HomeMy WebLinkAboutX2019-0401 - Permits$ 1Y1[I
City of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�f II
COMB Permit: X2019-0401
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714.730-2723 State Lic:CO22567
100 Civic Center Drive Newport Beach, CA 92660 X_2 9 1 9 0 4 0 14
Project No: 0285-2019
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Permit Counter Phone (949)644-3288
Energy Compliance:
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Inspection Requests Phone (949)644-3255
Applicant: MORGAN JOHN T. JR
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Combination Type - SFPELEC MECH PLUM.
Issued Date: 04/0412019
$3.00
$0.00
Address: 18682 BEACHMONT AVE
Inspection Area : 3
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 an Sundays or Holidays
Job Address: 219 LUGONIA ST NB
Description: SFR CONVERT 172 SF DECK TO EXPAND BEDROOM, CREATE NEW BATHRM, REMODEL EXTG BEDROOM #4, RPLC FURNACE, RPLC (2) WINDOWS @ THE FIRST FLOOR 100 SF
Legal Desc.: N TR 772 BILK 6 LOT 3
Owner: YOKA WALLY 'Contractor: MORAN JAVIER GENERAL CONTR Architect: MORGAN JOHN T. JR
Address:2965 SAINT GREGORY RD Address: 3089 YUKON AVE Address: 18682 BEACHMONT AVE
GLENDALE, CA 92663 COSTA MESA CA 92626 N..TUSTIN CA 92705 v
Phone:
Phone:
714-721-8846
Phone:
714.730-2723 State Lic:CO22567
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Investigation Feer
$0.00
Record Management:
$28.00
Energy Compliance:
$56.00
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$9.75
Applicant: MORGAN JOHN T. JR
Con State Lic:
712191.
Engineer:
FORBES DALE L
$3.00
$0.00
Address: 18682 BEACHMONT AVE
.Lic Expire:
09/3012019.
Address:
1800 E 16TH ST #B
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N. TUSTIN CA 92705
Bus Lic:
BT00023023
SANTA ANA CA 92701
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Phone: 714-730-2723
Lic Exp Date:
08/31/2019
Phone:
714-835-2800 State Lic:C-030407
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Code Edit: - 2016
- Worker's Compensation Insurance
Designer.
Type of Construction: V -B
Carrier:
STATE FUND
Address:
Occupancy Group: R3/U
Policy No:
1647692
m°/m o 0 00
Added /New sq.ft. Bldg: 172
Expire:
0 610112 01 9
Phone:
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Added /New sq. $. Garage: 0
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No of Stories:. 2
Building Setbacks
Rear: 5'
Special Conditions:
LIQUEFACTION
No of Units : 1
Front: 5'
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Bldg Height 0
Lek: 3'
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Bldg Sprinklers:
Right: 3'
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Construction Valuation: $75.000.
Building Permit Fee:
$1,256.00
Plan Check Fee: $1,017.64
Overtime Plan Ck:
$0.00
Investigation Feer
$0.00
Record Management:
$28.00
Energy Compliance:
$56.00
CA Seismic Safety:
$9.75
Disabled Access :
$0.00
Hazardous Mat
$0:00
Building Green Fee :
$3.00
TOTAL FEE: $2,822.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp.. Fee:
$0.00
Electrical W
$87.92
Mechanical %:.
$50.24
Plumbing %:
$113.04
Planning Department -
Plan check Fee:
Fire Department
Fair Share
$160.00
SJH Trans
$0.00
In -lieu Housing Fee:
Fire Plan Rev
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee: -
$0.00
Plan Check Fee : $864.2d Fee Due at Permit Issuance : $1,958.59
PUBLIC WORKS APPROVAL:
.PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00 '..
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00.
$0.00
$0.00
Plan Check Fee : $864.2d Fee Due at Permit Issuance : $1,958.59
PUBLIC WORKS APPROVAL:
.PLAN CHECK BY:
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 item(s)
ction 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
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
�fessions 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
riness 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
Movements 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
(roved for the purpose of sale).
1, 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 doe-,`
)ly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legal)
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
�fessions Codg, jSavailable upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi.
nature of Prd'ppjty p%ner or Authorized Agent Date
'ENSED CQNTJiACTOR'S DECLARATION
ireb�yiaffirm undo opmalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of 'visi n of the Business and P ofessio,ns Code, ar�d my jcense is in full force
I effect. License Glass License No Date Contractor Signa re ry///P t ArQ'l�
—607—as, —� �� z
)hKERS' COMPENSATION DECLARATION
WINS: FAILUR&TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT OF 00MPENSAiRIIV,'DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rebY affirm uneer�enalty of perjury one of the following declarations:
I,yave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the
grgWce of the Work for which this permit is issued. Policy No.
travel and wNl*,rnaintein workers' compensation insurance, as required by Section 3700 of the Labor Code,
Wco Carrier and policy number are:
ries. • � � • � Policy Number
is of Agent
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Expiration Date _.
certify that, in the perfo ante of the work far which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co ensation laws of California, and agre
if I should become s ject t the workers' co oensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ratureofApp licant D/te
:LARATION REGA DING CONSTRUCTIO ENDING AGENCY
reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309ode).
der's Name Lender's Address
ny signature below, I certify to each of the following:
I am the property owner 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 coup oFdinances and smote I�
I authorize representatives of this city or county t e�//er the abo�idepI3 V
to building construction.
M inspection purposes.
DATE BY / DECLARATION OF CVPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
PERMIT FINAL CJ/2>!/ ( '�(i - ASBESTOS NOT[ IS NO ;7BLE
CERTIFICATEOF ( PRO SED DEM I ION
OCCUPANCYISSUED SIGNATURE: G��/ Q
FOR OFFICE USE ONLY