HomeMy WebLinkAboutX2018-1090 - PermitsIto City of Newport Beach - Building Division
n` 100 Civic Center Drive, Newport Beach, CA 92660
h, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
"�xrrnY�`9 Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2018-1090
x 2 9 1 8 1 9 9 0 Project No: 0881-2018
Issued Date : 06126/2018
Inspection Area : 4
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: 30 VALERIO NB
Description: SFR CONVERT EXISTING TANDUM PARKING GARAGE INTO BEDROOM 294 SF
Legal Desc.:
Owner: CHARI SAMPATH/CHART USHA Contractor: OWNERIBLDR Architect: N :t
Address: 1 WANDERING RILL Address: TIM JOHNSON Address: CTOR
IRVINE CA 92603 1
Phone: Phone: - • . y Phone: t` - State Lic:
Applicant: JOHNSON TIM _
Con State Lic:
O/B
Engineer: MANI DEV
Address: 101 AVENIDA PONAINGUEZ '
Lic Expire:
Address: 3130 E WILLOW ST
°
SXN CLItMENTE;-CA 9'2672 -
Bus Lic:
LONG BEACH CA 90803
• o m ®°0
• • • °.
Phone: 949-209.7211 ` _
Lic Exp Date:
Phone: 562-597-8883 State Lic:C-062778
Coda Edit : 2016
Worker's Compensation Insurance
Designer: JOHNSON TIM
• • .
o c
• • °
Type of Construction: V-B
Carrier:
Address: 101 AVENIDA DOMINGUEZ
® °° • °
. °
Occupancy Group: R31U
Policy No:
SAN CLEMENTE CA 92672
....
Added /New sq.ft. Bldg: 0
Expire:
Phone: 949-209-7211
Added /Newsq ft. Garage:
9 0
°
°mm000
No of Stories: 2
Building Setbacks
Rear: /
Special Conditi ns: OIB AUTH ATTACHED
NoUnits: 1
Front: I
� fm � G ®�
o
o®°•®°
•ommoo
Bldgg Height: 0
Left: /
Bldg Sprinklers:
Right: /
° • • •
°.
a ° ° • ° °
°
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
°
. •
°• •.
Construction Valuation: $30.000.00
Building Permit Fee: .' $494 00 ^..';
Excise Tax:
$0.00
Planning Department
- •- , .,,Fire Department .'
Plan Check Fee: $428.04 •
Additional Fee :
$276.00
Plan check Fee :
$150.00 Fireslnspection ' "}
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $12.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $66.00
Grading PC Fee:
$0.00
Public Works Department - General Service
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00 Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check:
$0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$34.44
San Dist:
$0.00
Building Green Fee: $2 00 -
Mechanical %:
$19.68
NMUSD Fee:
$0,99, -
$0.00
Plumbing %:
$44.28
�`^=
$0.00
TOTAL E : 11,514.44
Plan Check Fee
: $1,459.54
Fee ermit Issuance :
$54.90
PROCESSED BY:
PUBLIC WCB
PROVAL:
t l J
v-
({
ZONING APPROVAL:
PLAN CHEW.
GRADING APPROVAL:
-APPROVA
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)
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 the applicant for
is 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 penalty of
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
J I as oWAr of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ppl n owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1.
I am exempt from licensure under the Contractors' State License Law r the f wing reason:
ly my signature below I acknowledge that, except for my personal res' nce w is I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll
ell a'structure that l have built as an owner -builder if i s no ons[ruct d in s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of he Bu iness and
'rofessions Code, is available upon reque$t when a l Ica io is bm' r he f Web site:http://www.leginfo.ca.gov/calaw.html. G ` 19
lignature of Property Owner or Authorized Agent Dat b
.ICENSEDgPJJTRACTOR'S DECLARATI N
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 Pr s Cade nd y icense is in full force
lir c ffect. llconse•Class License No Date Contractor Signature
VORKERS! COMPENSATION DECLARATION
%feIRG: FAILURE TO SfECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMP�t$SAIIfS DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
yereby affirm fiftder�enalty of perjury one of the following declarations:
J,have and evil 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 thi
formance df the work for which this permit is issued. Policy No.
3,hare 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' compensatiol
Iaura*e carriessiv&golicy number are:. _
KQls _ _ Policy Number Expiration Date
that, in the p orma ce thew r w i h this permit is issued, I shall not employ any person in any manner so as to become subject to the works cam ensation aws of California, and ogre
ould bBoom s o e wor rs' m sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r\�\\J
of Applican Dated L� V
�reby affirm under penalty of perjury that ther6 is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 co
I agree to comply with all applicable city and county or Ina a an t to laws relating to building construction.
I authorize representatives of this city or county tRe he ove- a tified property for inspection purposes.t�
nature of Prooertv Owner or Authorized Aaent 1C 1Al Print Prooertv Owner's or Authorized Aaent's Nam
ACTION DATE BY ' DECLARATION qF COMPLIANCE WITH CODE OF FEDERAL' FOR OFFICE USE ONLY
REGULATI ART 61 OF TITLE 40 ANDAQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEO EPA
PERMIT EXTENDED I L1AoMD 11/1
PERMITFINAL (1).7f10 ZfA/LS rvo 1IITASBESTO1OTIF TIONI;I rQOTAPPLICABLE TO
OCCUPANCYISSUED II ��44//���' SIGNATURE:E OL IOfh LIYI//fir r
0
C,
'gyp O c 0)
L d0 0
(Dt0
-o (Dm
c 0
-0 ° 'E m Q
a
w Q
°' w n �¢ m
N N y FA-0 O
w >
a)w cc camiQ
'O f6M icy
T E L 7 ._
calSa y ma
-� ma0
L D C Cm 7 _
ECC
jZy T = (D
i C o O R 0
E� oj
a ° a o go
cd ar N A m o a
� a)a > p o
y
U N L m 0
9 p N L
�' u) a`) O �' O =
L s®mm EOa
N �� wwm
Y
E E aai0a CL (D 2 0 m o N C 0
C
0) C. L Q - '0 0 c
vy3wco M
a)
a° O o r- m c a)
(Dm a) T >' 0 m U
a)
O O O` V O m 0 IN_d N X _._T.
c Q._��• cp0
> o E> m w M N 0
W ° 0 U Q N m c c m
onamoEpD..cca�crn
a m p T m ROBS,
.
,-c p_a)YL m>a)E
m Q d m O O c `-
r E 0 a o o_
O cL E0
m ONO 3 o d w o
a La3 3 r= m a
E`o 0LOdEo N9
-`0 m m
C c (D3 m c o - o L
w.' aN §
o>U o
a
>,t
Coai m
QowoNa�c
U
O m E ro o O-m 0.0 c
o Q00moO) E
C r O L > 00_ N 0 0) c
ro (Dao08 om °o
> d Q D cu a
a) m a) L N O) >, Q c
C L °' 0 :c N C .00 0.0 m
° o aa= 0) m a` n Y a
O N O 8 N C C C C C
c o °
Z c EOm> NU °'m _
�1 yL.., N a) > E -0 N C C a1
0 .0 0.0. O N m ?� a
Q.
o. m O N a U w T O
c C T 7 m N C 0 N
m T3 ma) DO) N T
OE 0)-o( ayl
O O O c C B O 0 •c N a— N TJ
a�mmcd c vEu S�
.0. O O N Q o- C
8 E m� 3 m °°- E �' U
.L; U 0 C_ C m ) m O N C a
ro a�-> i(a E� 3 m` mm
N C N 0 •0 N m 0 L y
NO o c c Q C = U. 0. io E Nam Co cmo UE
;C °m 030 (a C O0' T y Cc m 1V m
m E t c
a vac
C: _ � 0
mm c a To
C MDpC
E (D 0
m canEmgc ) N_ .0
(D (D 0 0 .0 N O -DOS E N c.
m •Y p_ C a) C N C Q. C a)
O m CL
O N p C
llJ� c C C E C N Q Cl) N O
JJ m
OVc�l= otr o m 0 m=
U)UU) .0
U ;O
-0N o G
.0N
c m
..LO..
CQ
t,
•� `tea
a � '
fQ
T
E
m
U
'3�0
a
Sn
Eo
m=
C N
L a>
3 m x
E�
ww?
LNmc
(DN
N
0 C
N= 0
a) O p O
N
U
N u E
'v
N
cu
O
O
m 0 m
L
.N ..L..
t
E0B
cy0d
w
�m
�U)(D
pow
mQ.
3
Q �O
m
m
o
8.
a'a
d
0 c
in —
J ._ O
a
(D.L
8. (D0
m y U1
r O O
N aL.
Ti m�
3 o
0 (D
°r,c
9`
c a)ayoa
m
a E
ca° o�m
a) 7
G
m'>a�
0 ®o°L`R>,
Q?dy
cwnN°
°cc co
2'
° as m
e°�;..:°
C,cu IS'QUY
UocEi
°mca)...
«
e N e
U)' m N
7 m 0 ..
qg. m
m o ti
o m° m
.2> o 12 d®°
om
N 2 0
E c
M
ba
c_ N Q
a) N E
p O
N ymq 4c
0)N.�.°�
0 0 C
0 c
o0
mQCN
0080
a.c^m
O E m
O
N= E c
C
E 3 N Y
m O 0
>,
a) arc�N
°U)
m1i3
'a
w'; o
c
m N _
3 a�
�
(D CC
m m
E
U 6 m m
0
o L
o c
4
N
c
- o
a) T
EEot
a) 2 o
'aV
c
mma
.�. . U
cu a)
c n
N V t
a0n
"=>aa)i�
mmm
b
c Y >,
a O c N
vm
c a) 0
c c a
WW
C
a E
fwc6 R N
O `p C
N C p
>
E
mf
" �
m
S
a m
a m
a) N
a 3
'00 0
°m
C T O
a) L
c�
3
C aa)
N
' >,
E N
N
N c
n
— O y
U
•0'
— C C N
_ c O
m T)
_
U
p�p
m
uimE
rom$m
w
��o Em
(Sp
ao
3
y
,I
c0 C
,JI
0-O aL+
C T
�I
O)3 t c
C O
'm
a )
c
�6U
m
(�)
m a
(�V'a
3 0
�I
ig
w°
r0
c
o N
YO
.p.
Eac)
.O..
mN
jN
N
2E
E
N3
c
N.0
m
U
� .�
>..p
U
CL(a
Ec
my
o
E'E2S
c O
yV
Ui
c
O
c
O
O. m
Q i
m `o
a
CL a)
d
U
O C O
E M
�O N
>
•O
of N m
N Q
O
m
NCO
U
C).0
.a
C
c
T .E N N
L
C°
`a
00_ .L-�
w
E p Lp a?
y y
o
p)Q Do
a
o
7 •N
C
T
C NQ W
9 O
Td
aU.
O
mC�
BULL/
UN
m
N y N N
mM—
m>
C .7
co'
E
C •O m
y
E� oU
3
o
m m
`off
w
OyO'o
C o
c�
� n
y�
aO. ,W m
.O � m
O m
O
O
U
.OUy
E
.. �.
C
m
Lv
m m
C? O 0°
m
C N
m
CL d
U�
Ul >>
9
.0 p m J �N
p
U T
'Cm
N N•
d o.
o y U q c
v
r'C.
.L., N
m r'9 $
m°
a m
m12
z m
E•-U)_
r Y
T
L
c
c N m O c
G m
m @
Y-0
p 0
N
5
— y
N
�
V1 a o
(D0Eom
N
N m
d E
0io
c>TUE
Env
m-pm
o+=
m'3
me
� a
_ 0
_ 12
— m
m E.E
o N m
�_ >
� w
O
C N m U
3
c
> 2r
U 0 C
E
1
m0
3�
m )
m
N T'O N
00
N t C m d C "0
N3�0 CL3:
_>°UvG.-
>' - aai r m D
3Ncv'm9r-
U y 't0 N -0 =_ O
� CUM-- y
0.9 >,O E.O"
° N 7 T'N
o -°mo
° m E= T 12 d
'� � N •C U
N _Z :E N 2 a
f_1 C 'O ° C m
3 N O C O° v
°-E5w (D
m } c 5, L V
O C
m C 0-
N l0 O L
cLcE 3:a
OLL C E O Y 3 O
Y L °
,p�cgo3co.
C +O" m C N
O .� L N m
'a fp °im'
a� Op°nn
-0 CL N m U
3 E� E° o m
m �a 0 c c
TC fOmU) 0
O y N E a
vUm_ mU)
N C O O1
(0 .rj '(0 j O € .L. 12
o
m
0 IOn 3 U 7 a 0 0
�.. C U) = •p m C p
N ° a C ° U
wmE�� m
N
O>> O N 0
m °� T+ 7= C
mz m,
° o 3 c
c o U E d o
coi o D c'c
ad_°o�y
N p m QCD
c
c•O°YL°Em°o-
o m c o E` E
3w0 Lov ° 0
r �
m
0 3
L
Y
LEA
Y Er
a�
•O 0 ,N o
m 0)
d"Gy
d c y
CL
E y p w
O .>_ 3
N IM
� c N CD
7 N C
E°°7 U O
_ a
OmG1 +� U
O
r � a
a a�
N N G O C
AO S
S,y Cn
r
m� 01
0da.= m
C
E " ° d o
0C o a
G OL
a0.
p 3 0
.0 "0 na m
.°
E�¢d
mo2a a`
O
a
O
'O
am
e
S
CO.
J
T o
E y
O O
m
c —CL
O. U
U)
p-
O
�
m
W
UP
O
Z
_
O
3 y
mm
O
c
—mo
E a
W
3 E T—
Uo.
a
E
O U
IL
,Q
`°=
op
,a
O
C
p O
V
N c N
12.0 0
N N
O
CL
m' O
Q
E o
~
F
C CD (D C
0
Li- 0
W
3oO3a
y
U'
0,2 c Uoi
'C Y O
c
CO
LL
o N� O
�� o�
O
aro(D
Q m
F
�Q
CL
� M
N
(D r-
O
Z=L
�OC
Q)
ww(Do
W
m Cp
E w
O i
rn'n
c.N S o
N pCjG
c0V CL
Z 30
w Er,
V
E c
m m o
0
N a ;G
Y.E
�� Q)
C C t
Op_ > O
oao�
.0
m Y .N
a=
O y
a°i °C y
3w E
T D
0W
me ai€
U O C G
N U N
_ axe
m
c
s`
a
N
u
a
0
u
w
on
C6
W
z
6
v
3
a
m
.a
z°
a
�
a
i
0
n
00
cp
3
IBM
Mi
ccl
zz
ow
2
CO
m
z
«c
a
aV
No
,o
3.
R