HomeMy WebLinkAboutX2021-1996 - PermitsCity of Newport Beach - Building Division "X2021-1996* COMB Permit: X2021-1996
100 Civic Center Drive, Newport Beach, CA 92660 Project NO
r» Permit Counter Phone (949)644-3288
Ins action Re uests Phone (949)644-3255
p q
Issued Date : 08/0212021
4,�jraiµpc` Combination Type - SFP
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 08/02/2024 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: 2628 OCEAN BLVD NB
Description: SFR CHANGE OUT (4) DOORS "RENEW
EXPIRED PERMIT"
Legal Desc.: RESUB OF CORONA DEL MAR BILK 132 LOT 1
...
Owner: PAC 31 CA 2021 LLG
E
_._. C tr
1 U �/e � AUTHEAGENT:
Architect
Address:.'
p3��
1 N S PE%fT®1 l
Address: 2628 OCEAN BLVD -
L { _ _
NEWPORT BEACH, qA 926�60
MAXX RIFKIN
Phone:
Phone: 818-458-9000
- Phone:
- State Lic:
Applicant: RIFKIN MAXX k
Con StateLic: O/B
Engineer:
Address: 2318 5TH ST s
Lic Expire:
Address:
'•,,,'
SANTA ANA, CA 90405
Bus Lici'-, ":
:.-: _._.._
_._.___-- ,' ,',
Phone: 818-458-9000 •'-=
-- Lic Exp Date:
Phone:
State e ,
Code Edit : 2016 ;
Workers -Compensation Insulartee
Designer:
Type of Construction: VB
Carrier
Address:
Occupancy Group: R3/U G
Policy No
,
Added /New sq.ft. Bldg: 0 , r3
r . Expire ., si ,�,
Phone:
r-
Added /New sq. ft. Garage: 0 a
No of Stories: 0
Building Setbacks Rear: /
Special Conditions:
O/B ATTACHED ,
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
ood Zone:
X
Construction Valuation:
$
Building Permit Fee:
$246.00
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
PROCESSED BY:
Front: /
Left: /
Rbrlfi%/
M
).00
(�I ik:-arbd)
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee :
$0.00
%, -.-- Grading Bonds Fee:
$0.00
Fair _-__
f�'---'
_.
_- 0.00__..__
ra ing PC Consultant :
$0 00
J H Tra
SJH Trans :
$0.00
Grading Permit Fee
$0.00
In -lieu Housing Fee .
-
$0.00
--�,,di.ng-pe Fee------$avo-----Pii6fi-cWorks-D'epartment
-
._-�:_:S2lns(Eee::u-«��--.ate--$&x00•==
`% Park Dedication :-
$0.00
PM Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $247.00
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $0.00 Fee Due at
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
Fire Inspection:
.Fire-P v--
De of ' n Fee
B g Dept A
General Servict
'Refund Deposit
Grading Bond:
t Issuance :
$0.00
$0.00
g:
$0.00
�•z $0.00
$0.00
$0.00
$0.00
$0.00
$247.00
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)
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 applicant for
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
fessions Code) or that he or she is exempt from Iicensure 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
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,
;iness 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
rovements 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
roved for the purpose of sale).
.L-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
ply 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).
I am exempt from license
y my signatuPa below I ackr
ell a structure brat I nave bL
-Cfas ions Cob,, :a availab
ignature of Property Owner
ICENSED CONTRACTC
hereby affirm under penalty
.id e1'rect. License Cass _
herehy affirm under penalty
1 have and willmaintain
c(c rm3nce of the work fort
I have and wiil maintain v
Isurance carrier and policy r
me of Agent _
I certify that, in the
It, if I should becon
mature of Aoolican
under..the Contr:
ledge that, ezce
as an owner -built
iPon ,eql et�i"E
Authorized Agen
S DECLARAT
perlury'that'I'am
AS PRO%
perjury
are:
Law for the following reason:
by
icensed-under provisions of Chapter 9 (commencing with Section 700Obaf QiYision f the Business and Profi
License No gryti0-rclbr signature:
ION .j
SECT COVEON 3G 6 OFE IS iTHEVLABOR CODE, INTEREST, AND ATTORNEYS FEESFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINq/„ Vfflbl D, CIVIL FINES UP TO ONE HUNDRED
of the following declarations.
R consent to self insure for workers compen53tlof isal by lth Director of Industrial Relations as provided for
Iris issued. Policy No. t,^k {
Insatlon Ins.utance ,as required by Section 3700&oTj',rt�kLnabtta; Coo for the performance of the work for which this
s
Policy Number Expiration Date
/% Phone #
hereby affirm under aenalty (pperjury that there is a codstructii
ender's Name Eljnfm.
ly my signature below, I cerfy to eacff dftmfatf —
I am the property owner Pr authorized to act on the property
I have read this applldat n eFRt WH W
1 agree to comply wdh'.a
I authorize representatives of this city or county''tp e e
ACTION
PERMIT EXPIRED
DATE I BY
t I II not employ y p so ny manner so as to become subject to the work,
Eliio 3700 of the o - d I shall Forthwith comply with those provisions.
v
- I( 4arfeop
{� ... Da..
lending agency for the performance of thr1O wor!h�te work for whit Is perm) I issued (Section 3097,
Lenders Address
behalf.
WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICATION TO
EPA
PERMIT EXTENDED AOMD
PERMIT FINAL BES S OT N IS N PPLICABLE TO
CERTIFICATE OF PROPOSED I
OCCUPANCY ISSUED SIGNATDRE:
Section 70 of the Business and
_ Date
s Code, and my license is in full force
DOLLARS ($100,000), IN ADDITION TO THE
Section 3700 of the Labor Code, for
issued. My workers'
compensation laws of C lifornia, and agre
/A)