HomeMy WebLinkAboutX2020-1705 - Permits+a==„�� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1705
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 7 0 5 Project No: 1583-2019
H Permit Counter Phone (949)644-3288
a :. Inspection Requests Phone (949)644-3255 INSPECTOR
r; ` ,,,� Combination Type - MFP ELEC MECH PLUM Issued Date : 07128/2020
c...,n
Inspection Area : 1
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712912023 OR PERMIT WILL BE INVALID
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 LU
Job Address: 916 W BALBOA BLVD NB W
Description: MFR ADDITION & REMODEL, CONVERT TO DUPLEX ADD 60 SF, ADD 548 SF GARAGE, REMODEL 3325 *CHANGE OF CONTRACTOR*
Legal Desc.: _ - _ .cz::..:z--F.� _- _ _ _
Owner:
SO CAL CAPITAL INVE:
Address:
916 W BALBOA
NEWPORT BEACH, CA
Phone:
Applicant:
DUONG ALAN
Address:
9756 EMMONS CIR
FOUNTAIN VALLEY CA
Phone:
714-376-4187
Code Edit
2016
Type of Construction
V-B
Occupancy Group:
R3/U
Added /New sp ft Bldg:
60
Added /New sq. ft. Garage: 548
No of Stories:
2
No of Units:
2
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
0.2PCT
Co` sr: DR Architect: NGUYEN DUC
Date:
AU AG Addre3sf_ 17565,HASTINGS AVE
KHOA ATT- i' ''; 'IR1/FNEl�A`�'92614
Pho Phone 714-546 9100 State L1c CO
ei ar..
StaeLi�<ty IB Eng1 eer.- '<%01"UNGTHAAiH')
I
xplLs„ x� ,a r;� Address. 9756 EMMONS CIR
� u�„ k n r� FOUNTAIN VALLEY CA 92708
Lic Exp Date: _o '"'"" �! - hone'. `v�1 t i � - State_Lic C-1
orkerSL'Cprn at IP
eDesigner:
4`agler eT D
ddress:
ItnY 1Vo sa t,� .off"hone:
Building Setbacks Rear: 0 Special Conditions: LIQUEFACTION & FLOOD;
Front: 5 DOCS & LETTER ATTACH
ice`-�'s3 Left: 3 CR & R TO HAUL
ht 3
§Rt9 k `
Patkinq Spaces:: 0 �Vjre Hazard Tone I;N `a
Construction Valuation:
$0.00
_
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Plan Check Fee: $0.00
Additional Fee :
$35.00
Overtime Plan Ck:
$0.00
- Grading,fonds_ Fee:
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
Record Management:
$0.00
Grading Permit Fee:
$0.00
Energy Compliance:
$0.00
Grading PC Fee: -
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
Building Green Fee :
$0.00
Mechanical W
$0.00
Plumbing %:
$0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
Planning Department
--
)Fire Department
Plan check Fee :
$0.00
Fire Inspection:
Fair Share :
$0.00
Fire Plan Rev
SJH Trans :
-- --_$0.00----
In-lieu Housing Fee
$0.00
Building Dept Ad
Public Works Department -
General Sece
Park Dedication :
$0.00
Refund De
PM Plan Check:
$0.00
- Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
16
$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 : $35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
cri
yz� �-
v
i- Ir
U �
cr Q
0 0
0
z
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 susiness�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).
111, as owner of the property, or my employees with wages as their sole compensation,. will do (_
Business and Professions Code: The Contractors' State License Law does not apply to an owner ) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, improvements are not Intended or offered for sate. If, however, the building or improvement is sot
of property who, through employees' or personal effort, builds or improves the property, provided that the
ir>tproved for the purposseeoofsale). d within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
f
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
apptyto 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 under the Contractors' Sttgte License Law for the following. reason:
By my signature below Iacknow'ledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements eeve ad by�this permit, I cannot legallt
sell a structure that I have built as an owner -build' if i as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 70 4 of the Business and
Professions Code, is available upon request when N thisi'application issubmi at the following Web site:http:/Mwnv.g .leeinfo.caov/calaw.html. f
Signature of Property Owner or Authorized Agent D te, 167�,Z1i�, `1�20 LICENSED CONTRACTOR'S DECLARATIOtif` y
hereby t. Li underlasspenalty of perjury that I am Ila�ns under orovistons of o e usiness and Professions od4'',- d my license is in full force
and effect. License Class __;_ -M ruse NO
D ,
1ARNING: FAILURE TO SECURE WORKE CO tIF COVERAi
:DST OF COMPENSATDN, DAMAGES AS OVID R IN SECTIDRT
hereby affirm under penalty of pe ry one oft h a following
ate rrrr.�+��ryttr'+�� {^tCC�onntractor Signature_
if H`ER'FO-CRIMINAL PENALTIESapplicable:
'AND CIVIL PINES UP TO ONE HUNDRED THOUS
EY'S FEES.
F-i sm, or ❑ 100% refund
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 Set
xmance of the work for which is permit is issued_ Policy No. L, rp
have and will maintain worker compensation insurance, as required by Section 3700 of the Labor Code, for the tt�� A' lo" "f
'ante carrier and policy numbepare: Performance o 4 e work for which this permit
to of Agent _
certify that, in the
if 1 should becon
ature of Applican'
sreby affirm under p*alt�nf peq
ider's Name \\
my signature below, I certify to e
I am the property owner or Both
I have read this application and
I agree to comply with all applic
I authorize representatives of th
AC'ION
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFIC4TE OF
OCCUPANCYISSUED
Policy Number
Date
the Work for which this permit is issued, I. shall not employ any person in any ma4erso as to become subjectto the wort
wo&rer ' P s V65 provisions of Section 3700 of the Labor Code,,i shall f with comply with those provisions.
De
1RUCTIOtf LENDING AGENCY
y that there is a construction lending agency for the performance of the work for which this permit is issuaLI (SectioF 3097
--- LendeYs Address
:h of the Dllowing; '-° v �' s
ized t on the: property owner's behalf. a �'
e "If
❑nat I ha provided is correct. t�,
le city and c im .6ndinances' btate IBws relating to building construction.
city or count to enter the ve-identified property for inspection purposes. v ,
PART 61 OF TITLE 40 AND AQMD RULE
0
APPLICABLE TO
FOR OFFICE USE ONLY
if _
($100,000), IN ADDITION TO'
of the Labor Code, for
My workers' compensa.
tws of California, and ag
f'/2U2U