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HomeMy WebLinkAboutM2010-0029Worksheet for Building Combo Permit Application City of Newport Beach - Building Department Please print 3 copies uilding F7 Grading j"Drainage r Elec j" Mech rr �AM13 1. Project Address (Not mailing address) b® Tenant Name(if Applicable) ,, .. 2. Description of Work ..................... .........:.............. Exist House SF Exist Gar SF (— ANew F! Ad 14 I Demo House SF Add/Reconstruct House SF ............ ............... ................... ...: Demo Garage SFF77 Add/Reconstruct Garage SF ................................................. TOTAL HOUSE SF Alter ("';Demo � ............... ...... ........:........... 1 TOTAL GARAGE SF unecK Appropriate box for Applicant uite No UseY&4* r OCIE' Valuation $3Ar7 #Stories F7 Cu Yd Cut F77 Cu Yd Fill F7 [M" 3. Owner's Name Last First Owner's Address ........................................................: Owner's E-mail Address ................................ ............ ... ...........................................G8�/.°S................................................................................................. .............: City v i State ��" Zip .................................................... .... �— Telephone........^............/. ....................... _................. F 4. Architect/Designer's Name Last First Lic. No. ....................................................................................................... Architect/Designer's Address ..............................................................:. Arch itect/Designer's E-mail Address .... City .... .............................. State Zip Telephone F777 ........ .......... 5. Engineer's Name Last First Lic. No. .................................................. l v."v......1,............©J' Engineer's Address Engineer's E-mail Address ... ._....... _. _?s ... _.............................�...._................_ l v City ....................................................... State Zip . Telephone K� .13 7 .I.f5......�..........._.............................. r! 6. Contractor's Name Lasts First Lic No. f ` 4ass ............... ..................... : ........................................... rt7� I :��7/ Contractor's Address Jai A Contractor's E-mail Address City ....................... .... ..... ...... ............ __........ .:.........: State Zip 77T .......................................... ...........: ....... .................. - Telephone OFFICE USE ONLY ENERGY P/C FEE $ GRADING P/C FEE $ Rev 1/18/07 ELEC/MECH/PLUM P/C PERMIT NO. f PLAN CHECK NO. PLAN CHECK FEE $ n� `ZF-TC o�ERN P l7 k'Ir* ,i-rMRP www Ear, HMT JETTY itEFST JETTY A G(_W 'F -K l5` tive, &-kouni 10 PFPF I LE 1' 40 SOUNDINGSARE EXPRESSED IN FEET A DENOTE ELEVATIONS BASED ON MERN LOWER LOW WRTER. RPPLICRNT'S NRME C a/�-SSe el s� ae PLAW v I Ew 1' = 40 LH Y OF NLWPURT HEEL H 'I TY OF NEWPORT BEACH — �/ w /!l j UF'ER A i — PF3rPORT O" Jnr r. `1 ��IFIC oz FT Fir?1TWN i0- a mmm or, cuifa m `� ISIA1� BRY EIf�.BOfi�' � PIERNOT JETTY r�O s fill vv J�7x QST/NU GP Urki 10 PROFILE 1' = 40' EFW JETTY SO INGS'RRE EXPRESSED IN FEET AND DENOTE ELEVRTIONS BASED ON MEAN LOWER LOW WRTER. 1201 3 / T, .. .E— .2�,y No �c do cIG cq"cd c a "5 wckY E?<fsTiva 7b p-om/� �gj _ PLAN V I ESV i' = 40' APPLICANT'S NAME OA 1 !JOD ADDRESS 2e-/ �j�,¢ ��� DATE CITY OF NEWPORT BEACH HARBOR PERMIT MMISSION IS HEREBY GRANTED TO CONSTRUCT AND MAINTAIN THE FACILITY SHOWN ON THE REVERSE HEREOF, AT THE SITE INDICATED. SUBJECT To PROVISIONSAND THE HARBOR PERMIT POLICIES OF NEWPORT ANY SPECIAL- CONDMONS LISTED HEREON. THIS PERMIT IS NOT TRANSFERABLE WITHOUTTHE WRITTEN CONSENT OF THE CITY N*RBOR COORDINATOR CITY COUNCIL THE pIGHTS G VEN UNDER THIS A E PERM NLY AND THIS PERMIT BE R..7 ED ETRE 1 CODE. ACCORDANCE C BOR COORDINATOR PERMR O. / DATE /rx% CITY OF NEWPnRT BEACH FIRE MARINE DEPARTMENT HARBOR PERa_ _ f APPLICATION (Please print all infor, ion) CA N 1-_C 15-asssif 1. Applicant (Property Owner) Address Telephone #a y J54 L 60A ro vrS /0// - -2 y 2. Project Address (Street Address) Harbor Permit Number 3. New Construction 4. Fee 3 5�/ 5. Brief Description of Proposed Revision Maintenance _ L1_X Dredging Check No. , / 5-1 Date flcrnok,le CUO ✓ 'Placf :/oqf-,Ks Fx 15 i »G P/L E `fid /ZEi1441fV 6. Submit 8 1/2" x 11" Drawings (3), Include: 1). Location and dimension of proposed structure including piles and location of existing structures. on adjacent properties. 2). Location of bulkhead, pierhead and project lines. 3). Location of property lines. 4). Location of channel markers within 200 feet. 5). Lot sizes and lot numbers, if available. 6). Existing ground profile beneath proposed structure. 7). Elevation of top and bottom of bulkheads and piles with respect to M.L.L.W. 8). Area and profile of any proposed dredging with elevations showing depths with respect of M.L.L.W. 9). Any special conditions affecting the construction or affecting boating operations. 10).Complete all information required in information block, bottom of sheet. Note that the OWNER. of the property is the applicant. 11). Drawing size shall be 8 -1/2" x 11". 12).Scale shall be adequate to clearly show the above information. 13).Existing structures shall be shown in light dashes. New work shall be shown in heavy solid lines. 7. Owner -Builder Declaration must be com et d (on rev se side of this sheet) c 8. Applicant's/Agent's Signature: Date:--3—/S- Joint ate:-3^/S-Joint Permittee Signature (If appli le): Date: 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior to the notice you will be in violation of the Newport Beach Municipal Code and subject to penalties. 10. Your permit will not be final until we have conducted an on site inspection once construction is completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection. OFFICE USE ONLY Approval in Concept. Approval of the City of Newport Beach Council. Approval of the Army Corps of Engineers Approval of the California Coastal Commission. Approval of the City's Public Works Department. ✓ Approval of the City's Building Department. fP1�/ Approval of County of Orange. Electrical and/or plumbing permit (Building Department) ssued. (Permit is stamped drawing) Site Inspection. (call 644-3043 for appointment) Site Re -Inspection Conditions: Date Date Date Date Date Date Date Date Date Date ��- Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and professions Code). Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such 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 he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects who builds or improves thereon, and who contracts for such projects with a Contractor(s) License pursuant to the Contractor's License Law). I am exempt under Sec. of Business and Professional Code for this reason: Owner's Signature: Contractor: Address: SD t� 5-Fr/e C Date: Telephone: License class: 1 State Board No. 5'0 a d p -S City License N License Contractor's Declaration I hereby affirm that I am 7000) of Division 3 of the effect. under provisions of Chapter 9 (commencing with Section and Professions Code, and my license is in full force and Contractor's Signature , Date: saazra u n�T ,�U nliPG A S 1645 Monrovia Avenue X Costa Mesa, CA 92627 (714) 645-2842 1 Telex 678308 TH OMPSON CSMA 1 Flange width 3' on all 4 sides B FIGURE 2- FLOATATION UNIT DIMENSIONS Patent No. 0 270 329 Dimensions (in) Wei ht (lbs) Buoyancy (lbs) wit plywood in Belt water Model A B C top cover per inch total 1117 63 36i 16 96 68.95 1,103.2 '. �. ins 08 33 ! `_•0 103 68.95 1,379.0 I115 S'8 63 _3_6_3' 1� 901 58.9_5 973.9 1129 5' E'? 48 104 84.06----^ _ 1:187.6 1130 (, 72 10 I 1! 12r ? 02.74 1, 451.2 1131 x'964c� ii ?dl 140.0i 1,978.8 1200 � 72_ 48 ^— 128-----^ 102 , 79 1,6577 1231 96 48_ 16 167_ 110. 0-1, 2,259.0 r 1130 7 2 ---- �' 8 2 3._^ 115 ---._..._ _10 2.7 1----_-=2 , 3 7 6 . ° 1431 96 48 2.5 198 140.04 3,519.8 Patent No. 0 270 329 A h CONSULTING STRUCTURAL ENGINEER. 2222 NEWPORT BLVD. NEWPORT BEACH, CALIF. 92663 (714)675-6110 xwl�5 # �-Jos SHT-2,afz DES .12,v12 DATE Alm 7 40 '5 A + 12-781" , (2 X,11,y 18 63(o S -c = 3000 o -'vs (3000):: la50**1""- loco I/ 157 000 T3000 3,/2-2 9, 10 3' RZ. I/- L 7V 161117- Or 1471)1117-Y r z .� .� �8/410 U 2 to � >1�� 1'76 -7 !'2- �Jfr I np '08 S (I - J6' i /07 -7 -722. 20' srt.�z Goy Q�p F E 7,8114- 2.905= A�, .4j. 7/' '2 -Obs S3812 m /vim rn L-27e'EXP. 03/31 1 ! cjr_ 3.217 OF A, 7)] V) 04�') IeYJ AID CITY OF NEWPORT BEACH FIRE MARINE DEPAP—MENT HARBOR PE!kiviIT APPLICATION (Please print all information) z arrsfinell Basset' Zy Ba16oa Cevcs Alewpw-tcacAl2b(.3 651LL3/ 1. Applicant (Property Owner) Address Telephone K 04 /D oa. c, o vIC 5 Address (Street Address) 3. New Construction Revision V Maintenance 4. Fee OB1.So I/ Check No. !' 5. Brief Description of Proposed Work: O_V � /06/— Harbor Permit Number Dredging Date 04 7zr.;- /i48•S� 6. Submit 81/2" x 11" Drawings (3), Include: 1). Location and dimension of proposed structure including piles and location of existing structures. on adjacent properties. 2). Location of bulkhead, pierhead and project lines. 3). Location of property lines. 4). Location of channel markers within 200 feet. 5). Lot sizes and lot numbers, if available. 6). Existing ground profile beneath proposed structure. 7). Elevation of top and bottom of bulkheads and piles with respect to M.L.L.W. 8). Area and profile of any proposed dredging with elevations showing depths with respect of M.L.L.W. 9). Any special conditions affecting the construction or affecting boating operations. 10).Complete all information required in information block, bottom of sheet. Note that the OWNER. of the property is the applicant. 11). Drawing size shall be 8 -1/2" x 11". 12).Scale shall be adequate to clearly show the above information. 13).Existing structures shall be shown -in light dashes. New work shall be shown in heavy solid lines. 7. Owner -Builder Declaration must be completed (on reverse side of this sheet) 8. Applicant's/Agent's Signature:2Z4Date: Mot5e 7, /99f Joint Permittee, Signature (If applicable): Date: 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior .to the notice you will be in violation of the Newport Beach Municipal Code and subject to penalties. 10. Your permit will not be final until we have conducted an on site inspection once construction is completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection. OFFICE USE ONLY i� Approval in Concept. Date -5 y 9� Approval of the City of Newport Beach Council. Date Approval of the Army Corps of Engineers Date d Approval of the California Coastal Commission. Date �!G Approval of the City's Public Works Department. Date Approval of the City's Building Department. Date Approval of County of Orange. Date Electrical and/or plumbing permit (Building Department) Date VIssued. (Permit is stamped drawing) Date Site Inspection. (call 644-3043 for appointment) Date Site Re -Inspection Date Conditions: t-1 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and professions Code). Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not more than five hundred dollars ($500). I, as owner of the property, or. my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such 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 he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects who builds or improves thereon, and who contracts for such .projects . with a Contractor(s) License pursuant to the Contractor's License Law). . I am exempt under Sec. of Business and Professional Code for this reason: Owner's Signature: q/4Date: r' iav Contractor: Telephone: Address: License class: State Board No. License Contractor's Declaration City License No. I hereby affirm 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 and effect. Contractor's Signature Date: CITY OF NEWPORT BERCH . Clic W �'' EX BLKPHTD norT ■ +8.08 TOP +9.28 TOP II PROPpSE0 r II DIST. BLK HD. I� VARIES \ \ II 7' TO 11' 11+4.48 EXIST. SAND � 6 ` �L EXIST. I +2.38 EXIST. SAND SURFNACE CjFrC..... .) , BOTTOM �. IJSINITY PR*ILE Is aer. aeaiaaM tT1r INOS W O KIM IN BEET FW DOM IONS WE ON M LOMFJd LOW MgiER. d Oh 24 TRACT 9019 BAL BOA COVES NEWPORT BlEAC H O CLQ � .o-,7• APRIL, 1998 L0T 2 STORY HOUSE M r EXIST. ,4�N r r r r BRICK ,, . BUL HEAD �j �1G r r r r ri r! r r j i 0 II 1 STAY s ." HOUSE 2 STORY HOUSE r r r r r r r r c r r r r r r r �� = S '27'00'E �T � r r r rr N r r r r 13.12' ONC P BULKHEAD l—IIc rr rrr rim rr rrr 42 EXIST. CONCRETE BUL H r r NAVIGATIONAL `EASEMENT LIN r r p, K74.43'50'r 120.62' �.- r DOCK r- r K!•27'09 i- r 4 PROPERTY LINE M73-34'21'V 221.64' (TYP.I (NORTH .LINE) LINE OF MEAN HIGH TIDE. ORANGE COUNTY CENTERLINE OF CHANNEL+ = SUPREME COURT CASE No- OFFICIALERECORDSIN.BOOK 201, PLM VI ON 1' = 40' mlow"s WE JOB 1BITE PERMIT ADDRESS OF FACILITY: .. 1 BUYERS' NAME(S) FEE - CHECK NO. DATE ,�. �! , -- r FL _ .,. TggL PHONE NO. I MALI A DRESS S+ _ pC�R PERMIT TO-TRANS EREBY.MADE -- APPLICATION IS "H ._ DATE- ..APPROVED BY: `` NAMf(S) ❑ BUYERS' S E8S NAME SlS TO BE TYPED) NAME OCHD (ABOVE EAG s' _ SIGNATURE OF BUYER', NATUREOF SELR COUNCIL C f 5IGRATURE OF HUYER ' FI ;PUBLIC WORKS SIGNATURE OF SELLER DEPT .. 6- ESCROW - : rR S[GNATURE 4F )ip1Nt ON (HAT E) i1NSPECTIdiN pAPpLf"AirION APPROVED WITH TITLE • - I- - CITY N _ GIL- IN ACCORDANCE BY THECITY �OUPI _ - T EIS PERMIT IS REVOGABL"E i ►Al: CONDITIONS: SPEC UNICIPAL COD OF THEM - .. -- .. .. - I W% FORM 00-1015 REV. i BEACH. CALIF NEWPORT y GITY OE 1 i f QSEW POST ° `\ '' f ` CITY OF NEWPORT BEACH • P.O. BOX 1768, NEWPORT BEACH, CA 92658-8915 �P qt/PORN May 8, 1997 Newport Center Escrow 2430 West Coast Highway Newport Beach, Ca. 92663 RE: Harbor Permit# 1011-0024-1, for #24 Balboa Coves, Newport Beach, Sirs: Regarding a pier permit transfer for the above mentioned property, the structure was inspected on May 7, 1997, at which time it was determined that it conforms to City standards. Once we have the Transfer Application card, with both the buyer and seller signatures, and the remaining $163 for the transfer fee, the permit will be transferred. Sincerely Wes d Harbor Inspector 3300 Newport Boulevard, Newport Beach & 5�-- %lb 5� ;Or -4 / IV5r-' Tse 90-8078/3211 1446 JOHN W. KOMER 24 BALBOA COVES L - 19 C1 7 NEWPORT BEACH, CA 92663 -IL, / 7 DOLLARS ® HOME SAVINGS OF AMERICA' w GREENBRAE OFFICE M 187 407 SIR FRANCIS DRAKE BLVD.. GREENBRAE. CA 94904 ® FbR HECK V A ON CALL,(900) 555 -HOME MEMO i:3 2 L L80780i:0 L8 L9035 294ll OAC3 o �w Anwk� w elf FOFZ�� November 10, 1981 CITY OF NEWPORT BEACH Occupant 24 Balboa Coves Newport Beach, CA 92663 Sirs: Our records show that John Komer is the owner of the pier at 24 Balboa Coves. Nevertheless, the statement for his annual pier permit has been returned to us and we are unable to locate the owner. Please inform us as soon as possible if there has been a change in ownership of the property. I am enclosing the Statement for the annual pier permit and ask that it be paid immediately. Yours truly, Tony ME' um, Tidelands Administrator TM: db ('it.- IIall - 3300 Newport Boulevard, Newport Beach, California 92663 STATUS SHEET HARBOR PERMITS TRANSFER Location a.¢ 'ejL 6, - Date Application Received Oral Request for Inspection Escrow Co. Permit #/0//- a �L-.- GC Fee Rec'd+ - Date 49 ^ °"% Date Inspection Made Date Deficiency Letter Sent (if applicable) Date Deficiency Corrected (if applicable) Date Orange County Notified (if applicable) Date Transfer Completed ^ C-" �Sr.✓ �jl' w'!.: +RyF�8 i �::E..,�''1 d. -;P °pL:. '�(O 1§08 1... C-.. CITY OF NEWPORT BEACH NEST _ 11�PER BRY kt, �F3�oRT f `�\ C W Y W I - `\BRY pACI FI C 4C PIER (\�, EAN\ mT vir;;TY MAP imy \ PROFILE I 1' = 40' WFW h'o argom JETTY SOUNDINGS FRE EXPRESSED IN FEET RNO DENOTE ELEVATIONS BRSED ON MEAN LOWER LOW WRTER. PLAN VIEW 1' = 40' APPLICRNT'S NRME S JOB ADDRESS ZG/ 1jft& y eelvs-4- I DRTE Y'i3�-g 7