HomeMy WebLinkAboutX2019-3424 - Permits�r�wn„w City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2019-3424
II�IX0IIII�I3424I� II
Project No: 2367-2019
Issued Date: 01/21/2020
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours_.MMoonn ft - Friday 7:00 a m�fo 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
o ddress.
12 VIA PERAZUL NB =
Description:
SFR ADD SUNROOM (49A[
Legal Desc.:
Owner:
KIM JAE
Address:
12 VIA PERAZUL
NEWPORT COAST CA 926
Phone:
714.501-7864
Applicant:
ZOLLER STEVE
Address:
245 ASTER ST #4
LAGUNA BEACH CA 92661
Phone:
949.547-9010
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R3I11
Added /New sq.ft. Bldg: 478
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $1,255.00
Plan Check Fee: $911.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$56.00
CA Seismic Safety:
$10.40
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,706.65
PROCESSED BY:
ZONING APPROVAL:
.E SPACE) & ENCLOSE COURTYARD TO EXTEND DINING RM 478 SF
Date:
Contractor: PREMIUM BUILDERS
- S E E���JJJN E
92 5.
CorY`sfatd'CiC 649
Lie Expire: 05/31/2020
68 4
xpD �
p suranc � ;
FEN 1 ork' Camipn era
ERES R 3114
Policy No: 7600018572201
Expire: 01/14/2021
Icl s
e r
F i
-.Right: 0
Additional Fee:
$0.00
r;rad'ng Bond�ee'
$0.00
,Grraadi�n�g�PC
Consultant:
$0.00
G- �g
7Yer'`am t'ee's""
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$87.86
Mechanical %:
$50.20
Plumbing %:
$112.95
b O
a
pe
If appiiC able:
Architect:
�1
V Adcq"UU% or El100% refund
N Phone: State Lie:
29Py ngpe#i. ho+*%Hl-,,,,,l-t
Address: 112 E. CHAPMAN #D
ORANGE CA 92866
hone: 714-997-9120 State LIC:C
esigner: ZOLLER STEVE
Address: 245 ASTER ST #4
LAGUNA BEACH CA 92651
Phone: 949.547-9010
S ecial Conditions: V FHSZ
lan
Plan check Fee : $160.00
Fair Share: InF&pg in
SJH Trans: $0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Ins
re Plan
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $1,511.26 Fee Due at Permit Issuance
pd4 6
PUBLIC WORKS APPROVAL:
o cz p p cp
PLAN CHECK BY:
GRADING APPROVAL: p p o c. o o p 'cc APPROVAL TO ISSUE:
Ep
m e a o w p c
!JO U4L 9 O PO tl0 p00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,195.39
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 for
is 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
'rofessions Code) or that he or she is exempt from Iicensure 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
of more than five hundred dollars ($500).
7 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,
lusiness 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
nprovements 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
n roved 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
pply 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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 legal
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent -
.ICENSED CONTRACTOR'S DECLARATION:
hereby affirm under penalty of perjury that I am lice, sed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of a Busin Ss a__���d� professions Code, and m - nse is in full force
nd effect. License Class ;,' igeRse'No 4/_7.. 2 9 Date G �= � ofdr� nSigtf891�
NORKERS' COMPENSATION DECLARATIOq f/\1_
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION CIVERAGE IS UNLAWFUL AND SQLL SUBJkG. AN EQQ�LOYE TO C I AL 4S 61 S D CIVIL F NE H��iE'!''gP DR 0 I{�tsa 00, 0), IN ADDITION TO THE
DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEG710N 3 Di'$UPifi`W. eOR Cyd. If REST. tD
�1 ATT,�tiNEY{ FED
hereby affirm under penalty of perjury one of the foliwincd&clarati
Dave and will maintain a certificate of consent§ to slmsure word 4t',j2eQtoftl�es..provided..for-J>•y-SaGtieR-2700-ef th Labor Code, for th
ante of the work for which this permit is issuE1. POa and will maintain workers' compensation isurance, as required by Section 3700 of the Labor Code, fr the erformance of the work for which this permit is issued. My rkers' compensatiolce carrier and policy number are: v' r3-, L�
)arrier -���5 i- f n"ra�rf"`7 S✓Ma oli"�_-" ."� ,°a_.• xpiration Date
Jame of Agent ' hone#
:3I certify that, in the performance of the workfbr wh h this =nr" sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and agre
hat, if I should become subject to the work ' comp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / /
signature of Applicant '11� �" ( -�'
)ECLARATION REGAWbNG CON UCTION LEI DIN AG C, s A a
hereby affirm under penalty of pequ that there is a ons ructio len f`rf 'aq 01. p�rrj� e �If e work for h p I�'i ,
-ender's Name ende �AJddress
3y my signature below, I certify to each of the follows : ((i/;l(�)) 1 3 E7r ' H)i no wor started)
I am the property owner or authorized to act on t property ownees'behalf. /
I have read this application and the information I iave provided is correct
I agree to comply with all applicable city and coin ty!.% ' 7c9a and laws relating to building construction.
I authorize representatives of this city or.county t enter the a ov ntl le property for Inspection purposes.
3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nanin late
ACTION DATE BY DECJAATION OF COMPLIANCE WITH CODE OF FEDERAL
1403 + ••• •• ••• •••
PERMIT EXPIRED �7 I SUBMITTED ASBESTOS NOTIFICATION•r0•
PERMIT CANCELLED TYEPA ••• •• �• •: � •`� w i
PERMIT EXTENDED QMD
PERMITFINAL SBESTOS NOTIFICATION IS NOTAPPLI E TO
CERTIFICATE OF PR POSEDOLITION �:• • • ••• ••
• • ••• • • • • •
OCCUPANCYISSUED SIGNATURE.
• • • • • s
••• •• •• • • ••• ••