HomeMy WebLinkAboutX2021-3091 - PermitsCity of Newport Beach - Building Division
,h 100 Civic Center Drive, Newport Beach, CA 92660
F - Permit Counter Phone (949)644-3288
i5. Inspection Requests Phone (949)644-3255
S tsra�fir Combination Type - MFP
III'IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3091
x 2 0 2 1 3 0 9 1 Project No :
Issued Date : 11/1912021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111912024 OR PERMIT WILL BE INVALID
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: 37 RUE FONTAINEBLEAU NB _
Description: MFR REMOVE WOOD ABOVE GARAGE AND REPLACE W/ STUCCO
Legal Desc.: N TR 7788 LOT 25 I N F'OCT
Owner:
SIMON LEONARD
Contractor: OWNER/BLDR
Architect:
Address:
37 RUE FONTAINEBLEAU
Address: SIMON LEANARD
Address:
NEWPORT BEACH, CA 92660
Phone:
562-682-3448
Phone:
Phone: State Lic:
Applicant:
SIMON LEONARD
Con State Lic: O/B
Engineer:
Address:
37 RUE FONTAINEBLEAU
Lic Expire:
Address:
NEWPORT BEACH, CA 92660
Bus Lic:
Phone:
562-682-3448
Lic Exp Date:
Phone: State Lic:
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $7,350.00
Building Permit Fee: $212.00
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $449.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
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: /
Front: /
Left: I
Right: /
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions: O/B AUTH ATTACHED
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
e o
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0
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $449.44
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 d Mlicant 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 Iicensure 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).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business nd 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
i ents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Wlya,
or the purpose of sale).
wner 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
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).
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has of been constructed' its tirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of the Bu iness and
Professions Code, is available upon reque whe this cation is submitted o t th folls.Wing Web site:http://www.leginfo.ca.gov/calaw.htmi. f
Signature of Property Owner or Authorized A t l
LICENSED CONTRACTOR'S DECLA A ON ��'
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 00) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Ra Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE?®GNMM E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,D00), IN ADDITION TO THE
CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
U&915PIffirm urjcpe pgjalty of perjury one of the following declarations:
❑•1 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 IN
Der0i ivRce of the &ork for which this permit is issued. Policy No.
4Ml;;an1Eand wiM"Amtsin 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' compensatior
neuranee carrier and poiicy number are:
Dwrier • • • • • Policy Number Expiration Date
Agent Phone 4
• y that, in the performance of the work for which this erm" is issued, I shall not employ any person in any manner so as to become subject to the workers' Impensation laws of California, and ogre[
I shoulr�\b8ggd�le-subject to tth` orkers' compy^nsatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - J
''hN- ✓3Sul� Of Ap9ft • f. Da...�y .�_. Dat o/
7ECLARATI p R•EGARDING CONSTRU�U ION LE G AGGEEN�Cy -
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Cc a).
-ender's Name Lender's Address
3y 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t ter the above lied property for inspection purposes. '
ACTION DATE yr 1BY DECLARATION OF(COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLYV
REGULATIONS PART 61 OF TITLE 40 ANDAQMD RULE
1403
NOTIFICATION TO
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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