAL
*tTE RULE
FOR OFFICE USE ONLY
NOTIFICATION TO
-
V IS NOTPIPLICABLE TO
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