The URL can be used to link to this page

Home My WebLink AboutX2021-2769 - Permitsr City of Newport Beach - Building Division *X2O21-2769* COMB Permit: X2O21-2769 +�.- - a a 'A 100 Civic Center Drive, Newport Beach, CA 92660 p Project No : 2410-2021 c. �. Permit Counter Phone (949)644-3288 g z �u+"' Inspection Requests Phone (949)644-3255 Combination Type - MFP � �' = �_ g g 5 L— 1 Issued Date : 12/03/Z021 � Inspection Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/03/2024 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: 706 LARKSPUR AVE NB Description: MFR CHANGE OUT (E) DOORS Legal Desc.: NO CONSTRUCTION WORK Owner: LAFEVER MICHAEL/JACQUELINE Contractor: J E P C Architect: Address: 706 LARKSPUR AVE Address: 103 PAINTED TRELLIS Address: NEWPORT BEACH CA 92625 IRVINE CA 92620 Phone: Phone: 949-233-7101 Phone: State Lie: Applicant: BISHOP ALEX Con State Lie: 10138222 Engineer: /��/C ON SATURDA S Address: 90 VANTIS DR #3043 Lie Expire: 07/31/2022 Address: ALSO VIEJO CA 92656 Bus Lie: BT30063683 Phone: 714-612-6316 Lie Exp Date: 06/30/2022 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: BISHOP ALEX Type of Construction: VB Carrier: NO EMPLOYEES Address: 90 VANTIS DR #3043 Occupancy Group: R3/U Policy No: ALSO VIEJO CA 92656 Added /New sq.ft. Bldg: 0 Expire: Phone: 714-612-6316 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: HIGH DENSITY No of Units : 2 Front: I NO WORK ONSATURDAY Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 ..°°°. ° Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department- Fire Department ;°, °• "`°'; Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: • $m Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $Or00 + Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 i$0.00• Refund Deposit • $0t00• Disabled Access : - $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00• ° ° - _ ° Hazardous Mat $0.00 Electrical W $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 . ° Plumbing %: $0.00 ' $osoD ...... TOTAL FEE: $523.02 Plan Check Fee : $266.02 Fee Due at Permit Issuance : $257.00L, PROCESSED BY: ZONING APPROVAL: (WC PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: M 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 U all of or U 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 -Builder will 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). ❑ 1 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty o er)ury tFF��at I a licensed under provisions of Chapter 9 (commencing with Section 7 0 ) Divisi 3 of the Business and Pro fe n Code, an ense is in full rce and effect. License Class ezQ 4� ., 2 License No Date `�CS�Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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. hereby affirm under penalty 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 th oerformance of the work for which this permit is issued., Policy No. 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' rance carrier and oolicv number are: . is of Agent certify that, , if I � hould Policy Number Date the work forwhich t rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ,workers ' co^mpens tin ovisions f S,q ection 3700 of the Labor Code, I shall forthwith comply with those provisions. of ApplicantY''� _1P� 'ln/-C Date ATION REGARDING CONSTRUCTION LENDING AGENCY 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 3097, Civil Code). Name •••• Lender's Address )nature blew, I certify to each of the following: the pr®pertyowner or authorized to act on the property owners behalf. e read4isepplication and the information I have provided is correct. se to comply with all applicable city and county ordinances and state laws relating to building construction. '�( ionze representatives of this city or county to nt r tt above -de ti is prop rty for inspection purposes. 7j: / 2 �.2021 a of Prnnwrfv &nef or Authorized ADent \1 /l\/�_,Cl�� Print Prooertv Owner's or Authorized Aoent's Name *' r�'� 1 �' LD�C1 Date f ACTION• • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATE OF _a6-Z Z" �µ,� SBESTOS NOTIFI ATION IS NOT AP ZABLE TO ROPOSED DEMOLI C1 I OCCUPANCYISSUED lc run —(�+J� SIGNATURE: I< .�M/(