HomeMy WebLinkAboutX2020-2049 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
t+ �, Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
nt{,-trr' Combination Type - MFP ELEC
*X2020-2049*
COMB Permit: X2020-2049
Project No: 1677-2020
Issued Date : 09/25/2020
"action Area: f1
PERMIT OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/26/2023 OR
Co trucflon Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday /rpft RnW'00 p.m. No work on
Job Address: 11 JASMINE RE " '"r"
Description: MFR BATTE 44 ❑ 80% or ❑ 100% refund
Legal Desc.: N TR 8428 L 44 -
Owner: DUDA BREN N tra SLA E RATIONS Architect:
Address: 11 JASMINE EE DR s - T B to whod7dre
CORONA DEL AR A - I C
Phone: 831-236-1248 Phone: 650-638-1028 Phone:
Applicant: STABLEIN SA Engineer: CHILDS JAMES
Address: 2102 ALTON P B XL
I R,328,
Address: 1604 SPICE SKY OR
IRVINE, CA 92 6 F
LAS VEGAS NV 891
Phone: 714-496-0688 Dete: - Phone:
Code Edit: 20 Worker's Compensation Insurance Designer:
Type of Construction: Carrier: ZURICH AMERICA NS Address: t j
Occupancy Group: U Policy o: EW8107458 ep9 �`
Added /New sq. It Bldg: an
0 E �10/31/2020 . , Y ne:
-Added /New sq. ft. Garage: 0 scan S -
NoofStories: 0 - Buildin a acks. Rear: / �.,a
No of Units: 7 ( (no work gi"�$It�krootOons:
Bldg Height: 0 `��r Strt✓C Front:
I
Bldg Sprinklers: Right: / _.
Construction Valuation:
1)0.00
Building Permit Fee:
$2100
wee-'faxr--------
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.0
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consultant
Record Management:
$0,00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WO Insp. Fee:
- -
Disabled Access :
$0.00
Hazardous Mal
$0.00
Electrical %:
Building Green Fee :
$1.00
Mechanical %:
Plumbing %:
TOTAL FEE : $566.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
nsp.
$0.00
Fair Share
$0.00
SJH Trans
$0.00
In -lieu Housing Fee
$0.00
Public Works Department-
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
$27.76
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Plan Check Fee
or Holidays
1 S EC1®1 1
e
ate.Lfc:
it o
0
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eome-
a
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o
$46.26
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$95.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$243.60 Fee Due at Permit Issuance : $322.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to th I applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structur no to its issuance, also requires the applicant for
the permit to file a si ned statementa o menc ng with ecti$nl 7000) of Division 3 of the Business and
rofessions Code) r e or s e s exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora rmit'> ubjects the appli :ant to a civil penalty of
of more than five mired dollars ($500). �Z� „
1, as owner of pro f employles with wa es as fie' o wllldu-� all of or A Awl bTMIIEIEK and the structure Is not it ruled or offered for sale (Section 7044,
'usiness and Prof skm j ode: fihe on rectors State License Law does not apply to an owner of property who, through emplo sea' or ersonal ort, wl or improves the property, provided that the
nprovements are t intended or offered for sale. If, however, the buildin or 1 ova of ithin on ®Iy bell#] 0h� 110 40 a bgrden of proving t)at itwas not built or
n roved for the pu ose
1, as owner of pro rty, am lusiv contract! lic n ors to project (Section 7044, Business and Professions Code: a Contractors' Stale License Law does not
pply to an owner o prop who b s or i rov h d fo e o ects all en" %"".ursuant to the Contractors' State icens_s Law).
] I am exempt fro lice he Cc to L It La r th ow! n:
iy my signature bat ' I ac hat, except for my personal residence in which I must have resided for at least one year prior to completion of the imp emarts covered by this permit, I cannot legally
ylj g Pt built as an owner -builder if it has not been constructed in its entire"vIll contractors. I understand that a copy of the applica le Iavy;;Section 7044 cf the Business and
'rofessions 00de,d avail uest EMM i i e e http:iA�.leginfo.ca.gov/calaw.html-
igripture .leginfo.ca.gov/calaw.html-
ligr)dture of Pr817 Ow r ed =" Date
9g)rNSED CON C LA
hereby af6rtr� end one that I u ovisron f apt n h Section 7000) of Division 3 of the Business and Pr ssfq a -Code, and my license is in full force
od'effect. .. 888104 9/25/20
tdb8se Cie License No ���DatepZV Contractor S)gnaattuu a"
�bRJCERS ;CO^ rINSATIO�N rE spmR vinm DECLARATION
is uNLA WFUL AND SHALL SU&IE6T3 N aMPLWER iPFR 1UNyL�fiNpI� CIVQ!Plj �dl�y aE HUNDRE THci&ND DOLLARS (110%000), IN ADDITION TO THE
I lwreDy offing fln ena o jud1Q0 "LfA601, d�r gr®tl�: L A Vfa aae
• : have and will entain a certificatr�y��gqjf���ppppp r�L ��p,�gl�[�yy�Iqqu���''a for workers' compensation, issu t0,{�[j*oparctnWiS ) Relations as provided by, ction 3700 o the Labor Code, for
ifianca gM116 rk for which this pep1y1H5d4ueiliL'y'Nd. _ -
....
eve and wil m ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thl p _ is issued. h4y workers' compensa
ance canter and �q{� r are:
Camer U ILA o Icy um err Expiration "1
121
Tie of Agent 1112,19, IIIIL..l i
certify that, in the erfoTm ce a e wor or which this permit is Issued, 1 shall not em to Ioam@4k veN� s" Lpensation laws of California, and agre
t, if I should become sub( ��[ �/ a 'Cod e, I shall forthwith comply with those provisions.
nature of Applicantu 4a;,H, QLQAi� __ Date\/ 9/
25/2020
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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).
Idei's Name Lender's Address -
my signature below, 1 certify to each of the following:
1 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 county ordinances and state laws relating to building construction. -
I authorize representatives of this city or county to enter the above-i a tified property for inspection purposes. 9/25//20
- . .. . -.. -.t ��7 .._ ..-..._--1.. _ __ Stablein �r.e
ACNON DATE BY UCLLNttArIVIV Ur LV&IYfJA1MLCMin tVLCVt-
- FEDERAL REGULATIONS PART 610F TITLE 40 AND
PERMITEXPIRED ' Z �'� �,` �� rb AQMDRULE 140.3.
❑ 1 SUBMITTED ASBESTOS NOAFICATION TO:
PERMITCANCELLED ❑ EPA
PERMIT EXTENDED ❑ AQMD
❑ ASBESTOS NO7IFlCATIONIS NOTAPPLICABLE To
PERMIT.RhAl. PROPOSEDDEMOUTIOIL
CERTIRCATEOF SIGNATURE:
OCCUPANCYfSSUED