HomeMy WebLinkAboutX2019-0033 - PermitsCity of Newport Beach - Building Division �Illlllll�lll�il�lllllllllllll II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 0 3 3
H Permit Counter Phone (949)644-3288
-- Inspection Requests Phone (949)644-3255 Ea SF-i YNKLMS
Combination Type - SFP ELEC MECH PLUM GRAD, FE V).RED
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST,VAEM INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from a.m. to,6,90 p.m. No 0
Job Address: 410 VIA LIDO NORD NB
Description: NEW SFR W/ATT GARAGE 3107 & 400 SF
Legal Desc.: TR 907 LOT 478 SELY 15 FT AND NWLY 15 FT LOT 479 AND POR ABAND ALLEY
qO
Owner: 410 VIACON LLC Contractor: ELLIS MARK CONSTRUCTION Rt Z01' ect: /
Address: PO BOX 1096 Address: tYBOX 1298 `J Address:
YORBA LINDA CA 92885 TEMECULA 2593
Phone: 714-920-7470 Phon 951-676 5
Applicant:
BUSHMAN WALT
Address:
2480 SANTA ANA AVE
COSTA MESA CA 92627
Phone:
949-274-0824
Code Edit :
2013
Type of Construction:
V-B-SP4
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
3'f07
Added /New sq. ft. Garage: 400
No of Stories:
2
No of Units:
1
Bldg Height:
28
Bldg Sprinklers:
Y
Flood Zone:
X
Valuation: $695,000.00
Building Permit Fee: $4,866.00
Plan Check Fee: $61.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$58.00
Energy Compliance:
$0.00
CA Seismic Safety:
$77.35
Disabled Access :
$0.00
Hazardous Mat
$om
Building Green Fee :
$24.00
TOTAL FEE: $11,681.46
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
vyor r ompena
��' r
t.4,olicy No:
.Expire.
5y
d6pilding Setbacks
COMB Permit: X2019-0033
Project No : 2938-2016
Date, 01/03/2019
.tion Area : 1
or Holidays
State Lic:
State Lie, 1086 offiW
,A Engineer: XIAO QIANG
ucoire: 0212 /2 yAddress: 1520 BROOKHOLLOW DR #45
BT 6 0
3 hone:
gi—I r signer:
. E MPT ddress:
Phone:
Rear Sp ial �fe'
Front 4 '
Lefty 3
Right: 3
$736. iPark
Lcati
al Fee : �igyr iPCnds es.li.lr, 85149t�aFair P 1
c��Cx� .Fpck\Y108.00j. Fe 108.00$0.00
-1947 SD Fee: 4NOe.
Check Fee : $0.00
$826
.00
$0.00
$1,345.04
SANTA ANA CA 92705
71O4S-662-0510 ate -00528
HMAANBUSL
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Bons IQ�iIEFACTIO
BEDROOM
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ePartment
'
60 Fire Inspection:
O.Wo Fire Plan Rev
$0.00
.00 Demolition Fee
$0.00 Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $11,681.46
PUBLIC WORKS APPROVAL: V'
PLAN CHECK BY:
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 items)
ction 7031.5, Business and Professions Code: Any city or county that requiresia permit to Construct, alter, fmprove demblish, 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 proaisions-of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a BEER 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, will do L) all of or L) portions of the work, an ucture is not int ded or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am or personal effort, builds r 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 o e ion, the Owner -Builder will have th burden of proving that it was not built or
(roved for the purpose of sale).
1, as owner of the roe 0
property, rty, am exclusively contracting with licensed Contractors to construct (Section 70 ,� and Profs �Io a nlractort
fly to an owner of property who builds or improves thereon, and who contracts for the ppojeas with a licensed %air pursuantjq tb�l�lkt r e Lice a Law).
I am exempt from Iicensure under the Contractors' State License Law f owing reason: v , v _
my signature below I acknowledge that, except for my personal ce in which I must hav ed for at least{ prior to completion of the' reGme is cove
a structure that I have built as an owner -builder if it h en c strutted in its e y licensed contra . I understand that a cop applicable law Sectio
Ifessions Code, is available upon request whe pplic do itted a following i ttp://www.leginfo.ca.�/c ml.
nature of Property Owner or Authoriz nt - C) Date
hereby affirm under
no effect. License
WING. FAILURE TO SECURE WO ERS
it Or GOMPENSABON, DAMAGES PI
:reby affirm under penalty of rjI
I have and will maintain a c i
mance of the work for which
+e and will maintain workers
r ^ce carder and policy number
Y Agent
In tne'performance of
become subiectlo the
hereby affirm under penalty of perjury.
Ender's Name
iy my signature below, I certify to each
I am the property owner or authoriz
I have read this application and the
I agree to comply with all a 'sa"
I authorize representative
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I ym und�r prowslons ia)" ,r i1 tom a Ion 7000) of Division 3 of the B I ss and Professions to
+• L ens i-_ ^'+ to i�-3"1� Co"a or Signature
\RATION
COVET AGE IS UNLAWFUL AND SHALL SUBJECT AN EMP _ CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
FOR I CTION 3106 OF THE LABOR CODE, INTEREST, a,�{6gR YVEES -
of the following declarations:
f consent to self -insure for workers' compeTt" 1 teJ-by the Director of Industrial Relatior(`,\Ay�as �`ra�)b Sectic
lit Is Issued. Policy No. 99
,Osa{.I n i Branca, as required by Section 3700 of the Labor Code for l� C�YCfht �e fpf which is emit is
I`�" liev 'Number `^, .•.J,n_CkE%Wtt`io`n Date
Ir which this permit is lssuA 1 s�/all�rtfill
amps atio rov' cti l�Jl�0
IG NCY kk
structiUillg agency for the
\\ Lenc
Ilowing:
on the property owner' alf.
iof correct.
oUMrdand and s�y��ws relates
'any person in any manner so as to
Labor Code, I shall forthwith compy
work for
fro -building construction.
for inspection purposes.
Print ProDerty Owner's or Authorized
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
(Section
Name
Civil Code).
State License Law does not
of the Business and
is in full force
15100,0001, IN ADDITION TO THE
of the Labor Code, for
My workers'
of California, and