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Home My WebLink AboutX2021-1412 - PermitsCity of Newport Beach - Building Division *X2021--1412* COMB Permit: X2021-1412 t rj 100 Civic Center Drive, NehOort Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No : 1237-2021 �t inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM J i , P E-CTO R Issued Date : 2021 Inspection Arearea : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0 24 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• o wo on Sundays or Holidays Job Address: 1603 BALBOA AVE NB Description: SFR -INTERIOR ALTERATION. 3 BATHS, 1 POWDER, KITCHEN. 400 SF. R/R WOOD PANE RYWALL *STOP WORK* 121-1 18 Legal Desc.: BALBOA ISLAND SEC 5 LOT 13 BLK 6 W 30 FT E 60 FT LOT 14 BLK 6 'a\e Owner: FERGUSON THERESA Contractor: ER/BIL �,< aC�p��ca Architec.,o% Ce�U�d Address: 1603 BALBOA AVE A FERGUSON THERES Ad"dre NEWPORT BEACH, CA 92662 00/0 0� v , Phone: 949-310-4716 Phone: 4 10 4716 p is State Lic: a Applicant: FERGUSON T ^ tate Lic: O/B i 0 r: „ Address: 1603 B AVE ! , Lic Expir t0 h Address: +� NEWPO T BE H �;&926 Bu 1 t • ' Phone: 949-310 16 �'*' Lic Date `< Phone: tate Lic: Code Edit : 2019 (npensation Insurance Designer: FERGUSON THERES Type of Construction: V-B ier. Address: 1603 BALBOA AV Occupancy Group: R3/ Policy No: NEWPORT BEACH CA 2662 Added /New sq.ft. Bldg: Ex i"" Phone: 949-310-4716 , Added /New sq. ft. Garage: No of Stories: 2 Bu r Setbacks Rex. I Special C it! s TION A A ' No of Units : 1 Front: I D SITY AR Bldg Height: 0 '� Left: I *121-1518* Bldg Sprinklers: N Right: I Flood Zone: 0.2 Use Zone: Parking Spaces: fiir ii§tdZone : N Construction Valuation: 32 0 Building Permit Fee: $583. 0 cis Tip �IIEE $0.00 Planning Department - r nt Plan Check Fee: $507.21 io S $0.00 Plan check Fee: $4¢.__2F@tta15 S. >' n $0.00 Overtime Plan Ck: $0.0vl� Bonds gledl $0.00 Fair Sh 1115p$Aldd ev $0.00 Investigation Fee: $583.0 Gr ant : $0.00 rans : $0. Demolition Fee Record Management : $6.00 Gra arm it Fee: $0.00 In -lieu Housi .00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: .0 Pub1' so - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee, $0.00 Par ion: $0.00 Refund Deposit $0.00 Disabled Access : $0.00 Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 �QtP'' ectrical W $4 San Dist : $0.00 Building Green Fee : $2.00 Mechani 23.32 NMUSD Fee: $0.00 $0.00 in ° $52.47 $0.00 TOTAL FEE : $1,8 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,844.06 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: O l ✓,-. PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:`- 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) ction 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 ap;9kcant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter om�!'�encing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70 y an applicant for a permit subjects the applicant to a civil penalty of bore than five hundred dollars ($500). `x owner of the property, or my employees with wages as their sole compensation, will do II of or Qlaiiii0s of the work, and the and Professions Code: The Contractors' State License Law does not apply to an ow,nerlof pr2worrFo, through employees' or pe cents are not intended or offered for sale. If, however, the building or improvement is so In one year of completion, the Own for the purpose of sale). _—%-%ke. , �o�'L1� I, as owner of the property, am exclusively contracting with licensed Contra construct �I apply to an owner of property who builds or improves thereon, and who c s for the projects it4�! I am exempt from licensure under the Contractors' State Li aw for the following reason: By my signature below I acknowledge that, except for onal residence in w must have e sell a structure tha:: Lave built as an owner-buil IS not been const d in its enti ety by li en P13'Es3!ons Code, it -tvailable upon requ an th app is ion i milted Jpr f wing Web Signature of Property Owner or Au ed g id < I.ICENSED CONTRAC DE hereby affirm and alty of p h Icensed under provisions of Cha r encing al,d ef:ect. Lie'3i✓ise Cl3ss I. License No A .OFT OF COMPEN T0' her=hy affirm u er I hale and 'wil crtcrmance of the I Lave and will 11E' Isurance carrier and and P to the at least one year o completion (tractors. Luadgrstand that a copy of ire is not intended or offered for sale (Section 7044, effort, builds or improves the property, provided that the er will have the burden of proving that it was not built or with Section 7000) of Division 3 of the Business Date Contractor &ArC! IiDEC�LARATION IMW WORKERS' COMilIr SATION COVERAGE IS UNLAWFUL AND SHALL A PL R TO CRIMINAL PENALTIES AND CIVIL FINES UP 1GE OVID OR �3]b6-0F THE LABOR COpE,IR'FE T, Ate® A RN S FEES. „f n on IIEWIn declarations lame of Agent I certify that, in the pe ma tat, if I should become ;u 'eet ',ignature of Applicant IECLARATION REG D hereby affirm under penalty o Ender's Name Iy my signature below, I certify I am the property owner or I have read this application I agree to comply with all al I authorize representatives ACTION I DATE PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED The Contractors' State License Law does not e License Law). ments covered by this permit, I cannot legal law, Section 70 44 of the Business and Date t� 131 3 Z 0 z 1 ;sions Cod , and my license is in full force DOLLARS I$100,0001, IN ADDITION TO THE Ctoof consent to self=insure forworkers' compensation; issued by the Director( al lions as o f -ection 3700 of the Labor Code, for thi rmit is iss d�PoICy No. ��`��"''''"""""" _ :ompens on uranceI as required -by Section 3700 oofftt�`Lrab ' NbI 7TeK Sri. f the work it is issued. My workers' compensatior ;96Ma vp� S IL dlcy Number Expir one work for which this permit h II not employ anyperson in any moon as to be c orkers' compensation laws of California, and agree workers' compensatio vi ection 3700 of the Labor Code, I sh with\cs�ty w�tli thos s ns. V� Dat (p13120�1 10 G A y that ere Is a cp itc lending agency for Jbw a oormance of ork Ich this permit is issued (Section 3097, ivi Code). to act on the propert er's behalf. ormation I h rowded is corrT; relating to building construction. )party for inspection purposes. r\/Th er QS Q IS( Print Property Owner's or Authorized Agent's Name OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART fie OF TITLE 40 AND, RULE I SUBMITTED ASBESTOS NOTIFICATION TO AQMD ISNOTAPPLICABLE TO