HomeMy WebLinkAboutX2015-1826 - PermitsCity of Newport Beach - Building Division II III � III II I III I� I I III II COMB Permit: X2015-1826
04 0 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 1 8 2 6 Project No:
y ¢
ti Permit Counter Phone (949)644-3288
v Inspection requests Phone (949)644-3255
c'rz,roa�r Issued Date : 06/26I2015
Combination Type - SFP ELEC PLUM
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 3007 CAROB ST NB
Description: SFR-CONVERT BATHTUB TO SHOWER
Legal Desc.: N TR 5018 LOT 44
Owner: GOLDEN MAXINE Contractor: OWNER/BLDR Architect:
Address: 3007 CAROB ST Address: GOLDEN MAXINE Address:
NEWPORT BEACH, CA 92660
Phone: 949-279-4618 Phone: Phone: State Lic:
Applicant: GOLDEN MAXINE Con State Lic: O/B Engineer: tt
Address: 3007 CAROB ST Lic Expire: Address:
NEWPORT BEACH, CA 92660 Bus Lic:
Phone: 949-2794618 Lic Exp Date: Phone: State Lic'.
Code Edit: 2013
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: I
Front: I
Left: /
Right: /
Designer:
Address:
Phone:
Special Conditions: O/B AUTH ATT
ood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $4,000.00
Building Permit Fee:
$129.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee:
$0.00
Additional Fee :
$0.00
Plan check Fee :
$32.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PAW Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$9.03
San Dist:
$0.00
Building Green Fee
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$12.90
$0.00
TOTAL FEE: $185.93
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $185.93
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 tc 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
le 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 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
roved for the purpose of sale).
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
ly 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:
y 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 legall)
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 thi pplication i bmitted�pr-at the following Web site:http://www. leginfo.ca.gov/calaw.html.
'signature of Property Owner or Authorized Agent e-fr9[��. Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
'ARNIVG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OLT Cr COMPENSA11DN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirn, under penalty of perjury one of the following declarations:
i 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 or the wcrk for which this permit is issued. Policy No.
JI 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' compensatiol
'sup nce cardar ind policy number are:
Policy Number
Date
:a cf Agent 1-none 0
certify that, in the performance of the work 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
;f I should h?come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicanr Date_
DECLARATION REGARDING CONSTRUCTION LENDING 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 Code).
ender's 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to nter the abo r�-ideJnti�fie 'property for inspection purposes.
ignature of Prooertv Owner or Authorized Agent /; �% - A�� Print Property Owner's or Authorized Agent's Name
AfT"J nAIT
my
DECLARATIONOFCOMPILM/CEKITH CODE OF
tun UhxctMEVIRT
FEDERAL REGULATIONS PART 6 f OF T17LE40 AVD
A0114DROLE 1403.
❑ 1sfNlAGTTrnA-SIYST(?SNP)7fFK4TK)NTO
❑ EPA
❑ AQMD
AQBESTOSMO17RCATMENOTMPLICABLETO
POSEEI DEMOLfRON-
PFRA+nT FXPFPFr)
FL1147CAPICattm
PERMrT EXTEilu'L7ED
PCAih71T FINAL /o (
/I
• f
CERTiFCATEG'F
1
SfGNA r Ullt: // ^
OCCUPANCYISSuED
0
NJ
W
W
)O
CO
m
Uo0
� M
a) V
co
0]
co
F fl T
5W
Z
-o
A rp
V rp U
s
Am°`a
N
Fa i
~ b O
�d a)
a) C
o
m
U
U
U
O
O
VAF,:A C 4
N
W
O)
r
�o� r@�
U t
c)a m
O J w 0
'@O l.L y O C m
c rn @ >
Q
L U Q 0 Q @
N i d O
a`n p C U
J > > a w
o Q m coc
T 1 E L J C
m C j, (n @
N CD -0
J y 0 o
a) c c m '0
@ .T @ G
ccC @
C 0 E U o
O E J m T
> m 0 O
v 3 00 o
a) 0 j > O
Y N L @
U L 7 N L
o Q 'y 0 .
N o > O
C a Q V Y O
N J C c E T
0] @ J 0 N
N N w
L � , m E w
3_ d� J
E DOa as a/
U
w C N �
o_ a) 0 W a 0
� C J r-•
N @ m T_T3 m @ U
3 o o c 0 O N N a) '•-T•
p C ELM N= C N p
rwEo3m�'N,-
a) U T Q @ co
J N G C
a` (Do-OQ co� N 3' n U c1
c Q(DY - m•> a),-
E
0
o¢L�� E °.� a Q
-
_ £ O
(0 O N O O N w o
.0 m N 3 3 3 w= a
OL a) E O NS QN @
C C) U L co N C aL+ C @
y (D 3 a) C O O C
3- .p N N J C. au U o
T
N
N 0. N C Q- C w O N C
O - @ E a) a) o 0 0.0
O @@ O m T E
a @ c s s. co J 0@ -O
C 3@ N N N N c
W O- L o 0 p@ T C 0
s
N N N O N N N O" Q L 'O
L CL !EO U > C
w0 0 9 a Co
Q C @ y
N L C U c C C C
G 0- E N a (D U N V U
�(>
N N Q o O N @ 3 d
� c N C O O
O .O ,ID I r a a)Y 'v= T
(m E 3
O- C ,U T E J D ca @ C O cc�o�E �� -am sw
o
N N@@ U O 0 L .@. ) N E N
Co
N O
m 0'a @ o , Z E 1 0
-i
U @ c N@ � N@ a) a
@ @ EC 2?�0 @@
'm aa))E0N mo �0
a) Q o 0E
J N O C U @ N @ a)
c vp - a) a a? t Q
z E_ J N @ Q C O C
@ C M .- O J L C >, V O
"O m 0
N @ -0@ (aC @ N @ V- N _O
r m= E >,3 t� v E
Wo-
O J J o O
1=-CO0�Q�a
3cco oy�YllZ>
N V o '-NO N 3 Q C
C m L N N J c 0 V T@
�� '3D0 oJaOi9 Eo
N a N - -
@ o c o 3 x@
C O N _T N N N @ N
O c w- w N O O d J@
- S) T a w C O) N
@ J
U O j.ol a E Ca 1@ N N co.-. O
0 CoC
c a °D E
c@ O O J@ Q 3
L 'O ?i @ a) -G C 2 U L N O
QJ �. w c
o @ Co
a E o c 3 @
a)� a0N 3roy LJ
C a 0- @ U U cr
O C ,a 'O N- -1 a) O@ L@
O_ a) C a) o m c L L 00 p y
T N N ca N fl- J .3 C -@p 'C C
@@l aE E(D CLT
a)>a) o-0
O - @ ) 0
(m-0Qco (nac E a) @
N y '� @ o .L...m ca
C J T X N 'C - 45 E
CO
V @ ._
E p c
U N @ fl- N U O V 3 0.c N
Tc a� Q00 @ c a) E
o E@ o=0 E' c U N= m c 0
pTO N (D 0 N 3
N Q O @ N 3 a)
N N c 3 c ... J c-
E?a o '(D (D U a @
a) @ N U L E E ` U O C
->c Ea)� a) -o -
@ U @ O @ @ N
•r _ C Q N
wa)E� m o @cam
ads .->a)J aO >` @o
Y a O C N C@ E a
D J T @ O @ C
N C E N@ 0 E ` N r N N N O
@ - a) m N a) - a)ca
U
J O
N N C 9 N T N U N
- o a) J a i_ E .- T O J a) C
a) w @ U --a O
m E@ o o o c m m U
U m 10 com lw'm 3U t 2
N
0
N
a z
m o
3 m
N n
C 0
CD
a0
0
CD
C 0
_
CD
S
CD
a o-
m m
I N
`G —
O y
cd O
y. 0
c0 0
=3
�.l
CD(D m
N'
m
0
_
N
(D
c
CD
a
0
O'
CD
a
m
CD
_
a
s
CD
_
CD
VI
C
v
(D
m= �CDN
n
o m n
C)
a N 0 0
3
p m m
a a 0
CD
N= m
m m m
N ° r
Q
c C N
co
d =
1 O.
00 --I
o��
o o
D
3
C) CD
D
m
c N Zr
co,—=
D v
0
C
CDcoC,
Q (DS
0 0
.=...G
0 m— m
CD N O_
(Cp m 0-
N O
n m a
Q
Z
O
Q . a . m
^'
N' o-
m D
O o
(Q
=
omm-.
m
ND
CO
Z3
< CD
m�
D m °-
= w
a m�
QO
m
.m=..o
? O N -O
,O-,. 0 0,
z
CD0
(D N
O- N
°vmm
Q
...�.
am�c
0�0z
p=3�
om
0
CD
mmm<
= 0
y
o'
m _
-0aa
0-
a00�
' _ `G
Z
m
m
a
Zm O-3
0 W.0
0
y n N CDG
CC
Q (D m
a
cp a a:
° m o
0
o -Q
m
m
Q
W
'Co
CD
(CD CL
°0`�
30
'm=
Via.
(?D -*
O .0..
0
a m
Q 0=
CD
O
3 m
m
a o
3
G
moo_°
°mom
-1
°m
s
CD
° cD —
Q
N CD
�(D
r�
Q.
CD
z
�'a
ma° a
0m
m
CL
°z
mw
co
o y
0
a?
N
C) a
mom.
m
za
(D
a m
o a
o w
=
CD
(D a
O Zbly O
_
O-D_(D
m m
-+cD
O
k
a
�
m
==
S.Z3
z N —
(D m
(D 'G
i•.
O
a
(D
'G
0
_
(D
U)
(o
_
m
CD
0
a
0
CD
Z 0 CO
CD°
0 0 a 0 n- r
N
m
3 _
m 3 m 0 a°
n y m
m
CC m
3 =: m O C0 (OD O.
N G N
m
c.0o.a
O N
�9' 0yo=O
O 0
O' C
j-'0 m
O ti' (D y O
= * `< 0 3
m`<,a
- 0'm,�a'm
'.°
C �0'—CD `m o
S gym
..
oma`�°
O
(=i-0'a=m�m
O .
m
(D
° 0` o(o
a nm
O 0 w
m 91 °
ymr:°
9 330�m
S N
hm
°
-
coy I, :; CD
m m 0
0
N
3 N 0
O
0vima,
Q3m�
O-0 C.
G N
mom°.
C
R. Q '1..
n 3 N O N
0 W 0-0 -o S@ a
_S
N
0 co
t
m m 5 m M m Co
m Ny, m m Q
° _ 0 0 r
0
CD
O a
y a .No
m=
N S �' c w
o_ ET m o
a
m
0
O C= Co CD°
s� a r D°i
_a
m 0 vi' 3
m
0 m C m 0 °' m
3 O
01
y 0
(n?m
a 0 a m e
m°0ao
=ate
(QOa
°v'm
="-O
W CD CD
O"0
n. N. y Q.
0) cam,
0 -� (D ,�
N
N C, N
m m O
N O m c
M
m o c c'<m
ZI(c
o
cc3= 0�
..m
H (D
m
N *� m
d(Nnn
a
(D .<
O-am
-n a m N =
m
.y..
m N Q. 0
m
_CD
_
Q, m00
0 0)3 ?)m0
O
o
O a
CD a
N m m= m
m6 0CD 0
m-
m
moo.�m
O a0 �. ET
N (D p W j
N m _ mw O —
N
—W ID
ca a m O 3 (D
3(D a. CD v°, w_D' ����w
m n a m m m m
°
j O m ,mn 0 O J m a— O ,o- S 0—
m'< mm mm Cn
�-sm�
as am .�0 yID rm�°a
ON 'Oa gym= o"00Cm
C-C m� mm �w3m=
CD a'< , - m of a 3
_ O
0 0 m m m 0 o OW - /D
m N (D S.
N = p_ O N 0
O° _= a= O � 0 03
3 as \0.= (n
. MY CD r=-v -o
A� CD co
C0N W=
a m CD 4 -"0 CL
CD � - CD N O 0
co
0 v=�i m �Q6 C?8.>o
a 0a3
so 0� �> j.�
0
as CQ
0 m -.000- ° (D 0 m r m trt N
a to
m �, O� co
O 0. O
0.a v = u
m :E^ -p v' a a m
F yp �m u
z CD
CD ma N°- 00mmm
0 0 5 =
0 CW'O
yCC,= 25 s
0 0
N 0 \ n `� Q� m N
° m O ._ 0Z z
N m G_. m N C y,
(� .. N O N —0m m < 4 j 3
N
o mo'
= m a ° m o m