HomeMy WebLinkAboutX2021-0818 - PermitsCity of Newport Beach - Building Division
.4 Ap 100 Civic Center Drive, Newport Beach, CA 92660
n. Permit Counter Phone (949)644-3288
o y ip Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m.
Job Address: 760 VIA LIDO SOUD NB
D i t ' SFR REMOVE TWO GARAGE DOORS AND REPLACE WI ONE DOOR
COMB Permit: X2021-081
nn1 x 2 0 2 1 0 8 1 611111 Project No : 0755-2021
Issued Date : 04112/2021
Inspection Area : 2
RKOJECTS MUST OMPLETED BY0411212024 OR PERMIT WILL BE INVALID
aturday from 8: fp. . 0 6:00 p.m. No work on Sundays or Holidays
escrip ton. .
Legal Desc.: N TR 907 LOT 283
Owner: ROSS STEVE & GAIL
Address: 760 VIA LIDO SOUD
NEWPORT BEACH, CA 92663
Phone
Applicant: TANNER JEFF
Address: 893 OAK ST
COSTA MESA, CA 92627
Phone: 949-235-4856
Code Edit' 2019
Type of Construction: V-B
Occupancy Group: R3IU
Added /New sq.ft Bldg: 0
Added /New sq. ft. Garage: 0No of Stories. 2
No of UnitsBldg Height: 0Bldg Sprinklers:
Construction
Building Permi ee:
Plan CheckFeeOvertime Plan Ck:
InvestigationFee:
Record Management
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
Contractor:
Address:
Phone:
Cp tate Lic:
c Expire:
Bus Lic:
Li
Ex ate
Worker Compehss
/Carrier
Policy No.
Expire:
Building Setbacks
-`.Use Zone: P
e92627
TANN TION Architect:
893O REAddress:
C0I�X E A
9- 35o Phone:
74a> >16 O Engineer:
12131 021 \r Address:
BT9804322e)
06/30/2021`-• Phone:
)n Insurance Designee
PREFERRED PRO INS Ad ess'N
ON0897402.
06/01/2021
4
Rear / .t� "55p�t {C
Front I., er� �
Left
Right /
kinn Snaces 0." rl Fire Hate
$4.00
k - Excise Tax:
$0.00
Additional Fee :
$0.00
$ 00
.1 Grading Bonds Fee.
W. Grading PC Consultant :
$0.00 -<,
$0.00
00
$87g0
>� Grading Permit Fee:
$0.00
$0.00
Gradinq J C Fee:
$0.00
sono-
'iVVQ Insp. Fee:
$0.00
$0.00
$0.00
$1.00
II TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Planning Departr
Plan check Fee
Fair ShareSJH Tran
Ate:, r P
ctrical %: . 13.88 C San
Plan-Chec e�
IERIRANI
20 2 A13ALNEW RT B714-296502CHOI DAVI1327 LOMA A
L^ BEACH
6621tl-5600
oditions: OUEP%
INS°P�C'
ONE AVE
EACH CA 92662
State Uc:CO24225
O+
Z "tv Fire Department
$46.25 Fire Inspection:
$0.00 Fire Plan Rev
$0.00 Demolition Fee
$0.00 Building Dept Adm
artment- General Service
$0.00 Refund Deposit
$0.00 Grading Bond:
$0.00
$0.00
y-- 00
7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$467.33 Fee Due at Permit Issuance : $526.88
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
y-- 00
7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$467.33 Fee Due at Permit Issuance : $526.88
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason Indicated below y t 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, im va, demolish, or r an truc[ure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisionsXexemption.
tractors' S License Law (C r 9 (connncing 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 allegen. Any ation of Section 7@�7.5 by any a p nt for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).00I, as owner of the property, or my employees with wages as their sole compensationf or Q Alons o1� work, and a structure is t intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to pro ertyrogo, thrAtl�ls employee ' r personal effort, 51ds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvemwithiPh.•f year�mpletion, eOwnerBuilder will hav he burden of proving that itwas not built or
improved for the purpose of sale). r�� 0I, as owner of the property, am exclusively contracting with licensed Contractors to c�project @tion 7044, siness and Professions Code: The ntraclors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects wish a [I d Contr�t pursuant to the Contractors' State Licen Law).
r--r I am exempt from licensure under the Contractors' State License Law for the following reason: �i . _O
my signature below I acknowledge that, except for my personal residence in,which I mu have resided for `st one year prior to completion of the irrjKvemen
a structure that I have built as an owner -builder if it has not been constr fed in its a rely by licensed cQFactors. I understand that a copy of the a Me law,
Ifessions Code, is available upon request when this application is sub ted or at t following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent
.ICENSED CORTRACTOR'S DECLARATION
hereby, affirm and �i penalty of perjury that I am licensed unde, rovisions o hapty commencing with Se Ion 700 of isi as and
nd effaot. Liccr � Class U e e o orNna
VORKERS' COMPENSATION DECLARATION
AA NN ;. QrQt
IARMNG: FAILURE TC SECURE WORKERS' COMPENSATION CQYEPAGE IS"ON WFUL, fND H)1LL SUa7ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U ONE HUD
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN TIOf�arah
7p6 OF HE LABORCODE„INTEREST, AND ATTORNEY'S FEES. 5
hereby affirm ur,dar Nenalty perjury one of foilgvfin clgns
A,
a I have nd till rce` in a certificate consent) t elf insure for workers' compensation, issued by the Director of Industrial Relations as rovich
o - e :K for which this mit is issu .Policy No �,C,� �,Q•
�ha ill maintain worker OFF. vaf n Insurance as required by Section 3700 of the Labor Code, for the.performance of th ork hit
I 'er and policy nu rare: IS
'grrler �' „ a,Policy Number xpiratigrfD
,e of Agent ;,
OF -
certify that, in the pertorman.ceNde forwhich-tftis permit
ifIshouldbetp mesubjectfc,er m tionprovi,iature of a icent,A I LFk;✓-
hereby affirm under penalty of pyury1HitAhe is a c!
Ender's Name
ly my signature below, I certify to each of the folio
I am the property owner or authorized to act o i th
I have read this application and the information I he
I agree to comply with all applicable city and county
I authorize representatives of thi9�itypr county loft
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I - BY
1403
Ll I SUBMITTED
d, I shall not employ a Ergon in any manner
Section 3700 of themeode, I shall forthwitl
agency tL>�"y3e'rforr,�fiGe of the
er's,` ress
act. ��������
laws relating to b ' ing cog
40
TO
TO
iner's or AUIDorizea P,g
FOR OFFICE USE ONLY
Dcti 7044, of the Business and
Date
06dg! av&mAcense is in full force
YO DpELARS I$100,0001, IN ADDITION TO THE
:tion 3700 of the Labor Code, for th
permit is issued. My workers'
prfie lect to the workers' compensation laws of California, and agree
i se provisions.
�e /ZK/,gQZy
i
is issued (Section 3097, Civil Code).