HomeMy WebLinkAboutX2019-1405 - Permits�ERL,,e City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
ti Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
lillll IIIII IIIII IIIII IIII IIIIII IIIII IIIII IIIII Ilh
COMB Permit: X2019-1405
Project No : 0977-2019
Issued Date : 0510612019
Inspection Area : 1
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, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1819 W BAY AVE NB St: 1 FI: B _
Description: MFR *WORK IN PRGRS' REPAIR BALCONY S INSTL NEW GUARDRAILS (340 SF)
Legal Desc.: P M 183-24 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 47-181-17 TOGETHER '
Owner:
JANIK LOIS
Address:
1819 E BAY AVE #B
NEWPORT BEACH, CA 92663
Phone:
Applicant:
TRAN JOHN DINH
Address:
11251 GARDENAIRE LN
GARDEN GROVE CA 92841
Phone:
714-265-1200
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $15,000.00
Building Permit Fee: $312.00
Plan Check Fee: $271.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$312.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $940.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
MITCHELL MARK LLOYD
Architect:
Address:
28014 PASEO
RINCON
Address:
MISSION VIEJO
CA 92692-
Phone:
949-633-8001
Phone:
_ ,State tic.
^ ¢ ^ ^ n a
Con State Lic:
844223
Engineer:
TRAN JOHN DINH
1
.� j n ^ o ^ ^
c
Lic Expire:
08131/2020
Address:
11251 GARDENAIRE LN
no 0
Bus Lic:
BT30061316
GARDEN GROVE CA 92841
n
Lic Exp Date:
11/3012019
Phone:
714-265-1200 State Lic:C-062653 n
Workers Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
- n
Policy No:
9048302
Expire:
0310712020
Phone:
Building Setbacks
Rear: /
Special Conditions: C2019-0079
Front: I
Left: I
Right: I
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$40.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
$311.44 Fee Due at Permit Issuance : $629.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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 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 3f 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
Ppply 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).
5 1 am-exemp_ frum Iicensure 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 legal
sell a structure that'1 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, ;s Lvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Figratum of Propit, Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I neieoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ' isic 3 of the Busiims and fe ion o e, and my license is in full force
a.TJ a.f.:ct. License Class License No Date Contractor Igna
COMPENSATION DECLARATION
iARNING: FAILURE TO SECI-RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIW AL PENALTIES AND CIVIL FINES UP TO ONE HUNDFIED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
�7Sr OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nPr=h,, 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 th
erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the pe ormance of the or 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 agre
I. if I should become ub'ect t w rke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �^
nature of Applican Date
CLARATION REG RD ONSTRUCTION LENDING AGENCY J
lreby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property er's behalf.
I have read this application and the information I have pro Ide correct.
I agree to comply with all applicable city and c�unty ordin nces nd state laws relating to building construction.
I authorize representatives of coun y to en er deRti�' roperty for inspection purposes.
nature of Pronertv Owner or Authorized AD t ProDertv Owners or Authorized Aaent's Nam[
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFIC4TEOF
OCCUPANCY ISSUED
DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERA 7FOR OFFICE USE ONLY
RRJOILATIONS PART 61 OF TITLE 40 AND AQMD RULE
(9(l3((9
I SUBMITTED ASBESTOS NOTIFICATION TO
TO
co
Cn
N
0)
z "
W r
U O
(0 N
F
a mM
o4
F Z v
5�0
WX co
co
U
A C N
N
gzO
F >
z(U C
o
�i 0
O O
U m
z
0
0
C`7
CM
O
x
U
m VI
O
lO
0_
LL
U
J
U
U
y
ui
�k
m
Le)
Z
t
m
N
o N
..
N
N
L 00
�
C
1
U
N
E
C
�y
N
�
a
o
y
c�
o
m
c
ow N
N
m
a
i
_b
E .
o
�
m
O
N
y
d
O
W
ro
M
3
M
s
�F
z
2{
N T
ti
N
N x,
a
m
E
@
z
o
—
d
m
li
G
W
w
Q
¢w
a
W
m
O
O
n
p
a
b
k
v
a
W
v
z
O
`
O
o
0
3
Q W
)
D
Z
N
u
O
J W
r
0pU
d
z
O
c
v
QO
p
v
t)
C
o
a
a
o
Z
o
w
tr
N
d
.0
0
b
C
Oa 0
Y
�J
K 0
d
N
0
N
v
c
Q G
0
o
0
L
W
V
N
0
QC LL.
0
3
o
w
g
G
0
F
�
u
LU
0
Z
c
=
q
N
o
�
c
m
m
`m
F
v
0
u
m
o
U
O
p
o
❑
❑
❑
❑
a
F
p o
aCL
W
>
m
s
ui `°
W
0
W o
ZL
J
Q
cy
m—
0.
O
q
o
O
c
LL
G
O
V
Q
c
m
a a
000
m
w
Q
W
LU
>.
v
W m
y
U
O
j
U
q~
m E
o
❑
❑
❑
❑
m
W
'd
O T
Z
ro
m
W
LL
G
b
N
7
U d
O
c(nvU
o
y
EE
U
o
K�
C
0 ea
om
=
V
W
N`.
U
y.�.
I
c a
c d
0
c m
0
K
o
m
_L
W
m
N
Z a+
LL
U(i
0
UCD
O
F
O
y
LL y
❑CL
❑
El
Q
0
H
Ou
0F
om
Z C
c U 9
a0^03 �m
N C y N N L
U C U N
LDo
>o€ m
a m o r
0 v y c a 0
yZ
o
> m c E U
E ` n O >
N own > y
3 2 r E
0 o N L
0 CT
0 N 'y 0
0 t U
C N.C" L
yow 076493m
LR monrcNog
0 o c m E c
c a m t U.-
0
N
mocZZ
o o o " 0 _
C ti Mm 3 N
m o on 2
vy ncov<°
d c o o c cIj nf
L 0 0 a o in U C
E
rnmQ —�.�->mmo
`' N 9N
lU aC m_
t0 t U 0 Q> C
— o= E o E o m— c❑
r N M
C)
0
N
CD
0
1
F
fn