HomeMy WebLinkAboutX2018-1633 - PermitsCity of Newport Beach - Building Division 'X2018-1633' COMB Permit: X2018-16
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1259-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 0611212018
r'�[q,nKY`s Combination Type - SFP PLUM Inspection Area : 6
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:
8 GONDOLIERS BLUFF NB
Description:
SFR -CONVERT (E) LAUNDRY
ROOM TO BATHROOM 67 SF
Legal Desc.:
Owner:
WANGGIANNJ�DI
Q n for
OWNER/BLDR
rAr G(t
If app';AtQss."
NMI' -
-
Address:
Address:
8 GONDOLIERS BLiJFF __
i�_STEVFNS-JAMES-
d
Me
Phone:
NEWPORT COAST CA 92657
626-641-5268
Phone
REF X2018-1415
r 3
�
0800/(m"u 100% felund
late
r
Applicant:
STEVENS JAMES
Con State Lic
Ole 5 q
Engineer:
Address:
26352 MIRAR VISTA DR
MISSION VIEJO CA 92692
Lic Expire.
Bus.Lcr. -
t
ress:
�..V
3
Phone: 949-364-0876 Lic Exp Date: Phone: State Lic.
Code Edit : 2016 _ Worker's Compensatiod'lnsufance .7 Designer: STEVENS JAMES
Type of Construction V-B Carrier �i iy�° Address: 26352 MIRAR VISTA DR
Occupancy Group: R3/U 7 �:-� Policy No i " MISSION VIEJO CA 92692
Added /New sq.ft. Bldg: 0--- _ Expire: Phone: 949-364-0876 -
Added /New sq. ft. Garage 0
No of Stories: 2 Building Setbacks Rear: I Special Conditions:
No of Units :
Front: I
Bldg Sprinklers: Right:
.... ,.Right:
Bldg Height: 0 Left: I
Flood Zone: Use Zone: Parking Spaces: 0. Fire Hazard Zone: N
Construction Valuation: $2,500.00
Building Permit Fee: $112.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $97.44 Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection:
Overtime Plan Ck: WOO� -- ��=�.�-B^--^-dsFee� c^.00--------F-airShare : - --- -$fl 0 Ire"Plan Rev
Investigation Fee: $0.00 Grading PC Consultant : $0 00 SJH Trans : $0 0 emolitic Fee,
Record Management: $14.00 _ Grading Permit Fee: $0.00 In -lieu Housing Fee : -$0 a ding Depf kd
Energy Compliance: $0.00 Grading PC Fee $0.00 Public Works Department - ,., _.:___, General ervrre
CA Seismic Safety: $0.00 "VMlnsp. Fee: $0`.00Park Dedication : $0.00 Refund Deposit
Disabled Access : $0.00 P/W Plan Check . $0.00 Grading Bond:
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00
Plumbing %: $10.08
TOTAL FEE : $272.02 Plan Check Fee : $134.94 Fee Due at Permit Issuance
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: d�-� PLAN CHECK BY: C-S
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$137.08
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended o., le. If however the buildin or im rovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale "'
was owner of the property, ex ive!y contracting i
li n� o r to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
dy an owner of property wh buil IrRE�pves Cher an wh ntr or he projects with a licensed ContrW2&Ic "b"Contractors State License, Law)..
LJ I am exempt from licensure
By my signature below I acknov
sell a structure At I hav$built
Professions Code �s available I
Signature of Proonrry Owner or
LICENSED CONTRACTOR
, iere�y affim- underpenalty of
and effect. License Class_
IARNrNG: FAILU^E -. C 6EJURE WOR
:BST Or COMPENSATION, DAMAGES
hereby affirm under penalty of
J I have and will maintain a
erformance of the work for whi
JI havi and vJr. Sriairr ain won
isurance carrier and policy nur
the Contractors'
the following reason:
dgei for my nal re ' nce in. which I muatbave resided for at least pR� 7(��{� for to ge�pleSigt�, he "� rove.,�ents coveretl by this permit, I cannot Iegall
an ner-bull . it an i trudted In its enbrefy by licensed tractors!-tLlSdelstfRl�I�atakoDpj�JJept ®eFrolble�.lew,jSection 7 44 of the Business and
m r Lest wh i tion i itted.or 1nwiRg ebslte: ://www.leginfo.ca.gov/calaw.html. y
dh I Ed Age rit- °. � - — Z Date
DE N 7tm to whom.
`jury that 1 am icens d rider provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force
License No Date Contractor Signature I
1 D LIMPE
A iLrfJN
2S Cr S COVE OE1S UNLAW . L, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES LP TO ONE HONORED THOUSAND -0OLLARs ($1pa,0pp), IN ADDITION TO THE
S R ECTIO L%Z0S_OFT�LM OR DE, INTEREST, AND ATTORNEYSFEEs
ry ollowmm�arations:
rtific to of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tt
this JNrmitys)issued. Policy No. -
Ice asrequlred by Seat' 3700 of the abor::Code, forAhe.,performance.
j
is of Agent R vvUIf
certify that, in the pert Aran a of the work for which this
if I should become s1 ec I� tJW^*4Wrs' compen4ip
iature of Applicant j
work�for which this permit is issued. My workers'
Date
is issued, I shall not employ any person in any manner so as to become subject to
ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisja
LENDING AGENCY
hereby affirm under penal iVf equr) a ere Is
ender's Name
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and coun inances and state Is
I authorize representatives of this city or county enter the above-identifi$i
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
m formance-e the work for which this permit is issued
r'.s Address
to building construction.
`-inspection purposes.
'`"Print Prooertv Owner's or Authorized Aaent's Name
DATE BY/ REGULATIONS COMPLIANCE AL
ULATIONS PART 1O TIITLE 0AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPRUCABLE TO
FOR OFFICE USE ONLY
laws of California, and