HomeMy WebLinkAboutX2019-0620 - PermitsCity of Newport Beach - Building Division
*� 100 Civic Center Drive, Newport Beach, CA 92660
h ? Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0620
x 2 0 1 9 0 6 2 0 Project No: 0439-2019
Issued Date : 02/04/2020
Inspection Area : 5
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: 436 MENDOZA TER NB
Description: SFR - CONV CRAWL SPACE CREATING 1048 SF BASEMENT, CONV 194 SF GAR TO LIVABLE, ENCL ENTRY 96 SF, ADD 220 SF GAR, ADD ROOF DECK 1040 SF & REMODEL 839
-_
SF
Legal Desc.: N TR 1237 LOT 135
Owner:
DANG LUAN
Address:
436 MENDOZA TER
CORONA DEL MAR CA 92625
Phone:
949-274-3761
Applicant:
HILL MALLORY P
Address:
436 MENDOZA TER
CORONA DEL MAR CA 92625
Phone:
949-371-3573
Code Edit : 2016
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 133E
Added /New sq. ft. Garage: 2Z0
No of Stories: 2
No of Units : 1
Bldg Height: 29
Bldg Sprinklers: Y
Building Permit Fee: $4,192.00
Plan Check Fee: $2,733.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$60.00
Energy Compliance:
$231.00
CA Seismic Safety:
$42.90
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$14.00
TOTAL FEE: $15,621.37
PROCESSED BY:
fr, L Zit
BIZ Architect:
Address: DANG LUAN
E-{ E
(10 Stat is
-Li Expire r ttl ".n,`� Ad Tess:
Bus Lic:
Phone
Fe�5 Com ensation rnsurande - Desigr't�r.
rrier x L _ Address
Expire: phehAY
wlding Setbacks Rear 15
- Front. 5
Left ' 6
Right 6
p
hnx:
$0.00
Additional
Fee-------$304.00_..._......
Grading Bonds Fee:
$0.00
G-. dRg-^-.-C-�i Itan_t ;.
$1 354.64
Q a4jggl,,ZkAn I1,Fee:
$875.00 -
Grading PC Fee: '"""'$1-;058.61`
-
WQ Insp. Fee:
$0.00
Electrical W $293.44
Mechanical %: $313.56
Plumbing %: $377.28
ZONING APPROVAL: t'-
GRADING APPROVAL:
tALONEN LARRY
MISSION VIEJO CA 92691
94ti561,£i9 1- e0 ic:0008526
TRA�N1 PETER ❑ i0 refund
197�7�1� LOS PINOS DR
tGN`A',t l�ttl1 t% 91789
626-367-0258 State ic: -
Special Conditions:
Planning Department -
_ Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $330.00
San Dist: $0.00
NMUSD Fee: $2,461.92
1NSPE_CT9J7_-'
N
Fire Department
$195.00
Fire Inspectio .
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $3,711.21 Fee Due at Permit Issuance : $11,910.16
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 ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
EZ'mprf�`�ed for the purpose of sale).
s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or. improves thereon,and.who_contracts, for theprojects. witha. licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State ViceVse La for the follo ing reason: Y
By my signat, Ire below I acknowledge that, except form p on�I r id E$ ip hi� St ''a resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt
sell a structure that I have built as an owner -builder if it h not-bke - tr to irli 'rejy<t7y licensed contractors. I understand that a. copy oftheapplicable law, Section 794, of the Business and
�-cf,csions Ccde. is available upon request when this plicatI is fitted or at bowing Web site:http://www.leginfo.ca.gov/calaw.html. _ Y �.
Signature of Pnperty Owner or AuthorizeditAoPnt. Date
JCENSED CONTRACTOR'S DECLIRATIO
I hereby affirm PIrde• penalty of perjury. the I am lit used under provisions of Chapter 9. (comrfiencing with Section 7000) of Division 3 of the Business and Professions de and my license is in full force
Dnd effect. License Class - license: No Date Contractor Signature
NGRKERS' CC RAPENSATION DECI IAOArrn Al
U RAAG; FAILURE TO `FOURE WORKERS' GOMF
OST OF COMPENSATION, DAMAGES AS PROVIDE
hereby affirm under penalty of perjury on
J I hive and w(li' maintain a certificate
"f�rrance of thework for which this pet
11 eve and wiAomrintain workers' opm
Isurance carrier and policy number afe,
ie of Agent
certify that, in the performance
if I should become su ect to
lature of Applicant
ATION 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
,R IIJSE6TION. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.. -
thgfollo ng declarations
co e t o elf -insure for workers' compensation Issued by the Director of Industrial Relations as provided for by Section 3*0 of the Labor Code, for th
Is ;, d. ,Policy No.,
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
:reby affirm under ylenalty of perjury;thal tlteY0 MVve;c
Ider's Name 11;L
my signature below, 1 certify to eagkbf a following:
I am the property owner or authonjed J act on the I
I have read this application and the`in
I agree to comply with all applicable city and county
I authorize representatives of this city or county to Q
mature of Prooertv Owner or Authorized ADent /
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
REGU
ion Date
Tall -no{employ any person Irj'-tfrvy 'anne'r'So as to become subject to the
on 3700 of the Labor Code, I shall forthwith comply with those provisions.
for which this permit is issued (Section
and state laws relating to building construction.
eve-identifi any for inspection purposes.
,A_ ropPrint Property Owner's or Authorized Ag
I OF COMPLIANCE ViKH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
TO
My workers'
firs', compensat' n lavga of California, and
l L2-o
Civil Code).
t
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