HomeMy WebLinkAboutX2016-2380 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111
a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 2 3 8 0
Permit Counter Phone (949)644-3288 ..'
z2 Inspection Requests Phone (949)644-3255`y
Combination Type - MFP
I Permit: X2016-2380
No:1604-2016
: 07119/2016
Area :.y'%/
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS IPLUMIWQ1z9 RES TO BE UP ADED mp
Job Address: 919 BAYSIDE DR NB St: 1 FI: 1 Unit: C-1 ,.' �1 �`' 4a@St
Description: MFR . R/R DECK 200 SF
Legal Desc.: PM. 185-09 PAR. 1 AND IRVINE SUB POR. OF BLK.,y 4? :'%
Owner.
MESA SHOPPING MIRA
Address:
847 BAYWOOD DR #1
NEWPORT BEACH CA
Phone:
Applicant:
JONSSON JEFFREY
Address:
946 CALLE AMANECE
SAN CLEMENTE CA 9
Phone:
949-412-3955
Code Edit: 2013
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2 ,.
No of Units : 4
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $10,000.00
Building Permit Fee: $208.00
Plan Check Fee:
$180.96
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$1.30
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
PROCESSED BY:
W�J �6a� te.LJ
f Lic EwrO'
uus Lic
�felf�p Date.
orker's Co
C
Poll
y Expi_
uil Setbacks
TOTAL FEE: $432.76
INTEGRI LT9EF`uiEls Architect: JONSSON JEFFREY
898,/E ,. 18TH S')' , E Address: 946 CALLE AMANECER #C
Co§T;A SA,., 4 SAN CLEMENTE CA 92673
Phone: 949412-3955 State Lica
9752°' 3 ngineer5`�i.i
�O /31/2018 fir, x^" ddress: 1k off++
BT300536
0 r„ Phone: , l State Lie:
Ines.. "..ce ;i• e : �'�.�`vZ )
ARD INS CO A • re sta^
1 48514
05/15/2017 hon '(\0
Rear:
Front:
f9 $p3
7771
$0.00
$0.00
/ Ya Special Condition
�3
'dea6) 0
Grath Bonds Fee: $
Gradin PC Consultant: $0.00
Gradint $0 00
Grading We. 0�4''�4�
WQ Insp. ee :
Electrical %: $0.00
Mechanical ° $0.00
Plumbing %: $0.00
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
-" In -lieu Housing Fee :
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
W51? I
Fire Department
$37.60
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00 :.
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
NN
ouoo
0 00
0 °o
0
$0.0d
$6.00
o $C.90
° ALTA
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $432.76
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: S
APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION � _�
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by th a>aR7Ra�k(s) I he placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolisany structure, prior to i issuance, also requires the applicant for
fe permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State -ivf�(Chapter 9 (commencing with Se n 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption._,$,q*&noMffon of Section 7031.5 by any applicant for a permi ubjects the applicant to a civil penalty of
of more than five hundred dollars ($500). {1,
I, as owner of the property, or my employees with wages as their sole cG�rnpensation, will do U all of or U portipn! --W e�work, and h�# rlbYinlend - or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State Li nse - -'s not apply to an owner of pro y who, through a joyps' or a1 effort, builds or i roves the property, provided that the
nprovements are not intended or offered for sale. �If r e ui ilygor improvement in one year Qt7, �jY(��fAl, 1h Owner -Builder will have the bu an of proving that it was not built or
nproved for the purpose of sale). �, -� !N/`S ��t V
I, as owner of the property;am'exclusively contracti I lie ontractors to construct t%fe pTo]'ec€'j5action 7044, BI/si�f�e,s fang dons Code: The Contactors' State License Law does not
pply to an owner of property v.0o buillad''''s`` or,iir,Dprovees and ho contracts fodhe.-p fens v ith_Afte6#d Contra�rgjlirs�FF�dt to the Contractors' State License aw).
I am exempt from licensure rider gue Cof6actors' State Lloans ftialy for 1he.follriwi&1 reasp
ly my signature below I ackno dge that, except for my P.4fsdn l re�ide-J a ifs wticfrl must l;FF' a feside'Mr at least one year prior to completion of the improvements overed by this permit, I cannot legalli
ell a structure that I have built a an owner�Traldb'l;iif it hinot been)pnstf�' Cte mom( 5entir y licensed contractors. I understand that a copy of the applica Is law, Be tion 7044 of the Business and
'rofessions Code, is available up; n rea'6st wherf*is apiiTLpatiggsibJS`m'I�Ce'd 4 at the following Web s, t dttip, leginfo.ca.gov/calaw.htmi.
signature of Property Owner or A'_ honz Agent t 1 y _. D e
.ICENSED CONTRACTOR'SNEC
hereby affirm under penalty of pe ry th -licensed under pr vfg�pns* (Rhapfe�9"�onii7fep`Gmg i4i ; ect`Tff�600 f ' ' ion 3 of the Business and ssions Co , an � n is in full for
my
nd effect. License Class °°°°°°aaaeee Nrif" f :.a '"s °..;.�'"`" (gate Contractor Si
CORKERS' COMPENSATION
LC N 'ARNING: FAILURE TO SECURE WORKERS' MPE ATI C RAGE I5�lI F 1, AN HALL SUBJECT AN EMPLOYER TO CRIMINAL O HUNDRED I HO SAND DO -LARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PR DED RI C 3706 �099tABOR CODE, INTEREST, AND ATTORNEY'SF
hereby affirm under penalty of perju ne �� g declarations:
S
I have and vAl•maintain a certific of consent t self -insure for workers' c M i n, issued by Iredo �e�{t LiYjS7tmVRelations as vided r y Se 3 0 of the Labor Code, for the
Eile
ance of t�few"k for which this p rmit is _issue . Policy No. - ya 3.
� b
and v4I rpgMfain workers' co ens uranGe. by etion 3700 of the Labor Code, for the performance of t or w ch t I i u My workers' compensatiol
carrier and policy number
ne ;If Agent ' •• I "- hone
certify that, in the performance of the w for which this permit is issued, I oy any person anner ecome subject to the wo kers' compen ation law of California, and agree
r Jl should becom o the or. m nsation provis'e. a Ion 3700 of th L e, I s comply with those provisions.
ia�dreof. •li ® to Jr
`rAgAT10 EGA CONSTRUCTI N LENDIN
rebyaffirtn underpanalty of perjury that th is a c Ion le ncy for the performance of the work for which this permit is issued (Section 309 Civil Code).
darwName ' _ Lender's Address
% WW,plgnaturP.I14(M,.l certify to each of the fd 'y:
I am the prdbertgbwner 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 couh divan es and state law a Ing building construction.
I authorize representatives of this c yr cou to ent th-Identif property f inspection purposes.
Signature of Property Owner or Au ed Ag Print Property Owner's or Authodu
ACTION D E BV DECLARATION OF COMPLIAKE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQM1 RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS
TO