HomeMy WebLinkAboutX2019-0081 - Permitsit City of Newport Beach -Building Division
' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MIFF ELEC MECH PLUM
����������� II COMB Permit:X2019-0081
Project No : 0060-2019
Issued Date: 01114/2019
Inspection Area : 5
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: 4818 SURREY DR. NB
Description: SFR -ADD 397 SF, REMODEL 250 SF
Legal Desc.: TR 3519 LOT 52(AND E1/2 LOT 61
Owner:
CLAASSEN BRIAN & ANNA -MARIE
Address:
4818 SURREY DR
Record Management :
CORONA DEL MAR, CA 92625
- Phone:
949-285.7447
Applicant:
RIZZO WAYNE
Address:
484 PROSPECT ST
Record Management :
NEWPORT BEACH CA 92663
Phone:
949-285.7447
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 397
Added /New sq. ft. Garage:. 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $1,503.00
Plan Check Fee: $1,126.76
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$28.00
Energy Compliance:
$57.37
CA Seismic Safety:
$10.65
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $3,231.63
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
M C M
Address:
2238 PORT CARLISLE PL
Bus Lie:
NEWPORT BEACH CA 92660
Phone:
714-803-9204
Con State Lie:
869498
Lie Expire:
1213112019
Bus Lie:
BT30042113
Lie Exp Date:
01/3112019
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Architect:
Address:
Phone:
State Lie:
Engineer:
MANSHADI FARHAD
Address:
1800 E 16TH ST UNIT B
Special Conditions:
SANTA ANA CA 92701
Phone:
714.835-2800 State Lic:C-036840
Designer:
Address:
Phone:
Building Setbacks
Rear:
6'
Special Conditions:
Front:
15'
Left:
B'
Right:
6'
Use Zone:
Parking Spaces:
0
Fire Hazard Zone
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:
$160.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Grading PC Fee:
$0.00
Public Works Department
-
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$41.25
Electrical %m:
$105.21
San Dist:
$0.00
Mechanical %m:
$60.12
NMUSD Fee:
$0.00
Plumbing %m:.
$135.27
Fire Department.
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
c
on C
omoomm -W7
° m°c
moo o °
c oomo
Doom o,
m 9mm°o
'2 m°co
o mo
mmmm
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,326.01 Fee Due at Permit Issuance : $1,903.62
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 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 t, a 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 eu`sindss 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
im 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 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). _
❑ 1 am 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 Iegalh
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 7044of 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED VC14TIRACTOR'S DECLARATION pp yy
I hereby affirm OfIQAr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) f Di ision 3 of the Business and/DRED
as e 8 e is in full force
aGd allect. License *-lass License No Dat —�(Jf//t/f-,_,y// Contractor Sign
WORKERS'•COMPENSATION DECLARATION
WARNING: FAILURE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUTHOUSAND DOLLARS ($700,000), IN ADDITION TO THE
COSrbF COMPEN$ATION.DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1•he reby affirm dnUrgenalty of perjury one of the following declarations:
i have anti 01 -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 th
ItipbMhance of thA: "k for which this permit is issued. Policy No.
:I 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' compensatioi
...rans..
�nsue carrie i-zn�dpolicy number are:
,arrier Policy Number Expiration Date
I....
Na a of Agents • • _ _ Phone #
• ....
I certify that, in the performance of the work for whit this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and ogre
I should become sfe. a ct tIS sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date /
DECLARATION REGA DING CONSTRUCTION ENDING AGENCY
hereby 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 3097 Civil Code).
_ender's Name Lender's Address
3y mysignature belo , 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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or county t b -i a 'ed property for inspection purposes.
Signature of Property Owner or Authorized Agent =Property Owner's or Authorized Agent's Nam M'. tM /� �'fi /ateI I LI 1
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT
PERMITEXTENDED
CERTIFICATEOF
OCCUPANCYISSUED
NOTIFICATION TO
IS NOTAWLI"E TO
r
m
LO
W
W4 a
�H o
] U (`4
<4 N �,
P w
W m (Cd,
A� Orn
E"0 3rn
cr m
N
ZU
o
aA
(� t� U
q )
w
W � Q
o
N > �
C N
C
O
U
>
U
CL
w
r�1
lJ
ZE
c
U N U
a v u
N C W C yyU N
O U"'N Cm
a vvm
or
v aN' vo.
rn c v N a 3
v
y a y N' in z
ZZ
0 g =N5 EO
E o 12 N c E y
v0i cv£E�a
_ o
r m c v L 9 m m
3 €..`.
0 8 of To
0
c V
o v 0 m
N 7'J 7
N
C d Z 6 y m v U N
0 '6E Oi .N � N 2
U C d N v
b 2 o
y O 10 'O C
rn v� oa ut=�
2 C= Y U C
v
r 2. - N U 3 O
—
N
C N
as ty oEm Ey�.c-.D
o
t E 0 c vDc�,a o ..9
N U N 0— p.m
6
a
� (V 6
LU
W >
m
Q W
N o m
N
U
V
XU
n
o
w
U
U
p M
F
N
OJ It
O
d
u1
WfA
.�.
N
2
C
j F m
U Q O
O C
C O
i-
ZO
d
.V
U
E .�
U
d
o
Z0
W
a
2
>
-
^2
I
Lo
p
C
IX
;
R
O
O
I Q
o
00
I
U
.v0.
M
L :
L
L
L
cw)
W
O
U
V
N
w
O
W
O
U
2
Q
K
W
d
c
JN
C
LL
c
w
v
O
2
O
n
U
O
L
L
L
L
o
z
z
R
J
J
W
>
W
O. v
3
cm
w
m
O
z t
•3
vi
G
O
~
1
C i N
N
O
N
W
w
O
z
N
a
U)
O N
C)
O N
t
Q
Q
_�
a. C
>o
z
wzOIQzZD
0
m 0
O
JE,
�N
wLL
C) <p
L
U N U
a v u
N C W C yyU N
O U"'N Cm
a vvm
or
v aN' vo.
rn c v N a 3
v
y a y N' in z
ZZ
0 g =N5 EO
E o 12 N c E y
v0i cv£E�a
_ o
r m c v L 9 m m
3 €..`.
0 8 of To
0
c V
o v 0 m
N 7'J 7
N
C d Z 6 y m v U N
0 '6E Oi .N � N 2
U C d N v
b 2 o
y O 10 'O C
rn v� oa ut=�
2 C= Y U C
v
r 2. - N U 3 O
—
N
C N
as ty oEm Ey�.c-.D
o
t E 0 c vDc�,a o ..9
N U N 0— p.m
6
a
� (V 6
F
Fw- > m
a
0�@ vc
w
cmc T'0
o
a
Lu
Q
d
>O�
0.0C 00
01
W
w ro�
W
.
dN
ao. NZ
of
_
C NE O
N
Ua
E
a inO
m tO O U
w
v
b m
v
z
v
Q
U
oo
C
C0 G C y
3 o>,o_t m-
n v>
'N N W=
w
w> 2
0
3
d O 01,
2
o.y rnyua�
E
an
o m�
v
c o
m J
m
y
rn�
'N
cay ii
N 0 -O
V W
ZL
1.0
t
N
rn
m yr. ev..a
L m
O U o a
M2
O
U
N
o
U
y
lV vi
? G �I
O
V
w
2
U) i� I
L
a
mo 00
0
�
Z
O= oa.
v
W O
zL i L
L
L
W
E
O
W
0
O
U
Q W
Q
C
O
coU
I
_
Z
Z m
m
W LL v u
O
O
=
C
O
on
W m U
J
t
0
f
3
o
v
W L L
L
L
o
>
2
a
a
A
j J
J
y
W
>
Z
0
U Q
w
0 N
w
3
a
o
z L
a a z
c
g
a
U
O 3
w
L
w
E
0
z
F
WO N
F- N U
O c
3a
O
w
a
v L f L
L
L
o
N
m o
C N
Z
9
Q
O a
N o U
O
W
_
U
m
z LL O
U
N
m
V
w
~ C
..
w Q o
W
O
m
J O
a e�
c
y
,
IK
R
uci
O Gwi,
m
s
z
LU
III
W
1cm
LL UW.:
m
d
Um
O
F
O
IL N
a
0�@ vc
w
cmc T'0
o
a
m m mm
mac+
d
>O�
0.0C 00
01
N
.
dN
ao. NZ
of
_
C NE O
ry
d t)
E
m tO O U
N
L
v
z
v
v a>A
o�
C
C0 G C y
3 o>,o_t m-
o
'N N W=
w
w> 2
cw
2
o.y rnyua�
E
an
o m�
v
c o
'hrnm�
t n o
wa
m
y
rn�
'N
cay ii
N 0 -O
ZL
L C rte' A CZ
t
N
rn
m yr. ev..a
N
M2
O
U
N
-m
lV vi
IT
1'� C
rr
0
0
0
0
r
o
❑■ E
0
e� 0
0
O
O
O
O
O
0
O
(41
N
a
a
m
a
u
u
a
a
r
y
ON
U
O
W
O
W
O
N
E
N
E
N
0
m
`
■
0Uo0000UoUoU0ES
U
aLU
Z
oOi
o Z.OZOZOZ0Z0
Z.
OO
O
Ln
WO
Ln
WO
Ln
WO
Ln
WO
w
WO
Ln
W
O
W
•u6.'.:_
to, ?
'"
■
a0 m
n
m Ln
n
m Ul
n
m (n
N
m (A
N
m (n
m Ul
� +
`
�ti`+.�
a1
n
y..1 u�
W
❑
a
o W
a
o W
a
o W
0.w
o W
a^
0 �
W
a^
0 W
a
o W
I v'
w"
0=
w,-,
O
f-
0
O
H
0
H
O
h
0
F
o
F
,R,'
o
O w
■
�.,
O
0 Z
O
0 Z
o
o s Z
O
0 Z
O
a Z
O
O= Z
O
0 Z'
.0)
D r
..
?: �`
O
O C �"
N w W
' w W
H N W
� w W
. W W
'-I N W
N N W
i{U �
O m=
•. a
o m=
a
O m=
a
O (D
a
O m=
a
O m=
a
O m=
a
'�
O
a 0 m
z U)
o+cQo>czrnc¢rncQa(cQarncQa`cQry,i�,
z
z
z<
En
zm
z n,+'r
m
a'co
<
'"'�
- c:<
O
01
"� TZ
TZ
NJv
"'� TZ
NJv
"'� TZ
NJ....
TZ
NJ�
"( TZ
r1l—
`"'� Tz
N J
C`..T
"'
"'� U
NOv
o
N
y
0
�..
00
O
O
O
o
O
O
O
O
C
tv
U)
6
N
N
N
N
N
N
N
d
V
N
N
O
N W
NOD
NM
Nv.
Nc}
N7
MN
'SIT
('�,•�
NlD
oLn
M
O
o
.-i N
�&;
.-i N
�..
ti d'
�..
. 'T
�&;
. 't
�..
.-� V
.+ V
CO
m
ck
O
of
t
N
CL
T
y
+�
m
�..:
x
LU
c
c
0
w
v
•c
3
w
z
o
o
o
0
m
7 m
o
LL
c c
0
o
tD
N
O
p
O
.�-I
^
W H
W
LLl Out
= .-•
=
2
W .0
V :.
2
0
m
O
O
"O
(`^'1
M c
7
ON
N T
m1•'`,
:
.,
O.6C.
N
7
U
N
0O"
o
N
m
Z
(-
w
w
0
a
T
w
W
W
U
G
LL "
d
O
O
'-I
�; m
Z t_
O
Z •-
U U vl
U m
w
V .-.
U V
Co U1
J
w
U m
w
C
m
E
O
0
I V
C
N
J
J
d
O
LV
w
E w E
E J
3
Ll Ti
i J
M
Y
m
Z
T
w
im
D
6
%
0.
E
n
W
a
m
w
u w=
�_
LU
C
.(:-':
N
Q:
'O
O
w
Q
O
C
E
0
Cl')
�d N
N N
N a W
N 7
N
N
N Q
M D
O
11
w
Q
r.+
ar
w
U
V
O
U
LL
U
H
O
H
N
? LLLL
U..
LL
U..�
LLN T
u—U')
LLQ
u—
LLQ
U...
LL LL
U.�
W U)
Ua
`O �.
"
LLO
U�
0
v^
°
oo`
w
E
� ,-'
Lu Ln
LU
co
z,O
Q
Q
i-
LL
o
E
LL
LL
LL
LL
LL
(A
v:
O
O
O
O
rnz'�
:W.
LU
a
>E
J
`;c
w
�` 1
E
E
E
E
Z'
u
E
ow
lam"
M
cn
M
QC
LU
OC
O
Ot
w
y
�
T
>
?
T
a
T
Z
N
U
w
n
u
u
n
to
to
w
=
O
' c
U
V
V
m
ma
N
N
LOi.
3
3
-�
m
f+
m
O
O
Mr
d
r
C
W
fll
'nfl
-.
_
D T
pTj
IV
A
o A
f+
9
n�
��
ko
O
a x
z
K N
N
2
2
Ul
r�
rr
AN
AN
N
N
O
O
r
r
n0
n0
0 tD
0 ko
DDo
DD0
'mo0
0
o
0
=0
=0
.o
=0
�w
0w
14
14
w
w
03
0
0
0
0
0
0
0
0
0
0
n
-
N
N
O
O
0
o
A
n
n
m
X
3
3
nNi
w
N
�
O
w
�[
N
A