HomeMy WebLinkAboutX2021-1690 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
NO CONSTRUCTION NOISE
COMB Permit: X2021-1690
Project No : 1237-2021
Issued Date : 0612912021
Inspeption Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUSTSE COMPLETED ll 024 OR P MlT 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: No work on Sun ys or Holidays
Job Address: 1603 BALBOA AVE NB
Description: SFR DELTA 1, (9) WINDOWS REPLACED, INFILL WATER HEATER, CLOSET DOOR, ELINDOWS (REV21-1052)
Legal Desc.: BALBOA ISLAND SEC 5 LOT 13 BILK 6 W 30 FT E 60 FT LOT 14 BILK 6 to{u p
nf1pp n
Owner: FERGUSON THERESA Contractor: OWNER/ �� aRr?hitect: 10� ��
Address: 1603 BALBOA AVE Address: F ON THERESA Adpr@18: O�
NEWPORT BEACH, CA 92662 O co co
Phone: 949-310-4716 Ph Phone: State Lic: u
Applicant: FERGUSON THERESA Con State Lic: ,�0drpv r
' 1
Address: 1603 BALBOA AVE i �j./iir let jtt<j
NEWPORT BEACH, CA 9 /) ic: r
Phone: 949-310-4716 1 Lic Exp D Phone: State Lic:
ate
Code Edit: 2019 Q Wor m n AUVI
esigner: FERGUSON THERESA
Type of Construction: VB Carrier: ddress: 1603 BALBOA AVE
Occupancy Group: R3/U olic N NEWPORT BEACH Af>�
Added /New sq.ft. Bldg: 0 Phone: 949-310-47
Added /New sq. ft. Garage: 0
No of Stories: 1 uilding Set a Special CondWQrl�iS C N & H
No of Units : 1 on / �\ NSIT EA
Bldg Height: 0 :
Bldg Sprinklers: N Right: / t� Sta'
Flood Zone: X one: Parkin 5 aces: 0 Fir ire : N
Construction Valuation: $4,000.00 ryj�
Building Permit Fee: $144.00 \EEle
Tax: 00K
v_PlanningDepartment- Firs� �^1 e t
Plan Check Fee: $125.28 nal ee : ►-/1 0. Plan check Fee : -.25 \nSp Fie Ins $0.00
Overtimge Plan Ck: $0.00 ds l ,{.J`0 Fair Share: $0.00 Fi ev $0.00
Investigation Fee: $0.00 C on n �, C SJH Trans : emolition Fee
Record Management: $2.00 't Fee: �Q(�$II.00 In -I! using Fee: Building Dept Adm $0.00
Energy Compliance: $0.00 Fee: $0.00 is Works De ant - General Service $0.00
CA Seismic Safety: $0,01 sp. Fee: $0.00 Park De ion : .00 Refund Deposit
Disabled Access: $0.00 Ian $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 al %: $0.00 Sa $0.00
Building Green Fee : $1.00 Tki AQ$0. USD Fee: $0.00 $0.00
. /o. $0. $0.00
TOTAL FEE: $318.53
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $318.53
PUBLIC WOR: S-APPROVAL:
PLAN CHECK BY:
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 an Lure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (ChapiswwrommeVing 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 7 y any applic t for a permit subjects the applicant to a civil penalty of
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 po of the work, and the
iness and Professions Code: The Contractors' State License Law does not apply to an owner of prope , through employees' or pe
rovements are not intended or offered for sale. If, however, the building or improvement is sold SWOT
one year of otion, the O}�
rvoved for the purpose of sale). \% nr�010
I as owner of the property, am exclusively contracting with licensed Contractors t struct the prc
to an owner of property who builds or improves thereon, and who contrac he projects with a
I am exempt from licensure under the Contractors' State License r the following
y my signature below I acknowledge that, except for my perso idence in which I
all a structure that I have built as an owner -builder if it he een constructeds ant
rofessions Code, is available upon request whe t pli ation is subm' at t e f
ignature of Property Owner or Authorized A
ICENSED CONTRACTOR'S DE TI N All (I
hereby affirm under penalty of ry that I ril aIi a der prow ' ns C ter
nd effect. License Clas _ 1 L�nse ,
FAILURE TO
hereby affirm under pertrt ty of
I have and will main[ a
erformance of the work fo N
JI have and will maintain w%kers'11111111111
Isurance carrier and policy nu ber are:
1e of Agent 1
certify that, in the performa=
r if I should become subiect to
nature of Applicant
CLARATION REG G C09STIJL
:reby affirm under penalty of perjury t
Ider's Name
my signature below, I certify to each of
I am the property owner or authorized
I have read this application and the'in
I agree to comply with all applicable b
I authorize representatives of this city
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
and P
to the
intended or offered for sale (Section 7044,
Ids or improves the property, provided that the
e the burden of proving that it was not built or
The Contractors' State License Law does not
p License Law).
resided ferat least onexxea�o completion of the impr ements covered by this permit, I cannot lega
ensed contract�o�GS _Werstand that a copy of the applicab law, Section 7044 of the Business and
b site:htto�w�IV9.teglnfo.ca.gov/calaw.html.
CC Dat1�,P�'Z�i` 2
Ong with Section 7000) of Division 3 of the Business and Profess) ns Code, and my license is in full force
Date Contractor SiivAature
AGE I No SHALL SUB1 A P E C NAL PENALTIES AND CIVIL FINES UP Ti
N 3706 E OR CODE, 1NrrE A 's
e ratio
Vii
self -insure atl , Issued by the Director of Ir e )onus pi
Polic - S e
"'�r, 1ca,`4`ce as r3700 of the Layrr�ye, r \erforrry�lc6bf'tha work for
o Ober \\\0 NO Expira' atf
ne#
this permit is issued, ploy any person in any manners to bepgtl�eb)ect t
ation provis_on�Se AID of the Labor Code, I shall fo comply wi oSe I
the property
I have provir
DOLLARS ($100,000(, IN ADDITION TO THE
3700 of the Labor Code, for
My workers'
orkers' compensation laws of California, and agre
Myi-'1M,-PAR
for the perfQA 5nce of the war vVDi NfBis permit is issued (Section 3097, Civil Code).
and stat s r to building construction.
v mif' operty for inspection purposes.
rl t Property Owner's or Authorized Ag
I OF COMPLIANC&WftH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQM D ROLE
ASBESTOS Nr1TIFICAl10N
NOTIFICATION IS NOTAPPLICABLE TO