HomeMy WebLinkAboutX2019-2203 - PermitsCity of Newport Beach - Building Division
` .r. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination�TSp ."��
Job Address: 916 W BALBOA B
Description: MFRADDITION&
Legal Desc.:
Owner: WILSON LEROY
Address: 5205 PROSPECT
SAN JOSE CA 95
Phone
Applicant: DUONG ALAN
Address: 9756 EMMONS CIR
FOUNTAIN VALLEY
Phone: 714-376-4187
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R3IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Construction
COMB Permit: X2019-2203
Project No : 1583-2019
Inspection Area
L!Q Lt; - ANCE OR LAST VALID INSPECTION.
rttrn ivnar
Monday - Friday 7:00 a.m. to 6:30 p.m. and Satu19r_iram 8:00 a. to -t. �.�1r LJrVv idSY �
DUPLEX ADD 60 SF, ADD 548 SF GARAGE, 3325 ' ^ 1 f'1
as to whom: t `!
Contractor. WESTCLIFF CONSTRUCTION LLC Architect: NGUYEN DUC
Address. 16159 CARIBOU ST Address: 17565 HASTINGS AVE
':� IRVINE CA 92614
Phon -16RCEM1010'
hone: 714-546-9100 State Lic:C(
5360Engineer: VO TUNG THANH
flc xpire: 05131/2021 Address: 9756 EMMONS CIR
Bus Lic: BT30070699 FOUNTAIN VALLEY CA 92708
Lic Exp Date: 01131/2021 Phone: State Lic:C-
�{ji�-�a�-/ygkfFo(�iGiycnrcNniro.:'inSalplan
CON r k tamed)
60 a9 (w€i*startsd) (no ai r s Y2d�_
548 W-,. 7n 6 014C--M- Z3'cr1oev-
;Fi'.k Building Setbacks Rear: 0 (2Y4t4QC Special Conditions: LIQUEFACTION
Note. Front: 5
IV:
i e - CR & R TO HAt�
?x Right: 3 t�,�
Building Permit Fee: $2,948.00
Plan Check Fee: $2,550.68
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$38.00
Energy Compliance:
$224.70
CA Seismic Safety:
$41.73
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$13.00
TOTAL FEE: $10,445.71
PROCESSED BY:
ZONING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee : $200.00
Grading Bonds Fee:
$0.00
Fair Share : $1,923.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
PAN Plan Check: $165.00
Electrical %:
$206.36
San Dist: $967.00
Mechanical %:
$117.92
NMUSD Fee: $0.00
Plumbing %:
$266.32
Fire Department
M
Fire Inspection:
$0 00
Fire Plan Rev
$0.09
Demolition Fee
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
5564.bb
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $1,358.41 Fee Due at Permit Issuance : $9,087.30
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: ( I)
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 7031.5, 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code:,T,lti 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 )r offe'llre 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
improved for the purpose of sae).
y
❑ I, as owner of the property fkam ejj i 1:1 1 contracting w' c sed o a s to ccoonstr t the prolec rs 9d g s and Professions Code The Contractors' State License Law does not
apply to an owner of property fho builds or imp nd� c6 ract or tt ojects with a licensed Contractor pursuan to P'h'sn se Law).
LJ I am exempt from licensurb ur
By my signature below I ackn Is
sell a structure that I have'bu as
Professions Code, is availabl up(
Signature of Property Owner Pr At
LICENSED CONTRACT 'S
I hereby affirm under penalty'of pe
and effect. License Class
IARNING: FAILURE TO SE
DST OF COMPENSATION,
hereby affirm under f
Lhave and w'!I m,.
rmance of me we
41 nddc and wiG mat
)surance carrier i^ci I
ie of Agent
c^rtrfy that, in the p
if I shou d i,ecorne
16 of , cant
State Ulcense Law
for
licensed under provisions of
of perjury one of the following
in which I must have resided for at
CODE,
copy of the
3 of the Busioss and Pro
LQ__Qontr§dt4r Signature
PENALTIES AND CIVIL FINES UP TO ONE
of consent to self -insure for workers' compensation, issued by -the Director of Industrial Relations as provided fo by
Tissued. Policy No.
�ection 3700 of. the Labor Code for the performance of the work for which
fir � �.x,iltigg Date
_._
work for which this permit is Issued, I shall not employ any person is any;
,Lnr�ensation provisions of Section 3700 of the Labor Code, I shall
me subject to the
those provisions.
)CCL:;^XrTtON MEGAFn
G CiT5TRt1E-T16ALLENDING AGENCY '---
hereby affirm s der'pf 0eattLTerfl is a construe Ion agencyjor the performance of the work for which this pe�mTs'tssp9rction
ender'p Name;;;:,,. _ Lender's Address -
Iv Iv my signature bclov, I certify to each of the following: -�
I am the prope.y owner or authorized to act on the property owner's behalf. '
7044 of the Business and
my license is in full force
DOLLARS ($10%000), IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
laws of California, and
I have read this application and the information I have provided Is correct.
1 agree to comply with all ap ' ble city and county ordinances and state laws relating to building construction.
I authorize representa:i t or county to enter the above -identified property for inspection purposes.
Signature of Propert Own r or Autho' d Agent Print Property Owner's or Au n Agent's Name
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
PERMITCANCELLED UEPA
PERMIT EXTENDED QMD
PERMIT FINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO.
CERTIFICATEOF PROPOSED EMN
OCCUPANCY ISSUED E: I �..C.e/) /K,