HomeMy WebLinkAboutX2017-1495 - Permitsvas City of Newport Beach - Building Division
o,, d• 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
*X20171495* COMB Permit - X2017-1495
Project No: 1016-2017
Issued. Date: 08/28/2017
Inspection 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 work on Sundays or Holidays
Job Address: 127 MARINE AVE NB
Description: COMM -ADD 300 SF "AS BUILT" WITH STRUCTURAL UPGRADES FOR FIRE RATING
Legal Desc.: BALBOA ISLAND SEC 4 LOT 16 BLK 1 & LOT 16 BLK 1 EX E 10 FT LOTS 15 &
Owner:
KINSTLER LIVING TRUST
Contractor:
OWNER/BLDR
Architect:
Address:
923 EMERALD BAY
Address:
MILLER DAN
Address:
LAGUNA BEACH CA 92651
O/B AUTH ATTACHED
Phone:
Building Permit Fee:
Phone:
Excise Tax:
Phone:
Applicant:
MILLER DANIEL
Can State Lie:
O/B
Engineer:
Address:
127 MARINE AVE
Lie Expire:
Plan check Fee :
Address:
$37.50
NEWPORT BEACH CA 92662
Bus Lie:
Overtime Plan Ck:
$0.00
Phone:
925.351.4782
Lie Exp Date:
Phone:
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: A-2
Added /New sq.ft. Bldg: 300
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: I
Front: /
Left: /
Right: /
Designer:
Address:
Phone:
RANIERI RANDY
3141 LIMERICK LN
COSTA MESA CA 92626
714-296-5502 State Lic:CO24225
Special Conditions:
State Lie:
UULICATE .
2.
Flood Zone:
AE8'
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $38.000.00
Building Permit Fee:
$572.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $497.64
Additional Fee:
$0.00
Plan check Fee :
$37.50
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$572.00
Grading PC Consultant:
$0.00
SJH Trans:
$0.00
Demolition Fee
Record Management:
$8.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access,
$82.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$149.75
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$117.66
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$96.27
$0.00
TOTAL FEE : $2,190.82
Plan Check Fee:
$2,190.82
Fee Due at Permit Issuance:
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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 items) "
(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).
'❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
'.Business 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
"improvements 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
improved for the purpose of sale).
❑ 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
apply 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).
❑ lam exempt from licensure under the Contractors' State License Law for the following reason:
By 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 covered by this permit, I cannot legall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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 farce
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under, penalty. of perjury one of the following declarations:
I 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
erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
Date
is of Agent Phone #
certify that, in the 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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury 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 owners 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 county to enter the above -identified property for inspection purposes.
nature of ProDertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Aqent's Name _
ACTION DATE BY DECLARATION II REGULAT ONS POA TO630F TTITLE 40 AND QMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
MEPA
PERMIT EXTENDED
13AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
L\•t D • lcl
�.aJg®
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
U:2
O ? N 0
N LLL N y 0 _
a O C (6
C
a
N
C0
L O c_ a vCD
> =9 C
° Et �e
a m
C
N = N 'NO LO
ID c C fU "O
@ N N :Lr C
c mE •oo
m ° o0
-3� >02
'Co A N
U �
o> j w
N O > O
oj
N j D C E>
a mm moy
N = w (D
t c E a c
3L=
Ec0a a9 a)
Cy
a mm'ma�Eco
C N . _ 2 � N
v
0§ m'S E
a£ o,a C 0 c N
c o o 0.)-60m2.-
N^o m >.
pcao2yHca)`o
'CO r a m fU C y 0
Ea °. N T N 3 o U c
d Co O C N
CoCCL Y: >c E
N Q N U) = o
❑ w E ao a
mT2 N
C` 0 Y w y N
O N O O T
a y y 3 3 3
O.C.2a�E0 y
N n
3v°�3yc Ea
O a N = = y
d
.Ca�o�'L 030)
ay c n- ° y
US N
aNNNo°" >,
N3md�m .C=
.L, O= L Z5> a N
O O O U
N- L N T U T O
L a L C O
Q a a a N@ O U
N N> m O y C
y � C O C _D
c E y D N T N U
O U E a) a
y O O O w N
ay �a a° oWC
-O .a m N .N1 a N
N O` C E O' N U
y E N N c
C U T N Q O)
0 = E m
= O c C N 6 p L
15 w N N w U N C
N O y A 2 N C
U1 3 Co d
C N N N
c_'
F c y c c d N
ooa0aoio
E 2
w m-=�m
Co 'ccm= a c
aEmgc ccd>
L'
D "O 'Co y N C D O
m CL C =
- a�aN
N' V T T C
c m
10
O E c E o
3 c C U C �II
O0
w O N O
EEm IONDcn
� (CD� L N UI
00 .o� Urn '300
C
n` m o ycN
R
N _
QC E ° N
cU o o S y 'u
Ow N >
aE m Uo SEE
UmC C E C c
O N— — OY6
NU o
v N N @ N N
O o c o c D
> c o a m (DL o
O O Q— N E O
o L 'O
T m C a 101
w O 0
N L O
N N y N ID
N a N Y ai
a 1Ni >, w N o
Y N O a
Ecc N f0m opE
Co 3 L N N -O > .N
Nco o rn... cQ
��_>, NNd =ao
ENE
° CD
NC m myo c �NN
O xNNT QM i-
�O
N
w. N
i aCD a 20 Eoo�
O N 2 N Nin 2
° c Qc o N E c f0o.c
N O O U eN N N
.. E U Tc 'OO ao
.E rNn c 2. t5 Em. �L E'c
T , N N >—-40,
N L O y
0 E L o O. N N C 3o
iJ = OC N
mOs m€ N>O
c EmTE
m c o c .c ° ,t0 E a aoi
c E° D L C N>, => N c
LN Co Y N a O C N
- m c m=
DE :° 0
E N �. E
E m
.O L N D c -, •O m ui N�
7 a a C y = E lU C w 4 g
-mw -oo
— N U Co — C C N
Ln 0) 14 V N f0 O N
otLU mE ma
NO N 0 O
N 4
a=ca
O
L N U
3 Co
C
o 0 o' 'I
ml
mN.d
o
`m '•a N
C N N U
Oo��
O
3 a; w 3
N C U
J' O W
N C
y LN U
a) E L
U 3 =c )
J E C
N N r =
my D
� 6 c Ed
^y '> N O
O T y
U a
US fU U
� N N
o N o 5
U c ° 3
C C y r
O N
-maaio
U C
N
a 2 `o
c
-Cl
c c N >
N EN
T � m ° c
C > a U
O
- w c
N Nh � O C
m3YaT
ol
o a
(D OZ
3
� D
N O
IR m o
cCCD o
<
3. ° mg
o � �
.Z' J
m �
M
N ` N N
a
a •o<
d CD
N
0
0
J
d ry
y O
o
N DJj
c
N N N
N
0
J
G
a
c
CL
0
O'
N
m
N
N
J
a
S
CD
J
s
CD
v
(D
CD mp-
n m C)
0 Naix
: �
2 a CD!D
W A
0 CL
N
N O j n
fD O N
d
d N
N r-
O C N.
°.
..o<c
Vi
o D
099:
j
C
�y�
CD
O.
C °:
j K S
a �'
O
tyii p O. D
�J O O
N /�i _ N
�•{
m y
J. J
° N
J
c o c OZCL
O
p
CD o
o d
o D a
J N CDD
N
S
N 7 d'<
D N °-
d d
a
J N
°
N
Q O
SO p M
N
J N
`O .C.'
tD0
0
.�..
S
Cb CD
Q N O
a-_.
o Wv
0
N
CD
D
N
.
Mow
.O°;E 0 O
M
T
0 o
O d d
? dCD J N
O
J
lnnW
0
W
`eW�DCD
a
'gym
�a?-p
p d
�0om
n
c
v
G N N co
O T C
Z
f1D Q
�O
c0
d J
o.°.0
0
O
0
N
3
am
a Cc)O
CD i
3
IQ
(Oi (D
~
CD
G O dp-
N
N J
Z
Q
Q4 'm
O
N
d
(D ID N
°-
m
z a
aN
o0.
O N
x
fD
N Cb d
N 3
zmo
�<
T
3°
CD
N
Q.
J. d
J
d
d
<D
l
7
C� 7
of
® q
?Zo DD ooyoO�Fr �� o� 300
3<3m0 <fCD
ter. pC (1 CD
v d 3 J o �• � 5 3 3
m �,� '�m°mm�m °�� 3d
(gyp a d d N` N ° O N °' N _ f0 O N .Z1
O. O d 0- N J N N o J 41 N O. (-� d NCo
C
o�c oo�m No �d �.m a S, Po
fD C �• J' C `o dG '< N d 3 N d N d J C V1
O p N� >• O< O d d Q N N— J N M N Cl
j d d 3 m p° j (D O.
-0 CD np�anNnd _o Q= sa �N-oz—
< °
Utz' 'C' CD my v� mmm��
1.8 y ° N O N d= .d7 0_ N N°
,4,z m 0, Sz E m Row � -o m � n p � d
N p M N N N y 0°- °• N d N N 0 N? _. J
ISD Z N N N N O O• p, ° .G .J+ 0 d O- 3
Q M N C s N N d .J,. `< O° N W d p n W fD
C W F A J J N
ENIr% JM (OJ Ja� Er p -o<J . d
o S3. ?N N
1CZ ON. N O
cn ° dJ d J c ° 3W p7
o
N
ID Vti S 3 W d N d N CD 3 K W C co J
a n W E3 a �O O n N =. CdJI N =• d -N"i N. �p
faD d N CL
N C-0 0 9 d 3 O CD i ! CMD Pi
a
N a'M S10 d N O N N`< J DN 3
pto N ,,O 0 c .Jr Co n o N QC i00 a(O
��Zo n?,<a d R a mn jo33
< ° j o (D <a 3 d �O Otp i J'G
me 3 N° �v�c n J TJ F`n o
Z v m 3 0 < m p C7 m o
y 7 O. On -° j o D C a'), O O d con
N. O W d K-Opl CL j 0• < (D '0 3 W N p
DZ p O n J N N n !.. N O- O J O
d d O- CT1 p*l C =n ° J N d C y
C N N O. I=D
d N �< N _S n '.00_ N (CD'-
IR
- N d
O N K `G C J CL N C N ° N J d O Nd
d C 3 c `G 2. O O W O .CTCD g2g d IOD J
N n N �,`dG A N d W O n° 0- CD2
Q O n
-O-(D N N tli O J 22 d -p
�v'< o-my�0 maN J �3 0
CD
C: 3 M m m a o 0 Q v
•O — 0 N d N
CX v pOQ_Jm 3 <c (D2 om om33
T m
O O N N (D y d CD 0 N —^ d < a
tr�,�o$°JJ do
K N O- ' sJ p�p�
N CD a �< O N J CD CD (D
-Y a O a
L8 m a E ' a) woa) mac sc o cO) ca)
y
N a) m aU CL O
O c
Q• c a° m
CU o c C N Q E m a 0 a 0 o
O_ U a) N m N C 7 _
ci
-O U N m = )°- 5 m y E o
c m N ° •3 a m y c a) 9 0
U_
•' m m N m -'' U = O N i
Lo CL 0
co
7 Z c y0 Y _ m C p�
(O Q 3 ° L O L 3 E a) C U W
0) z a O N O� U) U� M o E m c
Q W v{l. N Z C N O U C O O_ O}> O m
W U O N ~ N O U O ° N C
O = ° �. O N C Q CD
U M C O) a) m C E a q
a) V W O U N Ea E- .I-- m q o. N
F�1 CO O y E
s t p
aO N O M a O a CT M N a
Z 'o W �I � (D c 3 a) 3 m o p o U) m O
g m rn Hj c m EE a)> d o c E •r - c
OvmL LL
w~ m e M° a) N m z Y m o> O
xO U W N m �") L a) c O E
W A mai � m e �° E E 3 aNi c d Q o C
W ~l O W a) is � g m Eam a \S'
A q n 3 U z o° c° c a m o> m d E
d
0 F1 a y y m •C E o a I.L
o 0 o Z c p o; a o Z ° N
Jy O `4 Q Q °o °_ m c a m U E° m c Q o y- Y
C Fj a E a) IL 0N L « O O.
H U r� m t4 c CA a O O +: m O .6 O)
en
c O O ° a m m 6 C c
U U a) m +° `° > o U- m Va c v c c
O c Y N In m (6 C c p > j °- a)
0 3 a m> m o o U o m o E m E CL
N fA m75 o� c Q N O U U 0O E a) m
EAcq a m Q o a E c E c N om c U o H
e, m E m Z E m O m m J
o a) m s o a a) a) > E° 8) a `o
o m c •p 3 m N m V
a s U c a> m c 'E o v o
Z X`ev pm ca N E CL E N U m a .c a� °' o .c c N m o m €
wo �t.t1�
T
a
i W
Z
m
7
W
'o
NN
If.
i �
W
Jt
0
UN
W
ea
❑
�Zromma)
i—
v
CO
'���
O
c
7
U
O
Z
Z
` TAhj�
i W U
W
/vjy
fH
(t} 64
F9 r N
V}
W
A o5
M o
O
I
nrx
iPaa �
per.
17
C
0
M
WP
W
' �
J
(]
a
W
m
Q
U
Z
j U
a
I O
O
L
r
m
o
0
O
7
W
0 0
0 4
lyy Vrf.r {r kl yf � �♦ r 41
Jt
0
ui
41U1
ea
❑
4t
v
7
W
V)
Z
W
0
c
7
U
>
'f
�1
f
(t}
fH
(t} 64
64
V}
7
a
)I
W
I
nrx
�
(h
r-
C
0
M
WP
W
W
'2 '- N (6 4
(]
Z
W
m
Q
U
Z
K
Q
U
aU
of
J
O
CL
Q
m
o
0
O
7
W
0 0
0 4
lyy Vrf.r {r kl yf � �♦ r 41
Jt
0
p
41U1
ea
vs
J 2 0 2 o
a `�
EKY
7
N
0
c
7
O
>
'f
O C U n
W
(t}
fH
(t} 64
64
V}
a
a
¢ It ¢ a
nrx
�
> a o
r-
C
0
M
4
h�r•
'2 '- N (6 4
f lSyp
7
a
r
M�9yEy�'R
J4�i
jp
v
d
'
L
_C
�
a
O
O
o
O
a
n
a
a
Q
.r V
O
m
f`d
o
0
O
7
W
lyy Vrf.r {r kl yf � �♦ r 41
Jt
❑ C N
z its
I
ea
vs
J 2 0 2 o
a `�
EKY
r
N
0
c
7
d
f`d
7
W
lyy Vrf.r {r kl yf � �♦ r 41
Jt
❑ C N
0
J 2 0 2 o
a `�
EKY
r
fl,.
e
W I
a m
'f
O C U n
W
CLa
nrx
�
> a o
r-
N
M
4
h�r•
'2 '- N (6 4
n
lyy Vrf.r {r kl yf � �♦ r 41
Jt
l
1 �}+(1 CX f,
blPrpr�lf riPeT
r
fl,.
e
'f
nrx
�
pllh �r �sf�i U 4 h
(ar p C t
-r�34�nC,�S�P,'`�h���h i1
f
i}af I�Cp`N�c41
h�r•
f lSyp
r
M�9yEy�'R
J4�i
n