HomeMy WebLinkAboutX2019-2701 - Permitsrl•r,� City of Newport Beach - Building Division
o� 100 Civic Center Drive, Newport Beach, CA 92660
(+ Permit Counter Phone (949)644-3288
cr Inspection Requests Phone (949)644-3255
r cIr„ux`* Combination Type - MFP
COMB Permit: X2019-2701
x z 6 i s z 7 0 t Project','gN,\�o : 2706-2017
�. pII I St
i F r�010 S Tnnspeotion Area : 7
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
Job Address: 3303 VIA LIDO NB St: 1 FI: 1 Unit: 11
Description: MFR *ADD'L SCOPE* MODIFY STUD WALL FRAMING TO ADD A FULL HEIGHT GLASS OPENING *DELTA 7*
Legal Desc.: LOT 1 OF TRACT NO 17665 -
Owner:
LS-LIDO, LLC
Address:
7525 IRVINE CENTER DR,
IRVINE CA 92618
Phone:
949-345-8080
Applicant:
VO THUAN
Address:
76251RVINE CENTER D
ANAHEIM CA 92618
Phone:
Code Edit : 2016
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $2 000.00
Building Permit Fee: $104.00
Plan Check Fee: $90.48
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.09
VSN6 *
TOTAL FEE: $385.48
PROCESSED BY: _.
ZONING APPROVAL:
GRADING APPROVAL: /
or
n Dpn aW LAND EA iSRIN ARP 's Architect: STRAUSS RALPH DAVID
-/(/�lilnfiV_ t25 /I CE 2 Address: 3361 WALNUT BLVD, STE 120
6 BRENTWOOD CA 94513
Ph a r<., - 8 one: 925-634-7000 State Lic:l
S
t
Lic
orker's
1 r�
Excis Tax:
Additi al Fee
G"din onds Fee:
Grading C C n liq
Grading rr
Grading P Fee:
WQ Insp. F :
Electrical %: t
Mechanical %:
Plumbing %:
to L i)B070 !near: COATS BRIAN CARL
10/31/2021 a ddress: 11846 DUBLIIt1BL
BT3 DUBLIIN1t,/r 6
Date: am / 0 � Phone: G� State
INS CO
0710112020
Rear: I
Fro I
0UU .
$0.00
$0.00
0hdid
one: 00 �O
$0 In -lieu Housing Fee
0.0 Public Works Department -
. 0 Park Dedication : $0.00
PAN Plan Check: $0.00
$0.00 San Dist: $0.00
$0.00 NMUSD Fee: $0.00
$0.00
Plan Check Fee : $0.00
PUBLIC WORKS
PLAN CHECK BY
APPROVAL TO IE
Special
7
*2
Fire Department
$120.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
9511
1%
1J ,T N N016E
'a.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $385.48
ILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea indicated below by the checkm ( I have placed next to the applicable item(s)
coon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, a prove, de(n@�fl, or repair any�pr r to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Co, rs' State Li per. (Chapt 9�so encing wit ection 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any volat ection 'V�a y applicant fora rmit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).,ddtt''�
I, as owner of the property, or my employees with wages as their sole co
iness and Professions Code: The Contractors' State License Law d of
rovements are not intended or offered for sale. If, however, t I ding or
roved for the purpose of sale). _aF
I, as owner of the property, am exclusively
ly to an owner of property who builds orb
LI I am exempt from licensure undeSAtlf-I
By my signature below I ackn ge that,
sell a structure that I he it as an ownF
Professions Code, is av ' ble uPqcq
Signature of Property Ow or AAth rued
LICENSED CO RAC
R'S DECLA
I hereby affirm under penal f per' a
and effect. License Class
VARNING: FAILURE l O-SECURE WOR S'
;OST OF r'OMPENSATION, DAMAGES A F
iIiel`si y,affirm under panalty of pe
lhuve and w111,maintain a certil
dor},ante of the work for which th
vr j h ve and will. mentain workers'
anoe carrier and Policy number
,e of Argent (iFUAIV
-ertif/ that, im:he performance of the
if I should become nwbiect to the wd
vatu,re of Applicant
7ensation, will do L) all of or L) ow1of the work, and the s re is not irl
apply to an ow9er6f property h 4 rough employees' rsonal effort, builds
mprove is sold within one ear of
compp1,a(Vn Owner -Builder will.have f
ctorstors to construct the project (Sec�,�iil �044, Business and Professions Code ��T��
is forfheprojects with a licensed Contractor pursuant to the Contractors' Stata°i
:o ct r tense La�for the following reason.
e per onal residt1ce In whit m haire resided for at least one year prior to completion of the improvemen
-b r f it has not b conr§tructedI{� ItL rety by licensed contra ors. understand that a copy of the applicable law,
t when t is tIo his"s'bbmit[ed of t the following Web site:http // . Ieginfo.ca.govlcalaw.html.
Agent
ION. r-
I Icens' under provisions of CtrBpter,, (commencing with Section 7Pgi Di /isi n B in s d Profes
License No Fr. / Da /\ LO S o racgr, ignatur
'CATION OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 1 ALIEN - SA D ytylLWNN UP TO ONE HU
Jr eA
FOR IN ION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S V C)\
o f wing declarations 00
co s If -Insure for workers' co peWqft, issued by the Director of Industrial Re ' s as
hereby affirm under pejlalty of perjury that there
ender's Name
offered for sale (Section 7044,
Yves the property, provided that the
n of proving that it was not built or
State License Law does not
Id by this permit, I cannot
7044 of the Business and
license is in full force
IN ADDITION TO
pf 3700 of the Labor Code, for
No.
as required S 3700 of the Labor Code, for the rmance of5pork ich this permit is issued. My workers' compensatioi
���! r'zozv
upitiey �" r ' 3 2 piration Date
Q-X, Phone# '749 Z}Z 9 j7',1,6
.nnl�6 Issued, I shall note oy any perso any er so as to become subject to the workers' compensation laws of California, and agre
revisions of Section of the Lab de forthwith comply with those provisions.
D e_
iE
Ion lending afor erformance of the work for which this permit is issued (Section 3097, Civil Code).
/ ender's Address
Fay my signature below, I certify to each of the tollow
I am the property owner or authorized to act on th pr rty s behalf.
I have read this application and the information I h e ed 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 counklept bove-identified property for inspection purposes. ^_
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name (Ef-Ww U 0 Dat C q
ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
1 REGULATIONS PART 61 OFTITLE 40 AND, RULE
f 1403
PERMITEXP/RED 5 U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED 0ACjM D
PERMIT FINAL ASBESTOS NOTIFICATION�S N TAPPLICABLE TO
CERTIFICATE OF'Iq
PROPOSED DEMOL171QN
OCCUPANCY ISSUED SIGNATURE: Y iC,��