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HomeMy WebLinkAboutX2021-2726 - Permits*"1'r City of Newport Beach -Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-2726 " 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 7 2 6 Project No: 2371-2021 4 Permit Counter Phone (949)644-3288 a, Inspection Requests Phone (949)644-3255 Issued Date: 11102/2021 Combination Type - SFP ELEC Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110212024 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: 815 VIA LIDO SOLD NB Description: SFR INSTALL (N) GARAGE DOOR, R/R (E) STUCCO WIWOOD SIDING, REROOF W/REAL CHINA SLATE TILE T/O EXTG BARREL TILE Legal Desc.: N TR 907 LOT 303 Owner: COLDREN BROOKE Contractor: ROBERT OWEN CORPORATION Address: 815 VIA LIDO SOLD Address: 2218 LAUREL PL NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 Phone: 714-606-8449 Phone: 949-633-3248 Applicant: MORGAN JOHN T. JR Con State Lie: 471754 Address: 18682 BEACHMONT AVE Lie Expire: ,�A8131/2023 N. TUSTIN CA 92705 Bus Lie: ((; 037884 Phone: 714-730-2723 Lie Exp Date: 01tZVW22 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: AE8 Construction Valuation: $65,000.00 Building Permit Fee: $929.00 Plan Check Fee: $808.23 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $2,080.26 PROCESSED BY: ZONING APPROVAL: "T) V Worker's Compensation Insurand Carrier: NO EMPL Policy No: 0, Expire: Building Setbacks Rea Front: Left: 3 Right: 3 Architect: MORGAN JOHN T. JR Address: 18682 BEACHMONT AVE N. TUSTIN CA 92705 Phone: 714-730-2723 State Lic:CO22567 Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Address: Phone: Special Conditions: HIGH DENSITY `Fire Hazard Zone : N l V� Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $203.00 Grading Bond: $0.00 Electrical %: $65.03 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : BBB b00 BdB $910.98 Fee Due at Permit Issuance : B BBO BB® - $1,169.28 B B B 0 0 0 0 0 P0I31-10WORKS APPROVAL: 0 0 0 0 0 PLAN CHECK BY: GRADING APPROVAL: o 0 0 o 000 0 00oAPPAOVALTO ISSUE: 0 0 0 0 00 0 0 0 btl Utsv p p („] bB vuN _y 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 items) '(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 L) all of or L) 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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 Sect'ol n 7000) f Division 3 of the Business and pjofQssi�n INOc ar�'my license is in full force and effect. License Class License No tjv� Contractor Signature( // / ORKERS' 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 I$100,D001, 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 Cade, for th )erformance 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 policy number are: Policy Number Agent Date J�rtify that, in the performan of he ork (qr which 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 agre hat, I should become subject t' wo ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Cai3 e , DING C ECLARATION REGARDONEITRUCTI LENDING AGENCY V—( 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 3097, Ciivil Code). -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 provide is correct. I agree to comply with all applicable city and counodie and I ws relating to building construction. I authorize representatives of this city or county oa e-i if property for inspection purposes. signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's N Date 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 L1 I SUBMITTED ASBESTOS NOTIFIG4TIOIWTO • . PERMIT CANCELLED LJEPA PERMIT EXTENDED LJAQMD PERMITFINAL APOSED DEMOSBESTOSNOTIFI TI 15 OT PLICAB E TO P CERTIFICATE OF • • • •e. •s ^- LI OCCUPANCYISSUED 1 ro �v SIGNATUR ••� e e o e o 0 000 00 00 ® o ooe o0