HomeMy WebLinkAboutX2015-0466 - PermitsA�w�r City of Newport Beach - Building Division 1IIIIIIIIIIIII!!IIII1IIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X201
a�a 4 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0423-2015
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
cyrow,pT Combination Type - SFP MECH. ELEC PLUM „Ty�-" ?� Issued Date : 02/26/2015
,„»��'°"� Inspection Area : 2
PERMITS EXPIRE 1$$0 DAYS AFTER ISSUANCE go* -AST VALID INSPECTION,
INSTALL OR VERIFY SMO
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E
/C
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dbN MONOXIDE DETECTORS /PLUMBING FIXTURES T P ADED
Job Address: 2201 CLIFF DR NB
Description: SFR ADD 630 SF, REMODEL 300 SF
Legal Desc.: TR 919 LOT A SELY 43 FT NELY 150 FT
Owner:
DOTT CROSSI CLIFF LLC
Address:
17220 NEWHOPE ST
FOUNTAIN VALLEY CA 92708
Phone:
Applicant:
GASTINEAU JAMES
Address:
2201 CLIFF DR
NEWPORT BEACH cA4A63
Phone:
424-333_8408 �-
Code Edit:
i
2013,C',,n
T e of Construction:
VB
YP
Occupancy Group:
Added /New sq.ft. Bldg:
3/U .p,
630
Added /New sq. ft. Garage:
0
No of Stories: 2
„
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
l� I
OWNER/BLDR Architect:
GASTI IRAIJ JAMES V Addre
Phone:
OIB
aw-
,--Lic Exp Datee: '
�NWor'' rs,omp jnsa ion Insurance,
rn
p
olicy No
Expire
4.
B ' n e ack J lea
Front: /
Left: /
•.. Right: /
U one: Parkinq Soaaft. 0
Contractor,:..:
ate Lic
is Expire
Bus LPc
I VIIJLIU4LJUII VOIUOLIVII.
LVV
S
Building Permit Fee:
$1,159
Excise Tax: L� O
Plan Check Fee:
Overtime Plan Ck:
92
$1,159.92
$0.00
Addition e
a
Investigation Fee:
$0.00
a g o,n�sur�lt8at5 $0.00
&
Record Management:
$34.00 -
Perm(N`�: $0.00
Energy Compliance:
$120.00
ding PC Fde: $0
CA Seismic Safety:
$26.00
WQ Insp. Fee : 0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Electn °/n: $$ 7_
Building Green Fee :
$8.00
C %:
I�mbilnq %: %61.10
IITOTAL FEE : $4,542.29 ® Plan Check Fee
PROCESSED BY: &VV
ZONING APPROVAL: IE 1Y
ri
GRADING APPROVAL:
Engineer:
DOING TRUONG
Address:
10692 SILVER CIR
GARDEN GROVE CA 928
Phone:
714-204-2874 _ State
Designer:
Address:
Ph ��OQ
� l C'jgow LAIN
O/B
Lic:
\'C'SQ'
"Fire
Planning Depa
nt -
Plan c ee :
0
Fire Inspection:
F hare :
$0.00
Fire Plan Rev
SJH Trans
$0.00
Demolition Fee
l n-lis ousi
e : $0.00
Building Dept Adm
P is Department
-
General Service
edication :
$0.00
Refund Deposit
PAN Plan Check:
$37.75
San Dist:
$0.00
NMUSD Fee:
$1,159.20
$0.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$u.ou
$9-on
$0.00
$0.00•
$0.00
$0.00
$0.00
$4,542.29
OWNER -BUILDER DECLARATION .O "
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea Indicated below by t
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, , prove, demolish, or repair ai
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Co ors' State License Law (Chapter 9 t
Professions Code) or that he or she is exempt from licensure and the basis for the alleged ion. Any violate® of Section 7% ,
not more than five hundred dollars ($500). .ya '((JJ �'(C�+i
❑ I, as owner of the property, or my employees with wages as their sole compensation, will d1�'�vf or U po sWyfife work, and the
Business and Professions Code: The Contractors' State License La�w,does not apply to an own r of prop'eryyy v IVY, WougWemployees' or
impro ents are not intended or offered for sale. If, hoWByer:-'ttl6 building or improv ment is Sol I% year of completion wnei
or the purpose of sale). "` _ --
caner of the property, am excl Ive racti ,with licens ontractors t struct the ro ec�� 44 ,Business and Pr
app too owner of property who bui� mprf yes ereon, o contrac,f_s e jects wit�i�i>¢@k§Zsd Contractor pursuant to the I
U lam exempt from licensu r thV t rs'
By my signature below owledg h t, ex or my
isell a structure t ave built as an cal r if it Z
hereby affirm der penal 'ury t I am E$p uhd n
nd effect. Lice e CI Icen<
VORKERS' CO PE ATIO CLARATION
'ARNING: FAILURE TO ECUR W MPENSATI IS
OST OF COMPENSACf ', DAM - �,F PROVIDED F CTIO OF
hereby affirm under analty ofaf - - wi
I have and hill m tain co self-insun
erformance of the Nor for wt is i ued. Policy No.
11 h^Pe and will mainta wonsation insurance, as
Isurance carrier and pai nu_0%
.e of Agent ,
,bnify that, in the pi
if I should become
signature of Applicant
1EGLARATION,REGRRDING Cd1VSTRUCI
helaoy affirm u,lder,peualty of pe rythat
Ender's Name
sy my signature below, I certify to Be
I am the property owner or authori d to
I have read this application and the for
I agree to comply with all applicable
I authorize representatives of this city or
signature of Property Owner or Authorized P
I've resided for at least one year prior to cor
by licensed contractors. I understand that a
Section 7000) of
Date
WFUL,Tp IAALL SUBJECT AN EMPLOYE R1MM PE 'IES CND�CNIL
LABOR CODE, INTEREST, AND ATT NE F 'qm��d kl l? I
ons: C� Q,
for workers' compensate d to ry�Obggor of Industrial R
ion 3700 of the Labor Code, for th ormanoeo
(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
not intended or offered for sale (Section 7044,
builds or improves the property, provided that the
$lave the burden of proving that it was not built or
The Contractors' State License Law does not
a License Law).
In of th 'rnp 9vements covered by this permit, I cannot legal
of the a sic__. le law, Sects n 7044 of the Business and
� L
jlnass and P fe.ions Code, and my license is in full force
UP TObNE HUNDREDJHdItSAND DOLLARS (E100,000), IN ADDITION TO THE
Date
3700 of the Labor Code, for
this permit is issued. My workers'
O it is issued, I shall mploy any pe In a nner so as to become subject to the workers' compensation laws of California, and agrE
provisions of Be ' 3700 of the Co all forthwith comply with those provisions.
Date_
Cy
:lion lend gen he performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
behalf.
inty ordina Es a �- sta�tt laws relating to building construction.
to ent'Pi�l de-i Kified property for inspection purposes.
Print Property Owner's or Authorized Agent's
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