HomeMy WebLinkAboutX2019-1453 - Permits1 , , City of,Newport Beach - Building Division
1.00 Civic Senter Drive, Newport Beach, CA 92660
Permit Counter Ph g (949)644-3288
Inspection Req p,'N�PI one (949)644-3255
4lgeu,b Combination Type - CIP ELEC PLUM MECH
COMB Permit: X2019-1453
x 2 9 1 9 1 4 5 3 Project No : 1029-2019
Issued Date: 07111/2019
Inspection Area :L
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: 308 MARINE AVE NB -
Description: MIXED USE "STOP WORK` COMM TI 814 SF (308 1/2) & MFR REMODEL 650 SF (UNTS A& B)
Legal Desc.: BALBOA ISLAND SEC 4 LOT 5 BLK 14 E75 FT'
Owner:
211 EMERALD BAY LLC
Contractor:
OWNERIBLDR
Architect:
ROSENBAUM SCOTT
Address:
1278 GLENNEYRE ST #411
Address:
RACHAEL MORRISON
Address:
31511 CAMINO CAPISTRANO #A
$0.00
LAGUNA BEACH, CA 92651
$110.00
Hazardous Mat
$0.00
SAN JUAN CAPISTRANO CA 92675
Phone:
Phone:
949-395-6043
Phone:
949-280.6514 State Lic:C032834
Applicant:
ABEL GREGG
Con State Lie:
O/B
Engineer:
Address:
1100 SOUTH COAST HWY #206
Lie Expire:
Address:
LONG BEACH CA 92651
Bus Lie:
Phone:
949-497-3442
Lie Exp Date:
Phone:
State Lie:
Code Edit: 2018
Type of Construction: V-A
Occupancy Group: BIR31U/M'
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee:
$1,228.00
Plan Check Fee: $1,068.36
Overtime Plan Ck:
$801.27
Investigation Fee:
$1,228.00
Record Management :
$34.00
Energy Compliance:
$77.00
CA Seismic Safety:
$0.00
Disabled Access :
$110.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $5,373.64
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp.-Fee :
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$321.49
$252.60
$206.67
Designer:
Address:
Phone:
Special Conditions: 119-1069
LIQUEFACTION AREA
,.-t% rw,
_. .. ._ ."P�Y �(eTt Y+
Planning Department -
Fire Department
Plan check Fee :.
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication:
$0.00
PAN Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,900.10 Fee Due at Permit Issuance: $3,473.54
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W ` ° PUBLIC WgRf S APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ` .`o o`c. ohPPkbVAj-`T°O ISSUE: _
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,900.10 Fee Due at Permit Issuance: $3,473.54
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W ` ° PUBLIC WgRf S APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ` .`o o`c. ohPPkbVAj-`T°O ISSUE: _
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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) 1 have placed next to the applicable item(s)
lection 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 itsrlsWance, also requires the applicant for
1e 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
'rofessions 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 penally of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
npr ed for the purpose of sale).
Lf 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
only 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:
y 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)
ell a structure that I have built as an owner -builder if i 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
'rofessions Code, is available upon request when I aIo Is sp�9�tkedggat the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. %
ignature of Property Owner or Authorized AgentDj
.ICENSED CONTRACTOR'S DECLARATI
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 force
nd effect. License Class License No Date ` Contractor Signature
JORKERS' COMPENSATION DECLARATION
ARMING: 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
ormance 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' compensa
rance carrier and policy number are:
is of Agent
certify that, in the p
if I should become
of
Policy Number
Date
Ice 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 agre
to the wo c 's' mp nsat!on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
6 D*gAl
IECLARATION REG%R5pG CONSTRUCTION. LENDING AGENCY
hereby 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).
Ender's Name Lender's Address
ly 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 my
and co ordinances and state laws relating to building construction.
I authorize representatives of this city or co er theme j�bbo: 'd nrfled property for inspection purposes. ` `
licnature of Propertv Owner or Authorized ADen /vY/O� Print Property Owner's or Authorized Agent's Namej S
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS:'PTIFIL`kTION TCC
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