HomeMy WebLinkAboutX2019-2075 - Permits{ry.wr„k aty of Newport Beach - Building Division II IIII IIIIII II I II IIII IIIIIIII I II COMB Permit: X2019-2075
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 0 7 5 Project No: 1509-2019
h
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM Issued Date : 07/05/2019
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
503 AVENIDA LUCIA NB
Description:
MFR REMODEL KITCHEN, CLOSET @ MASTER, (2) BATHS &
POWDER ROOM 381 SF, UPGRADE
(E) SERVICE PANEL, RE -PIPE
Legal Desc.:
TR 5692 (L.L.84-214027) PAR 48 AND PAR 48G
Owner:
SHAMOO FRANK Contractor:
PACIFIC CONSTRUCTION
Architect: BAILEY DAVID
Address:
503 AVENIDA LUCIA Address:
27984 VIA DE COSTA
Address: 23183 LA CADENA OR #101
NEWPORT BEACH, CA 92660
SAN JUAN CAPO, CA 92675
LAGUNA HILLS CA 92653
Phone:
949-295-6491 Phone:
949-439-8515
Phone: 949.573-1050 State Lic:CO27404
Applicant:
BAILEY DAVID
Address:
23183 LA CADENA DR #101
LAGUNA HILLS CA 92653
Phone:
949-573-1050
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R2IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $636.00
Plan Check Fee: $563.32
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$34.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,489.77
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
1038228
Lic Expire:
04/3012020
Bus Lic:
BT30067999
Lic Exp Date:
07/31/2020
Workers Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$44.52
$25.44
$57.24
Engineer:
WILSON KALEN
Address:
1371 WARNER AVE #A
TUSTIN CA 92780
Phone:
714-576-6524 State Lic:C-083753
Designer:
Address:
Phone
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
U)
0
ni
O
X
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $690.57 Fee Due at Permit Issuance : $799.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
L
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 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 License 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 Section 7031.5 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 (_) all of or (_) portions of the work, 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, through employees' 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-Builderwill 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 7044, Business and Professions 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 Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which [ must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivi ion 3 of the Business and Pro scion d d m c nse is in full force
and effect. License Class License No Date S Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
ame of Agent Phone #
I certify that, in the performance of or rwhich this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree
th if I should becomee a ject t I's' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -71
Signature of Applicant V D� t�
;reby affirm under pe{lalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provide Rdtffllad��erty
I agree to comply with all applicable city and county ordinan lating to building construction.
I authorize representatives of this city or county to enter th ov for inspection purposes.
.,,.1—..r D.,...erw n,.,.,o — A., hnrlvcd Anent 1l _ Print ProDertv Owners or Authorized Agent's NaA
DATE BY CATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU TONS PART 61 OF TITLE 40 AND ACMD RULE
1403
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMITFINAL 'L't y--iv ^ rV �PSBESD E NOTION
101'ION NOTAPPLICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED A
u
Z
G
J
O
W
,A
O
;+
p
o
a
C
1
NOOw;�Wd
E�
v
W
IVd
J
H
0
a0
09
F-
Z
c
0
Qm
N
O8
pN
LL
9 x
T �
O
.E
E
AT
O
ym
3
s'
E
�t
O
O
E�
E
8°
Q]
@
S a
;a
11
U m
rn
z
B
,f
w °
$
z
U
aw=
a �r�y NNN
E €
t E a
a m a
E c
32
m
n9.a
z
p
E ay
N
e a
� o
a E
00
E
N
Z
°
a 3
C
N
E'g
c ^�
N
J
N
cu c g
ECD
m
a
N
00
a,
U
J
.cO.
€ m
—
E
¢
>
¢W
w
M
N
c
C x
Ti
V1
N
n° c
N
0
x
O O E
Z
y
ag
d ` QS
W
i
s
O
O
`
S
O N c
_
LU
a
v
cCL
Q) E �
v_
c
m
r
U) U
c (Dp c
co D m p
a n
E2 o
Ncn
W
O
a
0 CD >O
❑
w.
1-
N
K 'O _E C O.E
O Co CDU
j
cum
'O
p
>,
O
O co O
Q> c 0 'O U N
'D a)Q)
c n c
a 9 `o
O
a
N
C�
CD a
C) O m y
a E c
E A ¢ a
Z
N
Z
W
H
i CL
Q7 'O Q)
a.
c
E
a
•E
z ,c
3 c L
Z
C7
m d
0
r
m
he
QS
c 'O O
Ii
Cl)
3cm
❑
3
a)m o
p .0 c C
u
O
p>
N M CD
Y
Z
0 CU N p p,
¢
o a
y
m
O
+. O. .L.. U o
E
r °
N
N
N
c
a
(� �+
m O co a?
K
-
Si f. tUtl
d 0 d
w
E
V
C Q) L C of C D_
E
¢
Lu
U ; E= d
O C'
Z a E
❑
m c
m U
W
-0 'O N= N U
N N N CC (D Y
Zi 00 'OO w 42
c dn
a
c
0
G C Q) X
OO t
LL E
x
®
Q7 Y Z
co
Z
O
❑
M c �r0 ) N Q3 O
CD
'A
U y
E
o
y "�O
Nf0 .c E OVE3�
U Oz
l a
J
v �' a
LU
U
D
`�' a
co
Z () "" Q) CD
cr S
O O
m
O Z C Z y
Z 'p
x_
d ¢
3 E 3 E W
.P .c
p
U)
m
a= amino
❑11❑
m O a O mo a
3
d
N
a)