HomeMy WebLinkAboutX2019-1576 - Permitsr4 City of Newport Beach - Building Division
o; 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
Construction Hours: Monday -
Job Address: 1119 DOLPHIN TER NB
Description: NEW SFR W/ ATTACHED GARAG
Legal Desc.: N TR 1700 LOT 1
Owner: DOLPHIN T LLC
Address: 1119 IN TER (2
Phone:
Applicant:
WILSO TYLER S
Address:
24471 C RIS r
MISSIO IEJ CA
Phone:
714-754-4 0
Code Edit: 2016—
Type of Construction: V-B-SP
Occupancy Group: 31U
Added /New sq.ft. Bldg: 94
Added /New sq. ft. Garage: 83!
No of Stories: 1
No of Units : 1
Bldg Height: 24
Bldg Sprinklers: Y
PERMITS EXPI�R-E.486 DAYS AFTER
'ridayZpB .m. to 6:30 p.m. and
II iiiiii iiiii iiiii iiii
ASEMENT 9476 SF $.B365F
os
Building
A' N
Crrs'rirton Valuation:
17 480
\vJV"
Bc ild'rg Permit Fee:
$8,633.00
Excise Tax:
Plan Cneck Fee: $61.00
Additional F
Ove,A.rou Plan Ck:
Imcs.iyLtion Fee:
$0.00
$0.00
Gr onds Fee:
N6k'-- rading PC Co ,
Recorc' Hanagement
$152.00
Gradin it F
Energy Complianre:
$268.00
ing P
CA Seismic Safety':
'$230.42-
p. Fee
Di.,at.led i,ccess :
$0.00
Hazardous Mat
$0.00
Electrical %:
BL;IJi.1J green Fae:•
_ $71.00
Mechanical %:
Plumbing %:
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
,.O wyNOrc�
CA 92673
rdbr: BLUFF
Front: 5'
Left: 4'..
Right: 4'
COMB Permit: X2019-1576
Project No: 1880-2018
Issued Date : 05/17/2019
§und Inspection Area : 2
m. fo 6:00 p.m. Alo wo on Sundays or Holidays
Architect:
WILSON TYLER COTT
Address:
24471 CHRISANT DRIVE
MISSION VIEJO, 92691
Phone:
714-754-4040 State Lic:C036519
Engineer:
MANSHADI FARHA
Address:
1800 E 16TJiST UNI
%nSQ-
8
Lic:C-036840
37 Pla 'w�'[fapartment-
Fire Department
Ian check Fee:
$0.00
Fire Inspection:
$0.00
0
S
Fair Share :
$0.00
Fire Plan Rev
$0.00
6
SJH Trans :
$0.00
Demolition Fee
3,041.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$145.44
Public Works Department -
General Service
$0.00
$108.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check: $660,00
Grading Bond:
$0.00
$604.31
San Dist: $1,649.00
$345.32
NMUSD Fee: $13,632.56
$0.00
$776.97
$0.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance:
$33,481.89
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
I
V
`(;i— S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the C ' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county th ve, demolish, 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 icense Law (Chapter 9 (commencing with S coon 7000) of Division 3 of the Business and
.fessions Code) or that he or she is exempt from licensure and the basis for tIj�ll� violation of Section 7031:5 by any applican er it subjects the applicant to a civil penalty of
more than five hundred dollars ($500). CEM
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the wor a structure is not inten d or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throw yees' or personal effort, builds or proves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one ye mpletion, th Oyaner-Builder will have t e rden of proving that it was not built or
(roved for the purpose of sale). 1Ga1p�e • un�
I, as owner of the property, am exclusively contracting with licensed Contractors to constWctth'eproject (Sectigq 7�Q;�tlslnes �an� P,�'C6de: The Co ractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for projects with a licensed C rac or pursuant t e ractors' State Licens Law).
I am exempt from licensure under the Contractors' State License La following reason: O O 0
my signature below I acknowledge that, except for my person ence in which I must h sided for at leas ear prior to completion Improvement overed by this permit, I cannot legal
a structure that I have built as an owner -builder if it e n con cted in it ety by licens d ntractors. I understan�J,(hat of the applicable law, coon 7044 of the Business and
:fessions Code, is available upon request wh ap !cation mi a the followingaw.html.
nature of Property Owner or Authori Fit to
hereby affirm under
nd effect. License
:ARNING: FAILURE TO SECURE WORKE ' CO
DST OF COMPENSATION, DAMAG€5 AS OVIO FOR IN
hereby affirm under penalty of per ry on of the
I have and will maintain a certi ate
erformance of the work for which thi erml Is is
]I have and will maintain workers' c pen
r�Ml
Isurance carrier and policy number are `
:ertit that, in the performancR of the VArk for which Pris permit is
if I hould become sgbbtalpt t hew rl mpen tion isje
re of Applicant X. A Lf' __-
ereby affirm under penalty bf perjury that theX is a
Ider's Name
my signature below, I certify to each of the foltwing
I am the property owner or authorized to act the
I have read this application and the informatio I
I agree to comply with all applicable city and co of
I authorize representatives of this city or county
nature of Prooertv Owner or Authorized Aoen I
of rt mm1plittiIIIIIIIII 7000) od, i 'si of the Business and Pro%
DateQ Contractor Signature
r
N ALL SURJECT ANT. M Q TOfirl L P LTIES AND CIVIL. FINES UV TO ONE HUNDRED
3700 of the Labor
agency for the
correct.
the Director of Industrial
Irr¢liiy any person in any manner so as to
if the Labor Code, I shall forthwith co
the work
building construction.
inspection purposes.
ACTION DATE �BV✓ GULATIONS PA T061 OF TIITLE 40 AND QMD RULECE WITH CODE OF
PERMITEXPIRED
V I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UFPA
PERMIT EXTENDED
13AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE -
FOR OFFICE USE ONLY
the tkjv�ich
piration Date _
one#
(Section 3097, Civil Code).
in full force
S ($100,000), IN ADDITION TO'
I Of the Labor Code, for
IRws'of CalifomiF, and ag