The URL can be used to link to this page

Home My WebLink AboutX2019-1603 - Permits.wpotA City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1603 x 2 0 1 9 1 6 0 3 Project No : 1133-2019 Issued Date : 0512912019 Inspection Area : 8 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: 410 VISTA GRANDE NB a 4 ,rm - - Description: MFR ADD (08 SF) 8: REMODEL (228 SF), REPLACE 2 DOOR & 4 WINDOWS u + r Legal Desc.: TR 6230 (L.L.84-214033) PAR 5 3 _ z.a 3 4u; Owner STAMFORD BRIDGE iuvs i I c Contractor' JARAMILLO WILLIAM A hit t' BAILEY DAVID $ "- Address: 2000 VISTA CAJON NEWPORT BEACH, CA 92660 Phone: Applicant: BAILEY DAVID Address: 23183 LA CADENA DR #101 LAGUNA HILLS CA 92653 Phone: 949-573-1050 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 88 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 4 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $50,000.00 Building Permit Fee: $1,364.00 Plan Check Fee: $1,102.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $44.00 Energy Compliance: $56.00 CA Seismic Safety : $6.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $3,037.45 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: rc ec . Address: 1192 MITCHELL AVENUE #20 Address: 23183 LA CADENA DR #101 TUSTIN CA 92780 LAGUNA HILLS CA 92653 Phone: 714.381-02B8 Phone: 949-573-1050 State Lic:CO27404 Con State Lie: 902100 Engineer: XIAO QIANG Lie Expire: 0813112019 Address: 1520 BROOKHOLLOW DR#45 Bus Lie: BT30067495 SANTA ANA CA 92705 Lie Exp Date: 05/31/2020 Phone: 714-662-0510 State Lic:S-005289 Worker's Compensation Insurance Designer: Carder: NO EMPLOYEES Address: Policy No: Expire: Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / larkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $94.78 $54.16 $121.86 Plan Check Fee Special Conditions: NO SETBACKS Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $160.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,360.15 Fee Due at Permit Issuance : $1,677.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 5_� 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 ie 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). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 1 am exempt from licensure 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 legally ell a structure :hat I hsve 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:hftp://w .leginfo.ca.gov/calaw.htmi. Iig,lala.e of Property Owner or Authorized Agent Date .� ACENSED CONTFACTOR'S DECLARATION hEreby affirm undar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 otDr{vislon 3 of the Business and Profes Ions Code, and my license is in full force nd eftect. Licerse Class License No Dat L� V—i C Contractor Signature VCRK2RS' COfAPENSATION DECLARATION IARNING: FAILURE-C SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE III NO D THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE GS i Jr COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t a.eby affirm under penalty of perjury one of the following declarations: ' ha': a and w'11 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 worts for which this permit is issued. Policy No. 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' rance carrier nrd policy number are: Policy Number Date �e of Agent rnone s .certify that, in the perfotana of the v k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke compensation laws of California, and agre TI should become sut r r 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant /97,teCIVIl CLARATION REGA ING CONSTRUCTION LENDING AGENCY ireby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 Code). lders 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 owners behalf. �p I have read this application and the information 1 have provided is correct. L� I agree to comply with all applicable city and count d'q ces And state laws relating to building construction. \ V'� I authorize representatives of this city or county t nt t e -identified property for inspection purposes. l� 1( nature of Prnnerty Owner or Authorized Anent Print Property Owner's or Authorized Agent's Nam Jk V ACTION DATE I BY DECLARATION OF I/ I REGULATIONS PA PAMPLIANCE WITH RT OF TITLE 40 ANDODE OF AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED A LIAQMD PERMITFINAL vo/ZCl/ ja r3*l .F.o.(4 SBESTOS N IFIL ION P\LICAeLE TO CERTIFICATEOF Ca ;vtf PRO ED DE LITI)/ OCCUPANCYISSUED SIGNATURE: �J�� c ro Q b n m a�