HomeMy WebLinkAboutX2019-0813 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0813
a 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 6 1 3 Project No: 1303-2018
Permit Counter Phone(949)644-3288
sy �f Inspection Requests Phone (949)644-3255 FIRE .SPRINKLERS
Issued Date : 0311212019
Combination Type - SFP ELEC MECH PLUM
4M REQUIRED
Inspection Area
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hour.- 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: 219 EVENING STAR LN NB,.
Description: SFR CONVERT LIV TO GARAGE 58 SF, REMODEL 2829 SF AND ADD 300 SF
Legal Desc.: N TR 1116 LOT 126
Owner: JONES CLIFTON
Address: 219 EVENING CANYON RD
CORONA DEL MAR, CA 92625
Phone
Applicant: LIGHT CJ
Address: 1401 QUAIL ST STE 120
NEWPORT BEACH CA 92660
Phone: 949-851-8345
Code Edit:
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
300
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units:
1
Bldg Height:
29
Bldg Sprinklers:
Y
Flood Zone:
X
11 Construction Valuation:
$571,000.00
Building Permit Fee: $4,823.00
Plan Check Fee: $61.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$82.00
Energy Compliance:
$0.00
CA Seismic Safety:
$74.23
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$23.00
TOTAL FEE: $9,987.58
PROCESSED BY:
ZONING APPROVAL:
Contractor:
OWNER/BLDR
Architect:
LIGHT CHRISTIAN R
Address:
CLIFTON JONES
Address:
1401 QUAIL ST #120
NEWPORT BEACH CA 92660
Phone:
Phone:
949.851-8345 State Lic:CO22334
Con State Lie:
O/B
Engineer:
WONG RAMON ROMAN II
Lie Expire:
Bus Lie:
Address:
1800 E 16TH ST
SANTA ANA CA 92701
,
Lie Exp Date:
Phone:
714-835-2800 State Lio:S-002345
0"°, •�r�'°'
Worker's Compensation
Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:"-``-�
-
Building Setbacks
Rear: 6
Special Conditions: OWNERIBLDR ATTACHED
Front: 10
" ,.-.. - ..
Left: 6
Right: 6
Use Zone' R-1-6000 Parking Spaces
3
Fire Hazard Zone : N
.
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$0.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$1,267.88
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$1,187.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$24.00
Grading PC Fee:
$276.12
Public Works Department -
General Service
$197.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
PAN Plan Check:
$453.75
Grading Bond:
$0.00
Electrical %:
$337.61
San Dist :
$0.00
Mechanical %:
$192.92
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$434.07
$0.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance : $9,987.58
;Sv✓`r " PUBLIC WORKS APPROVAL
PLAN CHECK BY:
GRADING APPROVAL: 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 item(s)
ction 7031.5, Business and Professions Code: Any city or county that requires o r r ,_ lish, 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 prod - w (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensors and the basis for the alleged lion. A viola ion o 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, wi o (_) a I o or po Ions of the work, and the structure is not intended or offered for sale (Section 7044,
driess 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
�rovements 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
�rbved 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 hot
fly t0 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).
J I am exempt from lice nsure under the Contractors'
ly my signature below I acknowledge that, except for r
ell a structure Tot' have built as an owner -builder if it
'rofessions Code, is available upon request when this
iignat•we of Property Owner or Authorized Agent
X,LMSED CONTRACTOR'S DEC LARATI0
hereby affirm under penalty of perjury that I am lic ns
r.d exact. License Class
License
under prov
License
reason:
rhave resided for at least one year prior to completion of
t
ere y by licensed contractors. I understand that a copy of the
I ing Web site:hftp://www.leginfo.ca.gov/calaw.html.
rents covers y tnls permit, I cannot
law, Section 044 of the Business and
(commencing with Section 7000) of Division 3 of the Business and Professions
Date Contractor Signature_
and my license is in full force
NORKERS' 13CNIP2NSATION DECLARATION
NARNINI : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
nereb,,, affirm u„c er panalty of perjury one of the following declarations:
J 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 the
•er`ormance of,the wnrY for which this permit is issued. Policy No.
JI 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' compensation
asurance cards, and policy number are:
3arrier olicy Number Expiration Date
Vame of Agent Phone #
�I certify that, in the pe orm ce 11 work r . Ibh the permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agree
hat, if I should become u ' ct to e o pensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Da
7ECLARATION REG R NSTR I N E G AGENCY
hereby affirm under enalty of 'u ere is nstruction 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 my signature below, I certify to 6ach of the following:
I am the property owner or authorized to act on the property owner' half.
I have read this application and the information I have prov' corre .
I agree to comply with all applicable city and cou y or ' a a d sta ws rel ing to building construction.
I authorize representatives of this city or county to a e-id of ed prop for inspection purposes.
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Lem 2zilig S Da 3-
ACTION DATE BY ATIO F COMP N WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU T ART 61 ITLE 40ANDAOMD RULE
PERMITEXPIRED XUi SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMITEXTENDED MD
PERMITFINAL —S-Z3 ASBESTOS OTI� 10 APPLIC LE TO
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