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HomeMy WebLinkAboutX2022-1325 - Permitso��E.wvoR e Community City of DeWpOrt Bevelopment ea ment- Building Division iiiiipiiiii COMB Permit : X2O22-1325 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1025-2021 t+► ,y. Permit Counter Phone: (949) 718-1888 Issued Date : 06/02/2022 ae. ' newportbeachca.gov/civic Inspection Area : 3 C9��F00.H�P Combination Type - SFP Work Class - Addition PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2304 CLIFF DR Legal Desc : N TR 919 BLK 4 LOT 5 Description: DELTA 3- *ADDITIONAL SCOPE* ENCLOSE BALCONY TO CREATE HABITABLE SPACE 87 SF Owner: GONTERMAN CONSTRUCTION Address : 2304 CLIFF DR NEWPORT BEACH. CA 92663 Phone Applicant: Address Phone: Owner/Builder : Address Phone: Contractor: GONTERMAN CONSTRUCTION Address : 502 30TH ST, UNIT A NEWPORT BEACH, CA 92663 Phone: (949)697-0746 Con State Lic : 858073 Lic Expire: 04/30/2025 Bus Lic : BT30048414 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9259518 W. C. Expire: 8/22/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect: Address : Phone : State Lic Engineer: MANSHADI FARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone : (714) 835-2800 Designer: Address : Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 :38f11VNOIS O3nS51 AJNVdOJJO NO11110W30 03SOdONd 30-71V3IdI1N3J 01 319VOIlddV ION SI NOl1V'71311ON S01599SV /*,��// 7VNI311WH3d 0 NOVO 030N31X311W83d Vd3[] 03773JNV311W83d 01 NOI1VOId I10N SO1S38SV 03i11W8ns I 03H1dX311We3d £OVT 31nU O WLIV ONV OV 31111 d0 T9 AW SNoavin 038 AlNO 35f1 371d30 UOd 1VU303d 30 30OJ H11M 3JNVIld W00 d0 NOIIVUV1730 A9 31VO NOIlJV ale0 aweN s,lua V pazuoylnV io S iaum0 Apadwd Iuud Iu86V pazuoylnV io iaumo AljedOJd;o einleu is ,sesodind uopoadsw io; Aliadaid p90pu8pl-8noge ayI ialua of Alunoo io Allo slgl;o sangelues idw azpoylne I ,uoporulsuoo 6ulppnq of 6upelw smel alels pue saoueulpio Alunoo pue AIIa algeopdde lie q}pm Aldwoo of sal6e I laawoo sl papinwd aney I uapewiwul ayl pue uogeopdde slyl pew aney I -lleyaq s jeumo Apadaid ayI uo {oe of pezpoylne io iauMo Aliadoid aw we I :6ulmopo; egl;o yoea of Appoo I 'molaq wnleu6ls Aw Ag ssaippV sjapual aweN sJapual (BpoO IIA10 'L60£ uogoas) panssl sl Uwied slyl gwym io; ilium ayl;o aouewoped eyl io; Aoua6e 6ulpual uogongsuoo a sl maul, le41 Ainfied;o Allowed iapun wjWe Agaiaq I kON30V ONION31 Nou3nyisN00 ONIOMV93N NOIIV941O30 ales luewlddV;o wnleu6ls suolslnwd asoyl yllM Aldwoo µl!mylio} pays I 'apoo iogel ayl;o DOLE uolloag;o suwslnwd uogesuatlwoo siaUioM ayI oI Ioa(gns awooaq pinoys I;! PUB 'elwo;peo 10 smel uopesuadwoo ,sieNiom eyl of loafqns awooaq of se os iauuew Aue w uosied Aue Aoldwe IOU pegs I 'panssl si Ilwied slyl yolym io; ipom agl;o eouewo}Iad aql w 'Ieyl A}lliao ale(3 iagwnN Aogod wa6V;0 :we iagwnu Aopod pue iaweo eouei siaVam AInI panssl sl lluuad slyl plum iol Vom ayl;o eouewio;lad aql io; 'apoo iogel eql W OOL£ uolloag Aq pannbei se 'aoueinsw uopesuadwoo sia)pom welulew plm pue aney 'oN Awlod panssl sl lluuad slyl yolym io; Njom agl;o eoueuuo, iol 'apoo iogel ayI ;o o0L£ uogoas Aq io} popinaid se suollelaa Ieulsnpw ;o ioloailO eq1 Aq panssl 'uopesuadwoo siaiuom io; ainsul-;las of wasuoo }o aleoylpaa a ulelwew 1I1M pue aney I :suolleieloap bulmopol ayI to auo Ainpad;o Alleuad iapun will}e Agaiay 'S33d S,A3NUO11V ONV'1.S3a31N1'3000 HOSVI 3H1 409OLS N01103S NI eOd 0301AOed SV S30VWV0'NOI1tlSN3dW00 dO1S00 3H1 Ol NOw00V NI'foo0'ootsu savIioa ONvenOHl 03HaNOH 3NO 01 do S3NId IIWO UNV S3111VN3d NNIWMD 01 H3AOldW9 NV 103rens 11WHS ONV 'lndMVINn sI 30VN3A00 NOl1VSN3dW00 .summom 3en03S Ol nnl1Vd tONINUVN NOIIVNV1030 NOIIVSN3dWOO SM3NNON wnleu ft iolaeiwoo a7e0 ON asuaoll sselo asuaoll 'loage pue awo; pn} w sI asuaoll Aw pue 'apoo suolssa}aid pue ssawsng Bull;o E uo1s1M010 (OOOL uogoas yllm 6wouawwoo) 6 ialdeulo;o suo{slnwd iapun pasuaop we I Ieyl Ainpad;o Alleuad iapun wiWe Agaiey I NOI1V1JV1O30 S.MOlOVM114OO 03SN30I1 oleo Iu96V pezpoylnV io iaum0 Apadoid;o amleti ft 'lw3q'meleo7Ao6-eo o}ul6al,mmMp:dgq:aps qoM 6ulmollo; ay} le io palllwgns sl uopeolldde s1y1 uaqm lsenbei uodn elgepene sl 'apoo suolssa;aid pue ssawsng ayI }o pgpL uol{oag 'met algeopdde syl;o Adoa a ley} puelsiapun l sio7oeiluoo pasuaop Aq Alwque s}l w polorulsuoo ueeq IOU seq 11 i1 iaplmq-iaumo us as 1pnq aney 11ey1 wnlongs a lies �Ile6al IODUeO I 'Iluued s1w Aq paianoa sluowanwdwl eµi;o uolloldwoo of loud ieoA auo Iseal le io; peplsw aney Isnw I yolym w aouoplsai Ieuosiod Aw io; Idaoxe 'Ieg1 o6palmoupe I molaq wnleu6ls Aw AG -- :uoseai 6ulmollO; ayi io; me I asuaoll sins ,siolomitiao ayl iapun ainsuaoll woy {dwexa we I '(mel asuaoll alels siolowluoo ay} of wensind iopeuluoo pasuaop a 4llA'm sloafwd eLlI icy spBJIUOO 04M pue'uoaiaw sanaidwl io spllnq oym Aliadoid;o ieumo ue of Aldde IOU saop me 1 asuaoll 91els ,siolowluo0 ay1 :apoo suolssa;aid pue ssau(sng '490L uopoes) loafoid eyl Ionilsuoo of siolawluoo pasuaop ylua 6ugowluoo Alanlsnloxa we'Aliedwd ayl }o isumo se 'I (ales;o asodind ayl io; panwdwl io lllnq IOU sem Il Ieyl 6ulnwd;o uapinq Bull aney plm iappng-ioum0 ey1'uollaldwoo;o ieaA auo w4jIm plos s1 luawanwdwl io 6u1pi1ng ayl'IBAOMoq '11 'ales io; pwago io popuslul IOU eie sluawanwdwl ayI ley} popinaid 'Apadwd ay} sanwdwl io spllnq 'pogo leuosiod io saa6oldwo y6naiul{ 'oWA Aliadwd;o iaumo us of Aldde IOU soup me 1 asuaoll a{elS siolo8}000 ayi :apoo suolssa;aid pue ssaulsng '"OL uogoas) ales io; paiago io papualul IOU sl ain}awls ayI pue 'Iliom aql;o suolliod n in;o lie (1 op 1pm'uogesuadwoo alos ilayl se so6em, 41lm saaAoldwa Aw io 'Aliadoid eyl;o iaumo se 'I siellop paipunq anp ueyl a10w IOU ;o Alleuad pnlo a of weogdde ayI sloafgns llwied a iol lueopdde Aue Aq 9 I£OL uollaas 10 uogelolA AuV uogdwexa pal3ape ayI io; slseq eyI pue ainsueoq wail Idwaxe sl eys io ay leyl io (apoo suolssa}oid pue ssawsng Bull;o E uolslAlO10 (OOOL uooas lm 6ulauaoo) 6 iedyo) Masuaollalels Sio10WIU03 Oun 10 SUOISlnwd Byl of luens nd pasuaop sl aqs io ay Ieq{ luawalels pau6ls a alp of 11Led aqlw io; lueopdde ayI sannbei osle'aouenssl sll of ioud'ainloruls Aue nedw io'ysgowap'anwdwl'ielle lorulsuoo o1 Iluuad a sailnbei Ieyl Alunoo io AIIo AuV :apoo suassa}wd pue ssawsng 'g LEOL uogoas) (s)wall algeopdde eyI of lxau paoeld aney I (s)yiewNoeyo eyI 6q molaq poleolpul (s)uosew ayI io; Mel asuaoll alels sioloeiluoo eyl ww; ldwaxe we 1 leyl Ainfiad;o Alleuad iapun wiq}e Agaiay I NOIIVNY1330 M3011f18-M3NMO o ,EW�okr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2O22-1325 hl y 100 Civic CeCommunitynter Drive, ee Newport Beach, CA 92660partment - Building lvision X 2 0 2 2 1 3 2 s Plan Check No : 1025-2021 ~ * _ n Permit Counter Phone: (949) 718-1888 Issued Date : 06/02/2022 'I newportbeachca.gov/civic Final Date: 06/21/2023 Combination Type - SFP Permit Status: Final Work Class - Addition Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2304 CLIFF DR Legal Desc : N TR 919 BLK 4 LOT 5 Description: DELTA 3-'ADDITIONAL SCOPE' ENCLOSE BALCONY TO CREATE HABITABLE SPACE 87 SF Owner: GONTERMAN CONSTRUCTION Address : 2304 CLIFF DR NEWPORT BEACH, CA 92663 Phone Applicant: Address Phone: Owner/Builder : Address : Contractor: GONTERMAN CONSTRUCTION Address : 502 30TH ST, UNIT A NEWPORT BEACH, CA 92663 Phone : (949) 697-0746 Con State Lic : 858073 Lic Expire: 04/30/2025 Bus Lic : BT30048414 Bus Lic Expire: 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9259518 W. C. Expire: 8/22/2023 Phone: Code Edition : 2019 Fire Sprinklers Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U.R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: MANSHADI FARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address : Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 aweN :3afllVN91s N01111OA30 03SOd0�A Ol 318V711ddV lON SI N011V]HIlON SO1S38SVP9 01 31nd OWOV ONV 06 3UII d0 191NVd SNOI1V1n03N AlNO 35n DWO V0d 1"303130300D HIM 37NVIld W0730 N011VNV1-A0 AB I 31V0 03nSS1AJNVdn.7.70 d031VJt311N37 7VNf311WN3d 030N31X311W83d 031737NV71fW83d 03N1dX311WN3d ;o ,sasodmtl uagaedsw lo; 49dold paylluapj-anoge ayl lalua 01 Alunoo to Alp sly;;o sangeluesaldal azuoylne 1 vollonlisuoo 6ulppnq of bugelw smej alels pue seoueulplo Alunoo pus Alp ejgeolldde lie yllm Aldwoo of ae76e I 73BwO3 Si pap!Aold aney I uollewlo;ul ayl pus uogeolldde 9141 pew aney I ';leyeq s jaumo Auadad ayl uo loe of pazuoglne to leumo Apadold Bull we I :6u.molpl eyl;o yoee of Appeo I 'molaq wnleu6!s Aw A ssajppV s,lapual aweN siapua JGPOO I!A10 'L60£ uogoaS) panssl sl 11wed s!4l 401ym lo; iPOM ayl;o Bouewloped ay; lo; Aoua6e 6ulpuaj uogor ilsuoo a si wayl le4l A1n0ad;o Alleued Lapun wii a Agway A0N30V 0N10N31 N0113nHISN00 `ONIC)MVO3N NOLLVHVl031 ala0 lueopddV;o amleum NOIL7V 'suols!Awd asoyl ylm Aldwoo tplmyyo; lleys 1 'apoo logel e41 JO OOL£ uogoaS;o suo!s!Aold uogesuadwoo slaxiom OqI 01 pafgns awooaq pings 111 al6e pue 'elwo;pe0;o smel uogesuadwoo ,slaliom atll of loafgns awooaq 01 se os lauuew Aue w uos ad Aue AoldwB;ou pegs I 'panssl sl Ilulled s1q 4014m lo; >Ilom ayl;o aoumioped ayl w 'leyl A4!11ao ale(] lagwnN A3110d lua6V;o :ale lagwnu Aopod pus iaweo souel sle>Ilom AyN pensi sl iluLad s!41 yo!4m lo; tllom ayi;o eauewloyed eyl lo; 'apo0 l0gel ayl;o oOLE uogoaS Aq pwlnbel se 'a0uwnsul uogesuadwoo slalmm ulelu!ew 111M pue aney 'ON A0110d panssl sl lltwad slyl go!gm lo; mioNm ayl;o aoueuuol l0; 'apo0 Fogel 941 ;o OOL£ uollaas Aq lo; pap!Ao1d se suogelaa jeu;snpul ;o loloall(] ayl Aq panssl 'uogesuadwoo sea pom lo; wnsu!-;Las of Iuasuoo ;o aleoylUaO a ulelulew p!m Pus aney l :suollwepap 6ulmopo; ayi to auo A1nfied;o Alleued iapun wil4e Agalay S333 S,A3NN011V ONV'1S3N31NI'30008OW13H1 d090L0 N01103S NI NOd 0301AONd Sy S3OVWVO'NOIIVSN3dWO0 d01SO 3H1 01 NOw00V NI'1000'ams) sNVlloo awesnoHi mmaNnH 3NO Ol do s3N1d IINO ONV S3111VN3d 1VNIW1a0 Ol N3AO1dM NV 103f8AS 11VHS ONV'lndMV Nn Sl30VN3AO0 N011VSN3dWO0.SH3XNOM 3Nn03s 013anllVd :ONINNV NOi1VNV1030 N0l1VSN3dW00 ,S213)lM0A einleu6!S loloeAuoo ale(] ON asua01.1 ssep asua011 l09a u aw0; Ijn; ul sl asuaoll Aw pue 'apo0 suolssa;wd pue sseulsng ayl;o £ uo!s!A10 JO (OOOL uolpaS ypm 6upuawwoo) 6la;dego to suols,mold la un asueol we A p P P I I Ieyl A1n0ad;o Alleued Lapun uu!ye Agway NOIIVUVl030 SAJ010VN1N00 03SN30I' also wa6V pazuoylnV to ieum0 A11Bdwd to wneu6p, 'Iw34'Mejeo1Ao6,eo,o1ul6aj M 1/:dgy:ags clam 6ulmollo; ay;;e to pau!wgns sl uogeolldde s!4l uaym isenbei uodn elgepene sl 'apoo suolsse;oi, pue sseulsng agl;o "OL uogoaS 'Mel algeoildde ayl;o Adoo a leyl puelsiapun I sioloewwoo pasueoll Aq Alwqua s7! ut pal0rulsuoo uaaq Lou sey 1! J! iapllnq-laumo us se 1pnq aney 11e41 ampn.Is a lie Ipe6al iouue0 I 'Mooed slyl Aq pelanoo sluawanwdwj ayi;o uopaldwoo of loud leaA auo Iseel Is /o; peplsw eney isnw I yolym ul eoueplsw Ieuoslad Aw lol ldaoxe'Imp 96polmoulloe I molaq amteu6!s Aw A. :uoseau fiUWO1lO; Gull 10; Mel asua0!1 e;e)S sloloelluoo ayl Lapun elnsueog ww; ldwaxe we I C (mel asuaoll alelS SUO100JwO0 ayi of wensmd lo138luo0 pasua011 a QM sl0e(01d 041Jo; sl0equo0 OqM Pus 'uoela4l sanadwl to spllnq o4m Auadold;o ieumo us of Add Lou seop Mel asuaoll 91elS slopelluo0 ayi :apo0 su0lssa;0ld pus sseulsng '"OL uOpoaS) loef0ld ayl lorulsuoo of sloloeiluo0 pasueoll 41!m 6ull3wluo0 AIOA!snpxe we'Alledold a4i;o leumo se 'I *(ales;o asorllnd eyl io; paAoidu to Ipnq Lou sem 11 le4l 6umaid;o uapmq ayl aney II!m l9pj!ng-iaum0 ayi 'uollelduloo;o tesA auo ulyl!M Plos s1 luawenadwl to 6u!ppnq ay; 'l9nem04 '11 'ales lo; palayo to papualul Lou we sluawaAOidu Bull 1eul1 pap!Aoid 'Apedold eql sanwdwl to spynq 'uoga Ieuoslad jo saaAoldwa y6nwyl 'o" Alladold;a jaumo us of Ajdde IOU swop mel asuaoll alelS siolDwwoo ayi :apoo suO!ssa;wd pue ssaulsnl '440L uogoaS) ales l0; palago to papualu! IOU sl wnpnlls eta pus 'Tom aylJo suolllod (—) to;o lie n op 1pm'uogesuedwoa Ojos naull se sa6em qpm saaAoldwe Aw lo'Auadad a111;a jeumo se 'I C o Alleuad Lao e o ueol dde a '(OoSs) mepop paipun4 any ueyl wow l0 1 L . lA I 41 sloafgns lluuad a lo; lueopdde Aue Aq 5' LEOL uogoaS;O u0gelo!A AuV uopdwaxo peBape ayl lo; slseq eyl pue amsueop u101} tdwaxe sl ays to aq leyi to (apo0 suolssa;a, pus sseulsng Bun;o £ uo!slA!(];o (OOOL uogoaS gllm 6upuewwOo) 6laide40) mel asueoll ate1S slolowluo0 aylHo suols!Aold Oyl of luensmd pasueoll s! ays to oq Iey};uewalels pau61s a sly of )!"ad at lo; lueopdde ayl salmbal oss'aouenssi sy of loud 'amloruls Aue nedw to 'ysyowap'anwdwl 'tape 'IOMISuoo of I!uuad a swmbei leyl Alunoo to AI10 AuV :9po0 suolssa;old pus ssawsng 'g L£OL uO1130S (s)wal! eigeoptlde Bull of ixau paoeld aney I (s)>IlewNoayo Bull Aq molaq pal OW' (s)uosew ayi lol mel asuaoll eIelS sloloeiluoC) ayl wwl Idwexe we 1 )eyl Ambad;o Alleued Lapun uuWe Agalay I 141011 JV1030 N3U11f19-N3NMO City of Newport Beach - Building Division * T�s 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 .�, Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1325 x 2 8 2 2 1 3 2 5 Project No : 1025-2021 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJ Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday Job Address: 2304 CLIFF DR NB �* Description: DELTA 3- "ADDITIONAL SCOPE* ENCLOSE BALCONY TO CREATE HABITABLE SPACEIP6 Legal Desc.: N TR 919 BLK 4 LOT 5 i t�J 'A, <. Owner: GONTERMAN JASON Contractor: GONTERMA ONSTR♦ tON gNchitect: V RHI Address: 2043 WESTCLIFF OR Address: 5023 , UNIT•(% ` ^hP Address: 151 KAL S NEWPORT BEACH CA 92663 NE RT BEA�^ _ A 92669 > COSTA 'SI Phone: 626-497-7208 Phone:-697-07� rN 4 o`0 4 "''"""" Ph e: 714-754-404ti Issued Date :06/0212022 Inspection Area : 3 BE O PFFTED BY OR PERMIT WILL BE INVAL a.m. to 6:OiV.m. No work on Sundays or Holidays JEFFREY A R. STE G-1 CA 92626 State Lic:C037065 Applicant: VAN VOORHIS JEFFREY A Con State i j 858073 9j� Engineer: MANSHADI FARAD Address: 151 KALMUS DR. STE G-1 Lic Expi 0413012023 G �1' Address: 1800E 16TH ST IT B.. COSTA MESA, CA 92626 Bus B 0048414 ri��V SANTA ANA CA 921 1 Phone: 714-7544040 p Date: 09I30/ 2 §�.v.. Phone: 714-835-2800 "51tate Code Edit: 2019 o, r', Com sation F rapc _ Designer: Type of Construction: V-B-SPR y" Carr TO -` S Address: i Occupancy Group: R3/U P icy No 9¢phone: Added /New sq.ft. Bldg: 87 p Expire' r Added /New sq. ft. Garage: 0 +r' ' an 5 s`' Spec t6b REV22-0828 No of Stories. 3 Buildin e aa. No of Units : 1 +,maw4.' FL nt �0'x ,e' � � Bldg Height: 0 gj ^ < s ,v'u" Bldg Sprinklers: ,>• na '�;k` x Y Fir z rd Zone Flood Zone: *4J' U. Zone: r .ac" 0 Construction Valuation: 29660.00 a >. �:i v:'.ea-...@:r e$ Building Permit Fee $836.000"0, Plan Check Fee: $642.00., Overtime Plan Ck. $0.00 Investigation Fee: $0.00 �4Z Record Management: $0.00 Energy Compliance: $0.00 •- CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,667.00 PROCESSED BY: ZONING APPROVAL: Excise Tax .'r� $0.00 Plan partm Addition e '^�� $0.00 Plarieck Fee Grad i 0 F`$0.00 Fair Share radio 0 Int.$0.00 tf" SJH Trans dingb��.�s,,,,,c, ee: $0�ce" In -lieu H using E 8+.. .ng PC'Fee: 'r# nr Public Wo yvep p. Fee : 9�00* Park ation ectrical %: �ac'� $Q:6'D ist s b1 Mechanics o. MUSD F e: Plum$0.00:,:,; *,� L P 11 �arAlec 850.00 '�'e'4 $0.00 $0.00 Lic C-036840 >' Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: I gam APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $837.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasAh 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licens Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sec 703'1: 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 1) all of or (_) portion3of the wo?k, 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, brough emyioyees' 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7Q,44, Business and Pro slons 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 Cont tors' State License Law). ❑ I am exempt from lic_nsure 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 atleast one year prior to completion of th pro enis covered by this permit, I cannot legal. S4 a 61n.cture that . nave built as an owner -builder if it has not been constructed in its entirety by licensed. contractors. I understand that a copy cf the ap able.' ySection 7044 of the Business and Professions Coda, is aiailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.ht S'gn3ture of Proper'y Owner or Authorized Agent to LICENSED CONTRACTOR'S DECLARATION I hereby affirm uilder oeoalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of (vision 3 siness and Pro(�6slo '^ b ^and y license is in full force a.ld erfect. License Class License No Date /'at , ontractor Signatur�7 WORKERS' COMPE14SATION DECLARATION � - IAHNIN(: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE -IS UNLAWFI "^F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $f06 OF THE LAZ. hereby nfrirm under penalty of perjury one of the folio tcg declara ns 1 ha.;a and will maintain a certificate of conse to self -in re for aX cv,r. nce of tAe work for which this permit is is J. Polic No. have and will maintain workers' compen Ion ins ur ca, a, requi Is rance carrier and policy number are: ... Tie of Agent certify that, in the performal t, if I should become subject nature of ADolicant V hereby affirm under penalty of perjury that fts a constructio ndin ender's Name - '"'_'>I, Ai AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES /W&QA FI UP TO i CODE INTEREST, AND ATTORNEYS FEES. p WHO 7� ly my signature below, I certify to each of the followls�:- 1 am the property owner or authorized to act on the p erty o beha I have read this application and the information haveded is correct. I agree to comply with all applicable city and county ordmabe as and state I authorize representatives of this city or co to enter the, ove-identifi ignature of Property Owner or Authorized Agent 1CTION DATE BYV DECLARATION OF COMB REGULATIONS PART 61( i 1403 PERMIT EXPIRED ERML CERTIFICATE CERTIFICATEFICATEOF Ifs OCCUPANCY ISSUED ASBESTOS y the Directotr AJyItlustkI Code or'PAe8e'p� err*a ce of 9 nV pil ntemploy any person i7Wany 1 3700 of the Labor Code, I shal Y for the ppernance of the work _ Lend �t';s_ ress tl ti ��� n building co structI ertinspectio purpo s. Print ropert ITH CODE F FEDE L FO 3E 40 AND MO Ru NOTIFICATION 15 NOT PROPOSED DEMOLITION TO DOLLARS ($100,000), IN ADDITION TO THE by Section 3700 of the Labor Code, for this permit is issued. My workers' Pho ` # ;Z�, bec a bject to the workers' compensation laws of California, and agree y' t se provisions. Dch t s mit is issued (Section 3097,,;Civ�il Code). ;or Authorized Agent's Namex OFFICE USE ONLY