HomeMy WebLinkAboutX2018-2007 - PermitsCity of Newport Beach - Building bivision
,
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
er $' Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2018-2007
X 2 9 1 6 2 e 9 7 Project No : 2808-2016
Issued Date :07/0212018
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: 709 W BALBOA BLVD NB
Description: SFR mADD'L SCOPE & RPLC EXPIRED X2017-3703" RMDL KITCHEN & (2) BATHROOMS, REMOVE (2) BEARING WALLS @ THE KITCHEN Legai
EAST
Owner: Desc.: HAM ENIZEBETHT BLK 8 LOT 7 Contractor: OWNERIBLDR Architect: 1EP"CTOR
Address: 709 W BALBOA BLVD Address: HAM ELIZEBETH Address:
NEWORT BEACH CA 92663
Phone: 702-6105652 Phone: Phone: State Lic:
Applicant:
JOHNSON MIKE
Address:
1889 W COMMONWEALTH #D
FULLERTON CA 92833
Phone:
877.225-1224
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3IU
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: $367.00
Plan Check Fee: $319.29
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: $1,071.89
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic: O/B Engineer: HADJE-GHAFFARI HOSSAIN
Lic Expire: Address: 475 E YALE LOOP ....
Bus Lic: IRVINE CA 92604
Lic Exp Date: Phone: State Lic:C-065004 ....
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
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: I
Front: I
Left: I
Right: I
'Eking Spa
$0.00
$307.20
$0.00
$0.00
$0.00
$0.00
$0.00
$25.69
$14.68
$33.03
Designer:
Address:
Phone:
Special Conditions: O/B AUTH FORM ATTACHED
DELTA 1 FOR ADD'L SCOPE
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,071.89
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:"1
APPROVAL TO ISSUE:
• m
mme�oo
m o
m0000
0
00000
mmemoo
m m
o u
• o
••••
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 7031.6, 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
'rofession ode) 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
e hundred dollars ($500).
owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess 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 ownefrof 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).
I am exempt from licensure uncle 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 c vered by this permit, I cannot legal
ell a structure that I have built as an owner- Ilder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se lion 7044 of the Business and
'rofessions Code, is available upon requ when thi p i ation i sub itted o t the following Web site:http://www.leginfo.ca.gov/calaw,html.
signature of Property Owner or Authoriz A It
.2iL/L ate oZ
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury 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
nd effect. Licerfee-Class License No Date Contractor Signature
VORKERS' CC APhSATION DECLARATION
ING•FAILURIbTOOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000j, IN ADDITION TO THE
OFt COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
py%ffirm 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 IN
WgAince of th*eV&k for which this permit is issued. Policy No.
%ve 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' compensatior
Hrb a carrier and policy number are:
or- • • Policy Number Expiration Date
,,,Anent • • • • • • Phone #
XX• hat, in,t 9 performance 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 agree
t should I•ng%ubj to he workers' c mpens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of p I ant -L ��� D e
CLARATI REGARDING C01PTRUCTION LEUDING AGENCY
areby affirm under penalty o jury 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.
I authorize representatives of this city or c,�unity t�1entees the ove-i entifie ydro_pe>rtyyfoor inspection purposes. /� L� n
mature of Prooertv Owner or Authorized"Adknt Cs^ J°'!4, �W e- "'— Print Prooertv Owner's or Authorized AgeGs NH r-* 1-�'+ 4J e J'
ACTION I DATE l./ BY DBCXARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I '3 1 ZZ
A TOS NOTIFICATION IS NOTAPPLICABLE TO
�Sl ED DENJL7(IT)RN
SI �f��,
M
I
LO
rn
F CO
Z00
N
m
6.
Uo
co, U
W my
A z 0
p F at v
Z a)
WyZ>
ti — O
aAOD
Oy�L
�Am°0
W o a
0
[.a > c
►� 0
� Y
�+ c
U
0
U 5
0
O
W O c = m a
o` o. `o
a LL N O c
m
>
cmo
0 0.
.L.. w a' NQ co
V
W > Y d (DC
%
N c rn L mCL
s= =-d)
Et �e0
CA 1 a T N C
Co
a c
V U O
C C N 0)
m
C Yf c m G A 3
m E' u o
E , v
c Vc> ►o a)
30 ` > O O
a)
y N L m N
E O a 7 a) L
a a NO T O 3
m �v =E�
mm 70N
m
w
0H cy? Ec
E a_a))O� a a)
a) . to E *6
a m m o `c E
rn aL2_ a��'p � c
_o03�ma�Y
' c
a Ec>� o c m c 0
m m 0
c 0` c0),o N II a) ..>'.
O C n d y C O o
>,°Eocuyp?)ow
a) U >, a (3a cu c N C N
= C
Q 'p, a) E — co CA
2 a a m T m ?+'� U
a
mQ()m'3a
E>o, ao n
a = Oc1 T a) — a y N O .LO. a) -0 'NO y CA a)
m 'C `o `(D o`' O aa)) i.
cue�QJ .aac yrnC`�t333 Y=c dv �� w3�c�o ?m
0 caE
0 a)a Eo
O LO E o
m N.UCDyx�c Ac
O `�dCO m,
CD
raN>C C m m Uo �=E maEMn
It ao' 0 -ow U v.m 0) a)
0 E0) a) pU U C .mom E.O m C a m E �
N N _ .L. ` O, U m
a u)3mayc`o Y� om � m `—ocoo 00 m a3
C O— L O O a N Im C L 0 3 O C C O U L a1 O
yo -o aw c o m C a° 0. m a E'
� > ) a) a0 aL a „N d � d u 0 3 mTn 3 mmms c
CA C e Ue
C L O al L C D O Co a) d N CO c 0 v- _ l0 J C 0` m -Ly a)
O as C > = a) R �'Y a) Lw m a) my a come c3 e�
>+ N� m C O C O)c c N C O'> C 'a) O m CLa U
oO m O "O O N •V _ C y d N O a J C'p moca�9
) �ia�'>E a o occ N c0m(u -0E Ea)ce ae>.
v) am.— "0 0c dco a a)�m moo°) 0 w� mo°Eat
.O �m a) w a) ..L.� N m a J L Nmc
3 y a c c E v � m E 3 rn a_ am UII c Ee � D
d_ C N C N N m e :m ' m
m mEcu>,` 'gym mco m mc� TXm.�'a)n'ot u.wE
U N O 3 E +L. a), — p .0 N O m ..� @ U T O a o !m/D N O
(DEocc0oo oL a)a0: 20 Epoc mm`yE°° tea
o C )u m e c 0 "O E c N N 0 a ��p C O� C � e e .a N
a)oc.m@ oc '� -(D o-c 00a) cca aCw Upoob Q
y ,� Co_-oym� m,�E ocoi O>,c -ova= a -a °°�._E
o
-C m m c C 0 m a N C a) 'O O E m a) L E' .0 m N ,LO, m c Y
nO�N" �m 3Ea ym 00a) a�0M °ma�o a�3
C' c O, a a c - L = a m m N 3 c 0 fa a) c a) a)
a)€m`�3m ° co 0E E�:4 o.:ma) U�m@ 3a.y
(D CL0wa v� mOs �a m>o Eo>E `a)�=`o c-
'o E9u a` - mmi
c rn— E' '=N mac o`c w o mcaa) c`�Ma 'uo
a -o°a>.Lm ao vcoc V0 �o0a wL- Eic a�aT mmm
>. ac cE= c°)T 'oocN cc€
ami oaEm�c coca m—: ma 00m crn>>. 0a m w>c
oo-oo..0 � mmE E2 EcE Lo —E �m,tc E2
Zc 'C .a) a v L„ a) c a m a) a) m a)
O O m a Co
O N 0 ;O O C N O C > O m > O N T N > O u!
U m f0 a cu a— G N y _ U U O — C C a) — Co Y C U a U
c �>,m o ri rn �. �mm mcm m-Em �m
ccEc nQ�� m
O tr O m 10M,
C LLf.a m iq m .0 •N m 3 O L
e
mmoer
mm
e c
me ..
m
a c
me c
mscwcc
0
mco�c
m
m
cmccu
m
-�z v g-v— D z a m0mm OFZ v agoW poaon gr
° o o m m D n a d o m m m � ? �' o o fo t 3 d m 0 m o m
o ` 3� ,D N N O n S N 6 N O° C ZD j W CD J M ID O' 'O CD CD N 3 p n N
\_ D .Z Dl d N ° O C y= 06 `G d (D N N
iQm'°p O '�l<� ° D m C.)3 Qco D �� O m as ac a
G m n d O d _. fD O O C O f0 M y° p
C �<\ J D J K CD C �Q F N N
CD
o\ CD G O �- Ci 0 > C y 7 (D � �^, ° m O C 7 J S C p d ,< n
_ J 2 y S`< O d
�. ° N (/7 a �. C N N a O' .°. n d 0 (Q in N S '" N 0 C Q M C C N O
a mo co \.oNd.,, J a D a 0ya� �A1 � co a- m?G� @CD 'a Cc,
DJ 2;0' m D m n v d v o D ° O m o° 3 m° J a m 'm
`J\\ d J N O ,C„ O '� D) C F 3 S .' m J .0 n y y
N fD y fD �' O ° J �! ID O O 40 S .. N o N 0 < p N C O C N N
Rr N fi Q N O �. l N J N Er p d
O< ••• a;� ? �:. O N 'o O N T In• `C ,G Cry J CD
S m
CD
O d . d O Q (D O. d In
C p N d
�y 23' ��°� Z a o oivc d
e e m • J— �. y o� n C 3 y 0 y
e e ,p. 0 •••• d o �CC W -0 0 �. 1 C W y y n P, p Ul y
CD
•o •s•d J '..• •a �\ O CD O N n O C m DI S 3 fD d (D d (D a
J o _r
•Nu•� • d a_ O �.\ .. �`^y N 3 (D 1 Q W 3 .° °- ° O° O
�•�••� N • C y y CD N r CD
3 Er 2 z (,D Q a G• N "OO CD F C a J'O
..... • o' o �,.,, d J a o c '� 8 c J . .. CD O p. D�1 0 O N (D (� p O iD j .J.' OW Mo
00 Co �3\� �CQ CD 3 Coo y_'3 y°c�°c
a ,
s
C `OC O CD d W N 7 CD n 0 O O 10.1 6
G a J z O 3 J K
_0 N a n OZ 0 (D RI yy, S d0 Nw co C• y d 0 d CD
C
Q� N d N M L% (D o y < C J n N 0
y OT 0 '° N W 0-0 7 IG J Er° 3 c '< Q O
m c a, cr CDa a p a � y = a � V� O O- CD
3 f�a 3 d LCD CD CD U. 3 r C S N a •y ,< =
S d y 0 d 0 K W d �a O a O J C 00
CD a f 0*
fD F? clo ono o xmmm CD m
? 0 n ---I 0 7 coQ M 0 w d 0
:3 bi — N d CD`c m K �- fD S Oo a f N
J m o s�3 C) a°j'^
fD
m m a m 3
NO y+ 3 •-�• d�
(D —
d J _
N — d C
° d CD
_� 5'3 mo3mn
°-
�° m
y� — J d O
d
d N O' CODNn N W 01
° CD N 3 N a O IJ co n
_
N` d N CD
d Ci W �' an d
d
< _ J CD d (D `<
mC d�° m 1-
-p CD .0 fDg `G O 0r N Q
o' Ffi,v ° p- =+ C m
o
CL Q COD 00 CS ? COD Ua3
m o
Zi
Ep fp1 ao °dymJ
.0 y `< J N O O y 0
30' O d d d 0 J in
a s m. � ccn 3 m
3 0
m j W e W J
3 d W c
�, J fD C. d y. (O
0.
O y
3 O CID N N d
CDy d
�� v5 0o D2
N N
o m iD n w cD 3
d so o� �J 5.�
W N .0 "O C) N K
0. °m °o rdm
n m o Wo o
O J CDd N a J
J O. O v J y
n 21
O ° CD
(CD CDy
N O
(D N -p N CL O y d W,
N - .. 0 M
'0 0 J
N a 0 O J d 'O
p O O- J 3 y 0 00
N d `< K N `<
O a Fr-0 CD
?d
d N
J g `<3 �e d 3 0
CD m ° 3
0Er
d
0 0 m a I C N
N
rn
H a0
z co
x
U
co
IN
�
o
h+l
W m�
azr�
o�
O
m
>
A. q 'CooQm
z L
W
a x
A co
>
W oo
ID
c
U
U
o
U
0
Z
O
V
w
0
oW
UJ
Q UJ
LL. V
Wg
J M
N�
WLL
Z
3:Z
yom
F �
w J
as
W 0 fL
o-
J
as
a)a)a) (D
a
�
r
da
uf0m
o
z
oa)
L)
E
ymo`c°
c c
m
a
a
m
w
c.
'S
a
a 0O
Ea
2
"
E E
c
c
cco
o
o
v
5
�a
o
m
'a
m
rn
o
l(
om-o >`
Wm
>
O
•a
d
pr
yC
ON
�A
n
o
f
N
E
wN,
ON
a AL
a°
E
T �
w c�
•5a
f
m
o
0
m
m
o f
o
j
0))
v
ao
m a Z
u .N
(L
Ern
w N
N
Eo
dvim m
pOpO
c
1
c
0—
ym
m
'n;E
C t
of
b
E r
co
E E
vimc
m 0 m y
O;
u
L
p
Zm
m
o
m c
r:
3
t
uE
m a
-nv
> 3
ww
oy
� �
o
m
u
M0
z>•
yE
_
a
c
w wA
E o
J
y
o o
z
d
om
o
c .
��N
o N
�
CL
S
3
p
aa)
$
;
NN mp
,'-
ar,
CIS
v
m=
o
ro T m
j
C E
d�
1,
m
-00(D
Na
m
v
�d
_f'
CD
Wa`o
%d
r
'•
E
-0 Z mi
w'
`O
rn )i w� d C0
i
E
•o N
N
1/'
(om
C
N
N O a) N .G
Ccg
Z
ICO m
'Soo
m
c
a) IL
a m
5
g
c'
�Eav
°'
aUim
v
m
L'c E
E
�
0)
c U=
04
tm
m
E
€ `
N
d
d V>
z
g
w`
m
m
$
.r
o w N
€ E
Ot
d
m
d
vom
m
d
mr)at0i�
w
Fm
c
C c)
w v c
o
a
r
Y
m
3:
>>
aka a��
—
—Z
—
F o
00 N
00 N
Cl)
w
rl
c
m
m
a
m
C
v �
E rn
m a
m d U
O m cV
0.00� m
d
a3i�O xm
o E In a
w o . a)(3L)maz
i