The URL can be used to link to this page

Home My WebLink AboutX2021-0046 - Permitsw City of Newport Beach - Building Division *X2021-0046* COMB Permit: X2021-0046 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2023-2020 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 - �'a£ Combination Type - MFP Issued Date: Inspection Arearea :2021 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110812024 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 orays Job Address: 911 GARDENIA WAY NB Description: MFR -CHANGE OUT SLIDER @ 1ST FLOOR "INTO EXTG OPENING' Legal Desc.: N TR 12245 LOT 24 r Owner: TRAPANI CAROL Contractor. RBGC CONSTRUCTION Architect: Address: 911 GARDENIA WAY Address: 26031 BLASCOS Address: CORONA DEL MAR, CA 92625 MISSION VIEJO CA 92691 Phone: Phone: 949-382-8224 Phone: State Lie: Applicant: TRAPANI CAROL Address: 911 GARDENIA WAY CORONA DEL MAR, CA 92625 Phone: 949-636-3089 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $127.00 Plan Check Fee: $0.00 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: $128.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 1042766 Lie Expire: 0813112022 Bus Lie: BT30073406 Lie Exp Date: 11130/2021 Worker's Compensation Insurance Carrier: EXEMPT 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAW Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone State Lie: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oae• a • a>ao ° �•ao-a• + a • •aa+a+ • o • ° ° oa » +a +p° °OOOi• a >Baa oG•.%90 .a*>>n�a o•a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $128.00 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 he 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 Irofessions 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 Tiprovements 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 nproved 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: - Sy 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 ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm upd rpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Dithe Business and Professio Code y license is in full force ind effect. Li fts e Class License No Date visi n 3 of Contractor Signature tlORfER5' C9MPFNSATION DECLARATION IARNING: FAILUFPE• .teURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE TIST OF COMPENSATION,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - heliEby affirm under penalty of perjury one of the following declarations: 3 1 have and AMareintain 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 thr erformance of the work for which this permit is issued. Policy No. gave and wil! 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' compensatiol 1 rsurance came ,and policy number are: Policy Number Expiration Date farrte (Agent.' • _ Phone# thgt:0 thep performance of the work for 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 lould becocle subj the workee c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /7 of Applicant z�f-44 Dat� 1 2 '�'� /L6 1TION RFGeee�n rr; r— R .TI FNr11Nr: Af-FNCV 1-- r weby 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). Ider's Name Lenders 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 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 enj� the �abo�e-identified property for inspection purposes. �r nature of Property Owner or Authorized Agen7 Print Prooertv Owner's or Authorized Aoent's Name ACTION DATE W DEWATfON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOSNOTIFICATIONTO PERMIT CANCELLED PERMIT EXTENDED PERITFINAL RPTIFICATIO NOT CERTIFICATE OF g-21 I �0— ISIGNAOSSTOST ED EM�ITIO�N1� OCCUPANCY ISSUED