HomeMy WebLinkAboutX2016-4340 - Permitstv/rry City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
a Inspection Requests Phone (949)644-3255
�"rrrr�rH Combination Type - MFP ELEC GRAD MECH PLUM
IIIIX2 0 IIT6III�IIII43 4 0 II
FM SPFUNKMS
P 1 rw 1 I f4W
COMB Permit: X2016-4340
Project No: 2986-2016
Issued Date :03/07/2018
Inspection Area : 1
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: 2805 W BALBOA BLVD NB
Description: NEW DUPLEX W/ATT GARAGE 2903 SF & 865 SF - - ,� •„
Legal Desc.:
Owner: GOLD
Address: 2805 E
Phone:
Applicant: MELILLO
Address: 2901 W. C
Phone: 949-375-1
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Gars
No of Stories:
No of Units :
Bldg Height:
Bldg Sprinklers:
Construction
Building Permit Fee:
Plan Check Fee: $2,!
Overtime Plan Ck:
Investigation Fee:
Record Management
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
DA BBLQLHVDC Address: WALKERTUMY
BE Lr;=r�'d�: Lit
V -B -SPR
R3
903
65
$24.00
(workd� r4bfiT31 " . $791.28
$57.00
Grading Bonds Fee: $0.00
Grading PC Consultant: $827.30
- ornding-Pefnlif-Fee:--'--$826:66'
Grading PC Fee: $181.60
WO Iran. Fee, 50.00
TOTAL FEE: $13,619.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Electrical %: $638.82
Mechanical %: $501.93
Plumbing %: $410.67
Plan Check Fee
Address:
If applici�Wq:
80%5! 00.7��'c;
Special Conditions:
PIAtre E
chACIT'F �tarted) $0.00 FlFire
Fair Share : $0.00 Fire F
SJH Trans : $0.00 Demc
--irt-lieWionsing-Fee-:--0-00 -Bui
Public Works Qepartmept ; Iei
Par_ k DPdSatPd�Sp. 1$DIQOa Is:Ret
P/W Plan Check: $304.00 Grad
San Dist: 12,0.00
NMUSD Fee: $759.92
REDONDO BEA
,�p
to VVho E1, hone:
310-849-2044
Designer:
MELILLO DAN
Address:
2901 W. COAST
Band:
NEWPORT BEA
Phone:
949-375.8310
Special Conditions:
PIAtre E
chACIT'F �tarted) $0.00 FlFire
Fair Share : $0.00 Fire F
SJH Trans : $0.00 Demc
--irt-lieWionsing-Fee-:--0-00 -Bui
Public Works Qepartmept ; Iei
Par_ k DPdSatPd�Sp. 1$DIQOa Is:Ret
P/W Plan Check: $304.00 Grad
San Dist: 12,0.00
NMUSD Fee: $759.92
ATTACHED
$0.00
$0.00
in Fee
I Dept Adm
$0.00
--''•x' � o
emmeee
Deposit
$0.00
Band:
ee
State Lic: • e e
CA 90277
e°e�,+.a.SVmeem
State Lic:C-054914
• m^"
' o
®•••me
tY
omm•o
CA 92663
ATTACHED
$0.00
$0.00
in Fee
I Dept Adm
$0.00
1 Service
$0.00
Deposit
$0.00
Band:
$0.00
$0.00
$0.00
$3,574.40 Fee Due at Permit Issuance : $10,045.12
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: .e. e
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Con(p ' t �(p e, fszr t Mrs s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
f�ft r e, demolish, or repair any structure, prior to its issuance, also requires thB applicant for
Business Professions Code: Any city or county thatg i
I
(Section 7031.5, and r4 �a`t,�'aIf
the to file a signed statement that he or she is licensed pursuant to The provisions oft L O L ense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and '
permit
Professions Code) or that he or she is exempt from licensure and the basis for thiolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
'1
not more than five hundred dollars ($500). a ss1.
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
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 it was not built or
im ed for the purpose of sale). •�.
.... (Section 7044, Business and Professions Code: The Contractors' State I:icense Law does not
to construct the
as owner of eproperty, am exclusively (cense ontractors project
app y to.an owner oiproperty.who builds or imp ves thereon, and who contracts for the projects with a licensed Contractor pursuant to thegl�Jr�c�to�tate License Law). f'
Ll dF°I•� f
0 *1 aneexemplifrom litensure under the Cont ctorsDgd�i�ense Law for the
y g
By myeignature 6e18w I acknowledge that, exc t for my ersona residence in which I must have resided for at least one year prior pm lejign of th�j�'�g(q�(¢�ppts ccQ�g( is permit, I cannot le all
y
ell'�,StlUcture that I have built as an owner-bui er if it snot been constructed in i entire by f nse tra rstand of jfGilf eplilicl3bl�da443 �Set3814 5f the Business and
Professions Coda, IS, available upon request wh n thl is su at follo b ! . e in ca.gov/calaw.html. D �1 �„•�
' '( X
Signature of Prope4Owner or Authorized Age
CICENSED CONTRACTOR'S DECLARA - t0 W OITI:
3 the Business and Professions Code, and 4 license is in full force
er 9 io o n of
lelVdItly affirm *talar penalty of perjury that I a can ovisio en wi ctIVISIO
araA�ct. License Class se No Date Contractor Signature F:
1Q/q KERS' CQMPENSATION DEC LARA ION
VLARNING!FAILURE?fC&P&tj)RE WORKERS' COMPENSATI N CO RAGE IS AW'EANZDkSIAJE AN I I '' L S A CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$;0,000), IN ADDITION TO THE
GQBW 06 COMPENSATION, DAMAGES AS PROVIDED FOR I SECT N 3]06 O ELAYI
iiabiraffirm Undarpenalty of perjury one of th follo ing decl tion
. .
I have and will maintain a certificate of co ant - for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 o the Labor Code, for th
performance of the work for which this permit is i sued. Policy No. - -
I have and will maintain workers' compensat In insurance, as required by Section 370 of the Labor Code, fo tt+e-ppFrfo cee o he wor��c f uy��h t ' 1rlp� i& ' sued. M workers' compensatiD
insurance carrier and policy number are: p !'Ii) ` *q �9 E�1 6rsis n
''I
Carrier olicy u e pl to as .I
III e
Name of Agent
nr G
I certify that, in the perr rmance of the work fc which this permit i �ssvB , I Sh em loy any person in any manner so as to become subject to the workers' co nsation law of California, and ogre
that, if I should become bliect the rkoors' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
^g'
Signatureof Api an a —
DECLARATION RE ARD( G NST CTION G A
t�i f�Nil6ode}---
I hereby affirm and penalty of perjury that there a construction lending agency for the performance of the work for which thislast
Lender's Name ^ s
By my signature below, I certify to each of the foil win
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 vided is correct.
I agree to comply with all applicable city and county finances and state laws relating to building construction.
I authorize representatives of this city or county t e above -i ntifi property for inspection purposes. I�/�
' Date
Si nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Na r 1 W
ACTION
DATE
BY
DECLARATION OF -COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLEDEPA
PERMITEXTENDED
QMD
PERMITFINAL
ASBESTOSNOTIFICATION I. NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED N
OCCUPANCY ISSUED
SIGNATURE• .ii