HomeMy WebLinkAboutX2019-0279 - PermitsCity of Newport Beach - Building Division
rw�tny_
ti{
100 Civic Center Drive, Newport Beach, CA 92660
F r
Permit Counter Phone (949)644-3288 .
s")
Inspection Requests Phone (949)644-3255
�xsar��¢v.♦*
Combination Type - MFP MECH ELEC PLUM
II�I�IIIIIIIIIIIIII�III II COMB Permit: X2019-0279
a Project No: 0201-2019
Issued Date : 0712512019
Inspection Area : 4
PERMITS EXPIRE 180 DAYS R ISSU E OR VALID INSP CTION.
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 andtatQlay fro :DO a.m. f :00 p.m. No wank
Job Address: 95 JASMINE CREEK DR NB
Description: MFR ADD 115 SF & REMODEL 931 SF
Legal Desc.: N TR 8427 LOT 11
Owner: GATES MARGARET GATES
Address: 424 VISTA FLORA
NEWPORT BEACH CA 92660
Phone:
Applicant: SCOTT BRIAN
Address: 962 NHARWOOD ST
ORANGE CA 92B67 y�
Phone: 562-964-1272
Code Edit : 2016
Type of Construction: V-
Occupancy Group: _ 9/U
Added /New sq.ft. Bldg:. 115
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 3
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $2,132.00
Plan Check Fee: $1,779.76
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$46.00
Energy Compliance:
$105.00
CA Seismic Safety:
$19.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $5,583.41
PROCESSED BY:
ZONING APPROVAL:
Conjtraactor:
EVERSON CONSTRUCT,(QjJVCS
Architect:
FjelBress:
9271 KREPP DR
Address:
°'`
HUNTINGTON BCH CA 92646
Phone:
714-745-2459
Phone:
`�--
C State Lic
827620
Engineer:
is Expire:
11I3012019
Address:
L� Bus Li
BT30068240
Lic. Exp Date:
07/31 /2020..:w
Phon�
Worker's Compensation
Insurance
�er:
eiv—. -
Carner.
EXEMPT
Policy No.
no employees
Expire.
V
Budding Setbacks
Rear: 15'
Front: 15'
Left: 0'
Right: Bk
Use Zc
3
Exceii flex:
Additional Fee
Grading Bonin.
r In ►g
$0.00 / Iryffe' u sing Fee
v
Special
,.t
SJH
or Holidays
2pState Lic:
�`HEIR
NESS AVE -'
X�CA 90249 Z i
1#40
to
giiiiii! P`C'70
Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
-
Refund Deposit
$664.00
Grading Bond:
$0.00
$0.00
$0.00
Check Fee : $2,044.76 Fee Due at Permit Issuance : $3,538.65
PUBLIC WORKS APPROVAL: M i
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
II orksDepartment-
rk Dedication : $0.00
PNV Plan Check : $123.76
San Dist: $0.00
NMUSD Fee: $0.00
OWNER -BUILDER DECLARATION '1
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate ow by the I
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dean or repair any
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licen aw (Chapter 9 (col
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation action 7031.5 by any,
not more than five hundred dollars ($500). ,oky'
as owner of the property, or my employees with wages as their sole compensation, will do (_) all of o
ass and Professions Code: The Contractors' State License Law does not apply to an owner of pr v
vements are not intended or offered for sale. If, however, the building or improvement is sold in one
ved for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to co ct the prt (.
to an owner of property who builds or improves thereon, and who contracts for t rojects with a Iicenssl1
J I am exempt from licensure under the Contractors' State License Law for
Iy my signature below I acknowledge that, except for my personal residence
ell a structure that I have built as an owner -builder if it has not been con
Tafessions Code, is available upon request when this application is mute
lignalure of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am license der 1p cav i6n�
nd effect. License Class _ Linen e
COMPENSATION DEC
1ARNINO: FAILURE TO SECURE WORKERS' COMP ATIO
OST OF COMPENSATION, DAMAGES AS PROV FOR IN
hereby affirm under penalty of pe " one of the
,, pof' i
I have and will maintain certific t tom
erformance of the work for w ' h IN tom
is
]I have and will malntam;work s' compensati�
Isurance carrier and policy bomb are:'"
Agent
y that, in the performancAi„4,gtthe ork for
to
of
hereby affirm under penalty of perjury thaft re
Bader's Name
3y my signature below, I certify to each of the ADM
I am the property owner or authorized to act
I have read this application and the informabo
I agree to comply with all applicable city and co
I authorize representatives of this city or county
3ionature of Property Owner or Authorized Agent,A
ACTION I DATE I BY
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
(a) I have placed next to the applicable item(s)
prior to its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
r a permit subjects the applicant to a civil penalty of
is work�p�lyNliie structure 's intended or offered for sale (Section 7044,
ImRI or personal ort, b ds or improves the property, provided that the
nddnn he Owner- der will hav\ce
burden of proving that it was not built or
Business d Professions Code:raptors' State License Law does not
pursu to the Contractors' StaLaw).
e�owmg reason:
OWhich 1 must ve resided for at least` year prior to completion of the improvemeo
Id in its a ty by lio lsed contrapidt�' at
that a copy of the applicable law,
or at t following WekS'site:http:i*".leginfo.ca.gov/calaw.html.
Chapter 9 (commencing with Section 7000) of Division 3 of the
Date, Cc
x)VERiC IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI SXPM ON�tUNDRED
CTI 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4 n(� 1
owing declarations: ec�ailV
it to self -insure for workers' compensation, issued by the Director of Industrial .R1eV`'�Oa as provide o
ed. Policy No.
insurance, as required by Section 3700 of the Labor Code`,�for the perforp e of the war r whi lBf:
Policy Number
h'this permit is issued, I shall not am arson in
Isation provisions of Section 3700 r'l' or Code, I
rGENCY
.onstruction lending a®enrpj:,fdk thrrma o th
s A ss
W
a provf ad is correct. rr
y o inances and state IawWel g to bull g c ru
6nte a abovaiaentified oertv for oe Duroo
DENA fll9AKOMPLIAN IT DE OF FEDERAL
RET11 PART 61 QP'r1T1_f.4AND AQMD RULE
oef
1403
ISUBN4111E SB065 NOTIFICATION TO
EPA
QMD
AS9E5TOS NOTIFICATION 15 NOT APPLICABLE TO
oveired by this permit, I cannot legalll
ion'i044 of the Business and
)ate
:od my,ti Is I full force
is
OLeLA,RS (E10 00f IN ADDITION TO THE
11 0 of the Labor Code, for th
is issued. My workers' compensatiol
m�,gR�so o beco u to the workers' compensation laws of California, and agre
hwi Dmplywi ho rovisions.
DJtW
for w t permit is issued (Section 3097, Ivll Code).
FOR OFFICE USE ONLY