HomeMy WebLinkAboutX2019-2202 - Permits1,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII
COMB Permit: X2019-2202
Type. of Construction:
100 Civic Center Drive, Newport Beach, CA 92660
x 2 0 1 9 2 2 0 2
R31U
Project No : 1582-2019
181
E
0
Permit Counter Ptf6ne (949)644-3288
No of Stories:
2
xi
;
Inspection Requests Phone (949)644-3255
Bldg Height:
0
`fiayxnur"xa
Combination Type - SFP ELEC MECH PLUM
Issued Date: 0812212019
- X
Front: I
Inspection Area :B
PAN Plan Check:
Right: /
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION..
San Dist:
$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:
24 TIDELINE BLUFF NB
®„
Description:
SFR CONVERT (E) PATIO TO LIVABLE 181 SF, REMODEL 470 SF, BIFOLD DOORS, RIR FIREPLACE
Legal Desc.;
Owner:
Address:
LAFEVER MICHAEL Contractor: J E P C Architect
24 TIDELINE BLUFF Address: 103 PAINTED TRELLIS Address:
_p
NEWPORT COAST CA 92657 IRVINE CA 92620
Phone:
Applicant: INNES ELIZABETH
Address: 9521 IRVINE CENTER DR
IRVINE CA 92618'
Phone: 949-861-2244
Code Edit:
2016
Type. of Construction:
V -B
Occupancy Group:
R31U
Added /New sq.ft.Bldg:
181
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
- X
Building Permit Fee: $784.00
TOTAL FEE: $2,174.05
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
Plan Check Fee: $607.00
Con State Lie:
Overtime Plan Ck: $0.00
Lie Expire
Investigation Fee: $0.00.
Bus Lie:
Record Management`. $32.00
Lie Exp Date:
Energy Compliance: $56.00
Worker's Compensation Insurance
CA Seismic Safety: $0.00
NO EMPLOYEES
Disabled Access: $0.00
'. Electrical %:
Hazardous Mat $0.00
Mechanical %:
Building Green Fee : $3.00
TOTAL FEE: $2,174.05
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
949-233-7101
Con State Lie:
10138222
Lie Expire
". 05/31/2020
Bus Lie:
BT30063683
Lie Exp Date:
06/3012020
Worker's Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
'. Electrical %:
Expire:
Mechanical %:
Building Setbacks
Rear: I
$70.56
Front: I
Left: /
PAN Plan Check:
Right: /
Use Zone: Parking Spaces: 0
San Dist:
Excise Tax:
$0.00
Additional Fee :
$294.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
'. Electrical %:
$54.88
Mechanical %:
$31.36
Plumbing %:
$70.56
Phone:
State Lie:
Engineer:
MANSHADI FARHAD
Address:
1800 E 16TH ST UNIT B
Fair Share :
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-036840
Designer:.
Address:
Phone:
Planning Department -
Special Conditions: LANDSLIDE AREA
Plan check Fee:
$200.00
Fair Share :
$0.00
SJHTrans:
$0.00
In -lieu Housing Fee :
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $982.25 Fee Due at Permit Issuance
�e
PQg Nt C WORKS APPROVAL:
PLAN CHECK BY: •�
4FR,ROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,191.80
del
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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant far
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
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
im roved for the purpose of sale).
I, as owner of the properly, 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).
❑ t am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
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://www.Jeginfo.ca.gov/calaw. html.
Signature of Property Owner or Authorized Agent Dabs
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7VO) of visio 3 the Business and P fess' n'S C n my tc r i n full force
and effect. License Class License No Date ?4- Contractor Signatur I<
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOI D DOLLARS ($100,000), IN ADDITION TO THE
COST 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:
:11 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
)erfprmance of the work for which this permit is issued. Policy No.
have and quill ma�Af;n 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' compensatioi
urance carrier and poll y number ar
carrier ' y u be Expiration Date
lame of Agent Phone #
❑1 certify that, in the performanceof the wctk for which this perm ssued hall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should become Su act to the worke ' co sation pr Ions o ction 3700 of the Labor Code, I shall forthwith comply with those provisions. r1��
signature of Applicant - D
)ECLARATION REG DING CONSTUC ION LENDING AGEN
hereby affirm under nalty of perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and count or inanc s a state Sting to building construction.
I authorize representatives of this city or county to e r the
ov = e 1 party for inspection purposes.
31gnature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam
ACTION DATE BY DkLARLAON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED ,&BMITTED ASBESTOS NOTIFICA'0QN TO;
PERMIT CANCELLED EPA s i • e i • • • • i
PERMIT EXTENDED 4 IE
PERMITFINAL BESTOSNOTIFICA IO NOTAPP B TO
CERTIFICATEOF 6� `r AI POSED M ITIO _9_` +•• . • ••• ••• u•
OCCUPANCY ISSUED 6 ! f SIGNATURE: `•'U• • s
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