HomeMy WebLinkAboutX2019-4097 - Permits$ro�� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4097
Project No : 2826-2019
Issued Date : 1 211 912 01 9
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 1+
Job Address: 5 VENETO NB
Description: SFR 2ND FLR BATHROOM ADDITION (CONVERSION)
Legal Desc.: N TR 15078 LOT 15
Owner: MCCORMICK MEGAN
Address: 5 VENETO
NEWPORT COAST, CA 92657
Phone:
Contractor: OWNERIBLDR Architect:
Address: MCCORMICK MEGAN Address:
O/B AUTH ATT
Phone: Phone:.
State Lie:
Applicant:
MCCORMICK MEGAN
Con State Lie: O/B
Engineer:
Record Management:
Address:
5 VENETO
Lie Expire:
Address:
......
0
Disabled Access :
NEWPORT COAST CA 92657
Bus Lic:
$0.00
Building Green Fee :
Phone:
949-278-4724
Lie Exp Date:
Phone:
State Lie:
o me
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $152.00
Plan Check Fee: $132.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $359.64
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$10.64
Mechanical %:
$6.08
Plumbing %:
$13.68
Plan Check Fee:
Designer:
Address:
Phone:
Special Conditions:
0
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee :
$40.00
Fire Inspection:
Fair Share :
$0.00
Fire Plan Rev
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee :
$0.00
Building Dept Adm
Public Works Department-
General Service
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $359.64
PUBLIC WORKS APPROVAL: I - k l
PLAN CHECK BY:
APPROVAL TO ISSUE:
oaaeeo
0
c n
0 ��
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)
action 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
rfessions 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 L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3iness 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 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
jrroved for the purpose of sale).
TI, 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
)Iy 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 licensure under the Contractors' State License Law for the following reason:
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 legal[,
a structure that I have built as an own builder
if it h not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code, is available upon request when thi pp�lication is e following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent 4NLL An_ f1h` 'rte Date c, —
:ENSED COUTRAICTOR'S DECLARATION
)reby affirm under -penalty of perjury that I am licensed undbr provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
I e_ffeet. License Class License No Date Contractor Signature
DECLARATION
PR&1INa: 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 ($700,000), IN ADDITION TO T
ST $15 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hareby affirm ypViIr pghalty of perjury one of the following declarations:
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
arforrnance of jhe vlorQ for which this permit is issued. Policy No.
31 -me 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' compensal
saraaee carrier nd policy number are:
arrier• ••••-: Policy Number Expiration Date
2fit?U=Agent Phone #
...
I certify that, �a t4 erformance 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 ac
Iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
)reby 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).
Ider's 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 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.
1 authorize representatives of this city or county to /enter thej��v 7ldentified,property for inspection purposes. t4/I
nature of PrODertv Owner or Authorized AGent AI/I L-�iti V V' Y Irl Z I Print Prooertv Owner's or Authorized Acent's Name /�e1�1 v I uc'o I r 'CI L ✓V61 / C� Date
ACTION DATE BY DEUTARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY U
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED 0M
ITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED EPA
PERMITFINAL 17i/ 1 SBEST S NOTIFICATION ISNOT APPLICABLE TO
CERTIFICATEOF Zo q Imo✓ POSED�DEM,UTION� i �^ ,�'
OCCUPANCYISSUED SIGNATOR : � A' t
M
N
m o n d m o d o 3 O
m I� d o c 5 O m o
�a?tee Q... <°_O �d (=Dym
O Ol W N° iy, N O d 3 N lP nm' N� `� `3G n. N N m 3• -01
3 a
O' - O '� d- N q O. - .O. (D - N- a N a °' 6 i- O Q �, d p d "OO a
N c K y d -_ 3 c fD d 'a O
N "O O_ �- d N N O. Q M Q N F d Q O. z O C N 7 pOj`<•
m m
o�N Gov�°N 3o�y NQm ��°vm °o IO�oamm o°m'O�m°oma
K n d v ti 3 ^; �- �. N �7 Z N Q a O
Q_n� m��� K?(O� msv �� =-.� m� m'��m�� m m .�maN`D0�mo�
M °�Q N oQ •<m� Q m33 �Q DKK -Q a °- c0 -o nom m
d ID Q O" N =ri V °_ N Q d °- O W �. N d c d W `G K d -D
n Q N d Q C 3 - 0 O_ O n .K O" c 0 9i d d Vl N 3 �,° K 3
K N a d [) N W.a. fdil 'N" C' m -^ Q D Q d N C O" .
90 ��� 3K�o v�imm �v vsi'3d n9' mmmma� n ?mcaomgmn.
T 3 O N N c N C
3-a� m(OD mm 8:c3_,o °2 °� >>No3m Z 3raQvs-No�
�mm QNm y'". 'Q; moo Ny m30 dN °-�,.cN..m m O O0rm- iDO)52..M
aN C
-,. K d d N d �- a S n 6
° dD 3'N o 9 �.3 �o d 3 o m ' N dm 3 .m m m r m a QOo 3
>> N O O 0 n N y a j 0 0 3 .Q (D --, co j N N °- M O O ^' Gi (D M N N d N
N, x K-° d 3 c ^ c. ° _. O m= K O N N O d
ID =^ fD ti, a ,Ny, N N NF 3 O- O O d d N M 3 N -� C W 1C
° O C .0..O. fD Z 3 O O N 3 O c N 111 K 3 ,�_.' Q �• N
O N N -O 1 d 0 O
OO "O N .0.. N N d 0- � c O Z
(D (D ° K O N 0 X O O N K6 °" N co..o N N `z '� O -I �° y� c
3 a. N Q N K c N O S d d C —K () O D c 0 N O'
d �•0 xw-f� N- o.0 : 3 v 3 -m 3 � � m --3o m � Z m w e d� 3
fD 3 Q °" O a C (D K O °, O N _ d S N CD
M.
Q a Q ? 91 S = R1 M O ° S j N p_ W (D °' ° "O d �. O N
N (D (p (DF °- N (D d O' N N N O O a N a y < 3 0 M N Q
� � � M 3 � 3 Q� � ° d m ?gym a� ° m m sy �'22 C < m
M F, n o 0* w d c m'v C� N m o If ° n °c °
N ti` O 3?' N O N < .O 3 =O t� - O N S N `C 0 O CJ C. 3. N -c+
QO >N �'N O_NW Ned N.Q N.Q �y-G _?� �afpOj
0 Q �IDzy
.�Do S'.d n Nay ,6m �� t'im°v° o- O o.d �'n�.�
S ti, N p O Q N m O- ? N O a N d N N a. < Z ° a C.
.O.S =:C "='d C -a iD N °"O 6 �� d p °O O0� O_K N Q 2: CL
O m' �'.� '> N N `G Q �_ O (O N 'O < S- O d TI d. N O
m m m 3
�a d co 0 m m v m d° a. m `� m a Z° v o
M -Nm� Q - 3� oymmma o n Sac <° ,c
�3 �Qs� 003 v>❑ mo m= oo.vp uv° A °wo �� m
o v
W N N O" Q c Cn n ti Q N (D i. O °_"O (D l N fp �. d
T Q 3 W 3 N K O p_ m N N N O `G D Q n. N N
fD C j O N d �'p= O N .rNn N Q h 6 N N N
Q W X N C` 4i C 9'' d N N f0 N S -co N ti, Z O �p 7. O C
p 3 N o S O O d fQ RQ
3m cOL0 SD C oc�, m' ° oo �m o�.oNNm v o No m
.� d N S .M - O O 0 0 c
dK n_., 5. v� Q.0 d d x -E xo o' d a3 Co
m o N N FL m m ° a a- m n c o m M= ? m m 9'o Uf
z
0
0
C7 (�
ID y3
iPL�-
vW o
D1 ro
O —
Z
<6o Oy
C, P:l
co
w n b j�
N 3
C)co
n y
rn
9' y
W
m I a) a a) c 0 o a) T a N y a) ��• N (6 — 'yl o
Owl m� °� u! omm0 a) 'O G.�.. cr= aN
c of O O c C
oa �� a ° 2u) rn �waci 0a oY m''c3
E> m 0 3.2 0 Co n 3 a a m a)° m
U U C o N V = 0 U a N d= t IL >, m .°O N N
>,(D Tm ° o '�->�>`N�Lm�m., =''EC J E'en mG0
00 (a
Ec �0 vc�m° ao,` 'Cq = y ao�
n.m c.o y'0 w g'y'm ID o m m ° m a
�E� 0- o �mm2>.3y as4 poo w a� N �
m 0 0°> 0 E 0 c rn e m a y o
M m` O a C °. m m ° y a C> >..- rn C o w y m "° a
yUm a)m �o �3 a 0�mm0 y w'�+J` m .oG 0
cu U E >• m m O .,. y W m z a q L
yw cr da �� C wCm'_T0 Cytz �0 Z Cv
oco� °u°'i V°E ° a=i>,..'Cm..aa))ma `ae.'9c a° 'c F mQm
mom E yo a n>oco�m a�c'v°) rom O -rn� w��
n 0.y U an 'm p1 >, nE a U a) O-° i1 O-�O F ..°E TE ° c
N N) 0 w ..L. ��" 'm0 T L y O 7 C �O .` W 3 N T N V O)
Ea�c4 a� m,�y, 0 0 o c p V �� `o o v ° a a0 0 m E 3 ami
�¢Do aw c >' om coo >, acm - as d' cmo °0')
w¢ap c' >,m a) o a) (a rnN .+ y O d o rte" TO
a) a) ° E m nc n0 �. a`) yz G m o 0 E 'C m° ai
m m n m m 0Y 3 n ter_ m q i Z
p�E>.oao Eno �� �° 0 0mm
�03m m�h.J o0 E JD`o3cn meq �G xca.. oT�m
c CO v m >O`�? w 4) E 0 0 m m_ 'a a) E c` me � c o U 0 0 0 0 � C� a
O O C (n G 'U a s € O) D O a) L '—Op Y'. M a), Q% ). a a) a) = �_ � U V h
E� OU 3 m m m o° aa))m pa O F wm C� ti N 0 w nm o a m m
c O c3 y a E� a) ° r y a f p E c G
O y 0-0 ._ >, y y ` U a+'C O N'c m 0 m m O C
_a).Nmw m� 3 yo�E�m� °y €i G3c' -c o
W- mm c mm °W.=c yo.Z.o.. moi' 00. Z 303 a 00
coo a) $m a)a) p° >, mm.N3o 34)U) zm tea) w 0o0v
Eo �6Nc c>. Ta ro( �Oyy E. x,..07 0, Q >, a)m ayi ��a
c. E m 0 w mrJ N V c a aU ca_ m a) ai m 0 y +- r LL tt c❑ Z`0 Q
c O p c y n a y 0 m O C w O O) .G m 0 y
m N N U >. O' an d y .� O E •'c-. N C .w 0 'C "" O .N -0 a) +'G. m
° ..L. U Y C a ..'c. .�-. m y 3 U 3 O. 0 0 V N O— m N w O) 0 a 0 m i/i .. c a 0 0. .?.
m U in `-' `° m m m :�'.mc m a) �,:> > m c a0) E g a d 0 0 Q m ~ a ca �' ° E °) mm
E. w T _ V U O O O N G Q m 0- ¢ m O
O _-Q 0 co-mc�F c d�'Nq >, c L'n ca N m>.mc v a m.L..
mu) `mm wa ° o Co >Ea o�� rnc�.mc n m c� p UM w° o � m c Naai
p la 3 O.. �S O U V m N d G
N OJ C cp N N N N 0 E ` m >, >>.s. O L C C= O d O N O l = Z L c 3 C N L 0 co
a O y
C aa)F) C •_ (a � _ L_ m "- O 'O w ]� °- N O O O m G �)
a>S,Um E:5 -5 m me o° N E d wrno 'E 03 0 3 .0),a 0-cm.Y E o .a Q c d
c a) € a >+ - U G m c a s U m -G y J Q U U w w .h
m 0 - c m _— N m N O >` N N C ry �— m 0] O) 9 E O ¢ O > O.
�p� �-3�_0ro wao�E�>fl o°um aGc �oaa a° m miotic
tC(D ° E1 - c0).°ccomm o o30� ° os3 Xmm� o m v a�'Q)0
cmUE Oo ma) Ica 3),-U `oa°U moZq a` n. Z�s0 w�' rn a z ¢ a)
(D
m
a)
r
c
O
N
.0
c
O
C
E cu
O m
N
ow
N m
c 0 U O
y a)
> O
a 0_
N m
a) w
m T
o a`)
>
O a
m
o w
U Lny
Z n