HomeMy WebLinkAboutX2019-3393 - PermitsCit; of Newport,Beac!? - Building Division
n' =; 100 Civic Center Drive, Newport Beach, CA 92660
H ' Permit Counter Phone (949)644-3288
'. Inspection Requests Phone (949)644-3255
YE a` Combination Type - SFP MECH ELEC PLUM
COMB Permit: X2019-3393
Project No: 2347-2019
Issued Date : 11/13/2019
Inspection Area : 2
v 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: 323 ONYX AVE NB
Description: MFR ADD 80 SF & REMODEL 490 SF
Legal Desc.: BALBOA ISLAND SEC 3 BLK 18 LOT 25
Owner:
MAYBERRY JERRY/GEORGETTE
Contractor:
DOTTCROSSI INC
Address:
323 ONYX AVE
Address:
3082 RIVOLI
CA Seismic Safety:
NEWPORT BEACH CA 92662
Disabled Access:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Phone:
424-333-8408
Applicant:
GASTINEAU JAMES
Con State Lie:
1039050
Address:
216 APOLENA
Lie Expire:
0513112020
NEWPORT BEACH CA 92662
Bus Lie:
BT30067934
Phone:
424-333-8408
Lie Exp Date:
0613012020
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 80
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $53.600.00
Building Permit Fee: $1,575.00
Plan Check Fee: $1,295.17
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$26.00
Energy Compliance:
$56.00
CA Seismic Safety:
$6.97
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $3,772.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9249275
Expire: 04/18/2020
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 8'
Left: 3'
Right: 3'
larking Spec
$0.00
$294.00
$0.00
$0.00
$0.00
$0.00
$0.00
$110.25
$63.00
$149.75
Architect: INSEE -�®
OR�J
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
DONG TRUONG
10692 SILVER CIR
GARDEN GROVE CA 92843
714.204.2874 State Lic:C-075466
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
LIQUEFACTION AREA
0
M
M
M
M
Z
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,846.42 Fee Due at Permit Issuance _: $1,925.97
PUBLIC WORKS APPROVAL: vac
PLAN CHECK BY:
APPROVAL TO ISSUE: C
CD
0
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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
M
M
M
M
Z
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,846.42 Fee Due at Permit Issuance _: $1,925.97
PUBLIC WORKS APPROVAL: vac
PLAN CHECK BY:
APPROVAL TO ISSUE: C
CD
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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 applica6Ce item(a,)
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
is 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).
I, 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 thio
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
nproved for the purpose of sale).
1 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).
7 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 legall,.
ell a structure that I have 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 th usiness and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7y_[�0) of D'vision of the Business and Prof ssions C d in full force
nd effect. License Class License No Date/ / Contractor Signatur
JORKERS' COMPENSATION DECLARATION ��/
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU E HOU ND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
3rmance of the work 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' compensal
rance carrier and policy number are:
Policy Number Expiration Date
lame of Agent Phone #
]I certify that, 1n the perfor once of the work for which thi ermit 1 ed, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre
iat, if I should become Sul
u ect to th'e workers' pe n I of Se n3700 of the Labor Code, I shall forthwith comply with those provisions. /
ignature of Applicant D e_ 4/--d
61
IECLARATION REGA DING CONSTRIJ NDINI&AGENCY
hereby affirm under penalty of perj t there is a construction lending agency for the performance of the work for which this permit is issued (Section 97, Civil Code).
ender's Name Lender's Address
y my signature below, I certi o ach of the following:
I am the property owner authorized to act on the property owner's behal .
I have read this application and the information I have provided is correc
I agree to comply with all applicable city and count ordin a IS -relating to building construction.
I authorize representatives of this city or county t en th property for inspection purposes. .� r
ignature of Pro e rty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Inato /
1CTION DATE BY p"' LARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
/` EGULATIONS PART 61 OFTITLE 40 ANDAQMD RULE
ASBESTOS NOTIFICATION TO
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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