HomeMy WebLinkAboutX2020-0304 - Permitssem" nn4
City of Newport Beach - Building Division
Contractor:
100 Civic Center Drive, Newport Beach, CA 92660
Address:
Permit Counter Phone (949)644-3288
ss $*
Inspection Requests Phone (949)644-3255
`p"rta,r�u'g
Combination Type - BLDG
IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2020-0304
X 2 0 2 0 0 3 0 4 Project No :
Issued Date : 02/03/2020
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 on Sundays or -Holidays
Job Address: 1100 ESSEX LN NB
Description: SFR POOL DEMO "METHOD A" 380 SF
Legal Desc.: N TR 3000 LOT 46
Owner:
1825 BERYL LLC
Contractor:
OWNER/BLDR
Address:
1100 ESSEX LN -
Address:
ELLIOTT CHRISTOPHER
Added /New sq.ft. Bldg: 0
NEWPORT BEACH, CA 92660
Disabled Access :
LLC VERIFIED
Phone:
$0.00
Phone:
Building Setbacks
Applicant:
ELLIOTT CHRISTOPHER
Con State Lic:
0/B
Address:
1100 ESSEX LN
Lic Expire:
Bldg Sprinklers:
$0.00
NEWPORT BEACH, CA 92660
Bus Lic:
Use Zone:
Phone:
949-232-5654
Lic Exp Date:
Electrical %:
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction:
Carrier:
Record Management:
Occupancy Group: U
Policy No:
$0.00
Added /New sq.ft. Bldg: 0
Expire:
Disabled Access :
Added /New sq. ft. Garage: 0
Hazardous Mat
$0.00
No of Stories: 0
Building Setbacks
Rear: /
No of Units : 0
In -lieu Housing Fee:
Front: /
Bldg Height: 0
$0.00
Left: I
Bldg Sprinklers:
$0.00
Right: I
Flood Zone:
Use Zone:
Parkine Spaces:
Construction Valuation: $9.800.00
Building Permit Fee: $232.00
Plan Check Fee: $201.84
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $476.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:'
Phone: �( State Lic:
eem•
Engineer: • e
°eem
Address: •
ee o moeoor.
e • • o
Phone: State Lic:
e o
Designer:
Address:
Phone:
Special Conditions: 0/B FORM ATTACHED
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee:
-
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant :
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$476.84
PLAN CHECK BY: n
APPROVAL TO ISSUE:
eomcn
0
oom^n
owoco
¢ c
0 0
�meen<:
e
aeno�
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$476.84
PLAN CHECK BY: n
APPROVAL TO ISSUE:
eomcn
0
oom^n
owoco
¢ c
0 0
�meen<:
e
aeno�
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 `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
ements 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,
Iroled 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
I4-tg 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 Iegalll
a structure that I have built as an owner -builder if it os not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and
ifessions Code, is available upon request when this ppl' ation i submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. /� , 7 �iZG
nature of Prop�ejU Owner or Authorized Agent Daaj�
TENSED CONTE ACTOR'S DECLARATIO
•reb)vaffirm underpenalty of perjury that I am li ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
t4f%t. LiciiIMse. ASS License No Date Contractor Signature
ATION DECLARATION
WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
13ES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.T�b-affirm urlderpenalty of perjury one of the following declarations:
A 4ove and Lill, meLntain 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
fpypAnce of life *Irk 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' compensa
Prance carrier and policy number are:
afier.. Policy Number Expiration Date
certify that, in the peIf rmance 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' c mpensation laws of California, and agre
I. if I should become s ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da
CLARATION REG DIN NSTRUCTION LENDING AGENCY
:reby affirm under Onalty 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 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or county t egter the ov -i entified property for inspection purposes.
nature of Prooertv Owner or Authorized AGent c,t. Print Property Owner's or Authorized Agent's Name A�,_Cn' c ` ` Date
ACTION DATE BY / REGPA T 61 OF TITLE 40 AND AQMD RULELARATION 01 0MPLIANCE WITH CODE OF RAL FOR OFFICE USE ONLY
RE
PERMITEXPIRED I I /I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDEDA. LIAQMD
PERMITFINAL 3 -Q f 040 5 ESTOS OTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROP D MOLT��+i'ON
OCCUPANCY ISSUED SIGNATURE: / E'1
LLi
m
H C9
m
rn
Uo
C M
W a) v
Azm�°
H D 0
A z O
JAmn
W o 0
Awn 0
m
U
U U
O
0
"ICI
O
c N N
O
a
@
LC
_ -
O
N OHO
N
a
'N
.m
0 c 7
c
o
N >
c mo
ani
.m €
'a. 'c p -
Lr.
U O.
N Q @
co N
> N
N a)
N C
d N
= d
w
a)
a c rn
l0
Uo
E
Er
0=c
eH3
E C.
0N a)
.w
_ _
cc
p m 0
@ L O
CU
me _
cc
co
m c
o
_
E
_
n
>
T
a T
O N
�@
yc
CL
0 0
aci'Yo�
..�
m
.@ Q
c R
EO
,y
o:3
3 N C
..
>' m
O..O
c
a Q
— •., o
=E>
a)S.5c
C L 'O U
a)
O N
p=
m @
7 O N
T T
'cm
Nu
E m0z
CL
C0'@'C
,
Qom@
C O
_(D
(n'O� ECo
a) C
a)
NO C)
a
n C
�@a) '54)
;R p a1
�
3"o 0 c 0o
U
U)
-c
O c Q:4 m.0.
'•N x -
N Lo
>° E> 3
o o w
Nc�
a�ivTa@@'c
o'a.m�=Oc
c"mrn
CLm3oUc
m
w
a o
p Q @ C
m > a)
:
C
0¢w�E�,�QOQ
o C
C E2ID
— y
O N O
N333 ��a� �
VO. O t N_ @ O N Q N @.
Cl
c a) 3— a) E O w 0 C
C c
'tom' o> j ai.�.o = w cU o
'ET0 N >.� C 0-0om:
' Q.0 p •� o c O1 'a -� U
CU
o d C @ N Q N T E O N
a 3 m `m'�) 010 a
c' wO=.c > dN c
wQ N
Q) >a) m N a) m o-0 cat c
a t o m
Qf m e n o d o m
c > 3 (D N
pl [w @ a) '> E
a) v Q o .
N QN==c Q0 g@ c o n
o a)mo N ,0@ w`�T O
N
p w NCS EmE
U >. _ @cz f0 C p
c j 0= E c
0 w N N N U O p .0 W — a)
m a 6cNccu @° .IE a.0)
G -a) m@ L
CU w
�'EONCC 0.Gow.
w° _ 0 3@ m0
(D (D a) c o @."p -
@ Q'L v a 2 Q
a ava)TTm a0 -c .E0 c:
a ma@m�C m@ `6-c ma
&j a) `@ aco r O C a) o Lo �;; E N=
2 � .� ca m e a) c„ c. o c: c
O c� C0cu-Eu
N o N O 0.
(U CL_= C
OM 0
Oa
O'w O N 0 QT LVIw
cID
@ m
N N
U
'3
m
w
p N m
E O
@�
oc�
'cmu�
3
.«.
a)
•E U
O C
N
m_ @
N a)
N C
d N
= d
w
a)
a c rn
N
a
Uo
E
m ,0
w�
eH3
E C.
Oda
r
v° 3
m N c
c.2 r
m o
Dam
oEo
a
@cam';
yc
O N
a).
N
t w
c
w
>' m
NN
N N
Q j C
N p a
C L 'O U
a)
O N
>, CO
cya)
Co 3, 0
wa)Q
o
.3cc
T T
'cm
Nu
o) - "
c oa
m
m - 'o
o� N
o_ a ca
m@a
_�>m
p'U
_(D
(n'O� ECo
a) C
c C
mo=
L @ Y
>�@�
�tu
-mE
0 nN`t
s c E
c@ 04---
o
o C
p U N
Co Q C N
U O O
a C@
Q O
a) C 0.�
1 = E
CU
O E@
�L E'
E U
p O N
.D t U N
O
N 3
0. (D )
�•3 c$
a O
m N_
coo
m N y
oU c N a)
E E
V U N@
Q
6o
c
_
O C
o.
C Y >`
@ @
a O c N
crn=T
c C@
c`r=
C
5 l` 0
caaaEcu
1`I N. 0 a
y C .0
a @ fq
a) a) .aa)) N
"Oa) a) N
N @ U
o E
—`oo
EEL
e(Dc
O
E�_a)
0
m U
I�
c
c
v@c c
C7
�l
U
cwl
I y "�
m3� o�I.
I'w --
@
@ .o
3 U
a
N
M
N
D Z
m 0
N n
C
d 0 �
O
CD
cco o
w
tN
to
a o -
CD
o m
a. N
G-
O O
CD
(D
N O
O
D
0
D
CD
v
N
CD
n
3
CD
C
CD
m
0
v
m
—
�—�•D wQ
D Z -a
Q w
cn rn
omucDix
O
OZE-o
= N n
N m —
'D O' 0_
O :3
m Z3'
m
(D (D = v
N a
(D 0 0 Q
(D
W
-ti.m
N 0 r
O C N. =
o: m
N
i Q
a: O
c
0, > c0i
D
C) 3
E
y
m
w D
4l (D
-i
p- (D
0
N
0(D
0°
((D O
N O 0 -D
0 N 0
w 0 Z
O
°
0_N � m
N n
.0 O.«
-N (D O-
-0-w0
p (D
(Q
ov3m
o D a
x0wZ3
n D3j
N
mpfD�
D m 0
-0M
D
3n
`1� O
V\m Q�
N
(n
< N
va
w
0
f0 N
O m y
m m
Q C
T O 00
oa R. 0
Z
O
•-�. 3
1 1
0 w.ma
j W
O
'cl
N
0,�
a
^=
�v
D
-www
o'
_
(D � d S
w N 0 0
n O o O
W 3
o�=o0
00�
z
a0
o w w
0 (D
° m
1
1
a
3>CO
W (DD
r- o = 0
C 03W
3
Q
;.v Q3
wm=m
tl+,
° Wv S
O
cD
N
D
N n O S
v n m (D
v
C O
`*= m
y
•� 1
O a.
O
X
0
O 'O
v
O
G (D y
(D C
Z
Q
m
3 o
'D
C) a
cn — -, -
C0
CD
ED
O a
O
a W
3
Co I'
o
O
D
a o
m
N C O
(wn
0=
azo
'C O
m
a��
S
A
tia
(D
(D
(D
O
n) CD
nQ
�`z
O _
3
y
0-
—33
v v
O
(D CL
N w 00
0
(D
y
m
y?
Qw
o N
w
D m
,Z1
Vl
(D
0-0
�3
W
0'a
N (D-„
aoaia
(ov3o
_ -
ov
m
=
3 0
CD -°4
a �.� 3
ED
CDr ;. OS
N
tj
m
°
n G
o c°
v m
o m
w
Q
tD
(D
G of -
� �
(D N
N `C
v
7
v
3
(D
O
O
8.o0W
7
Z �
�aww
O n Q 0,
O � C
m Q
'O
m,o S
CD M
�om(D
o w
N CO (D
12 e _•
CD Z con
O CO '06 C.
0
i QT'S
Z<WIn
CD (n S O
m toO•
CD
° 00
ID o y3
N O m+
of 3 M m
C N• w Q
w
O D] 7
N S C.
CDcr
�a
M
53�
O
o a
(D
Q
(D
o m , o s
D v 3 Qc
@ D m m
OCD
Q
d
N
O m Sm
N ((DC S O w
C S O v Q C N O
CD a m
3m�
CD °m 0
D CD
O = O N
° m o m M
c C
co 0 3. Q a- �• s m
(D N w ^ - m Q
CD N 3 in' N 0 6
O
0-
(D
NfD C 0' N O 0
o c Q 0- m
O
w (D '0)(
r 0.
Q O O O O
N N,= Ca Na
�o vB CD
mo
> > o
CD
O CD El
0 m m
N
Q 0 a G 6
^.v° Q� v
Q v m < m
O ;:L
m a
w ° o m 2:a
N < C n cD 0
C C 3 0
(mn m
O - 0' m m N .0
a-(Dm3W ..
CD a
m
c o
_ o_ 0 c
N O � N
0 0 Cr ^ m
CD a m w 0
N O O n G D
n o
�o m I
O
S
O :3
o m E
N
ED
v
o
E
(D N
0 3(D Q
m
w D
O m
0 "z C N_
p- (D
N-*
D n- m w
0(D
0°
a
m Q
w
3m
v cnv
o 0 w 0 0'
p (D
cr) 0
N `G
w twn
w
n D3j
N
N u
a
o
a(
`1� O
V\m Q�
(D W r
'Cm
(n
< N
va
w
0
f0 N
0 (D 0 ?.
Q C
N a.
m w
0 0 0
O
CD O
9 cn m
^=
.0 -.co
0
w
w N 0 0
O
m p_ O N p
w 0
to3
cOno m
W (DD
r- o = 0
C 03W
3
�w
O
C W
wm=m
tl+,
(D
_.
O
cD
N
D
,., t0
v
_
�Dv(Dia
0
D
w
�-O
v
O(
m
c0
'D
C) a
cn — -, -
ED
co
mono
�-
�-»,
o
O
0
N v
0'v
N C O
m
0=
N (D v
CD GO
m
m N
a Q
o N m w
(D
._MO
�
-n
O
o m
�`z
O _
3
y
a NG`0
m
—33
v v
O
(D CL
G 3
N w 00
�3
��
(ov3o
cD
(D
m
m
a �.� 3
O
N
m Q
0 N o N