HomeMy WebLinkAboutX2022-0430 - PermitsJob Address
Description:
Legal Desc.:
Owner:
Address:
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COMB Permit: X2022-0430
on Project No: 0383-2022
W
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Issued Date : 02/17/2022
tAt]Yi llll��b a .. .
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211712025 OR PERMIT WILL BE INVA ti , ; ,
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 ;
15 BORDEAUX NS -
SFR INSTALL RESIDENTIAL ELEVATOR
TR 9858 LOT 11 UNIT 78 OF PROJECT LOCATED ON AE 4§1-131-39 TOGEj
Phone:
Applicant:
Address:
Phone
City of Newport Beach -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Combination Type - SFP ELEC
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
THOMPSON ROBERT
15 BORDEAUX
NEWPORT BEACH CA
FERRIS RICHARD
21351 LINDSAY
TRABUCO CANYON CA
949/344-5338
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/1.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: Z
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction Valuation:. $6
Building Permit Fee: $889.00
Plan Check Fee: $773.43
a
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
'X2022-0430`
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Ca r c a . /� H E LIFT ELEVATORS INC Architect:
!'. $ , dr s' � /i3ANTA MARGARITA PKWY #222 If a IA;.
�
�� •Tp NC O SANTA MARGARITA, CA 92686 p
Phone: 949-344-5338 Pro ryel po% Or u Lic:
St Li 918 Engineer: TAMU O C
� � Exp' e: 0/ Address: PO BOX 17083
B 7 t0 W h01�RG B AF_ rt+ ca anam
Lic xp Date: 02/28/2023 Phone: State Lic:C-029787
started
orke' p at I ce
rier:ddress:o:
Building Setbacks Rear: / Special Conditions:
per^ y^� �Flryont: /
r�C�, naT� i IPa�lclrhal 1 0 ® Mscad: dk
a
(work
�Excise Tax: $0. 0
Atlditional 0
N0�2ding Bon s Fe ' p/
Grading PC Consultant : 0.00
Electrical %: $62.23
Mechanical %: $0.00
Plumbing %: $0.00
TOTAL FEE: $1,783.66
PROCESSED BY:
ZONING APPROVAL: g L-
GRADING APPROVAL:
on
Plan Check Fee
(no Work started)
Planning Depa�rtem�e/nth!-
Fire Department
OPI it Shall/!/r''yr
FverPlan ReP ion:
$0.00
SJH Trans : $0.00
Demoli ' e
In -lieu Housing Fee: I��j,
InIt18I�a: m
$0.00
Genera rvice
$0.00
_ eRlllTtl' epo'sit-"
$0.00
P/VJ Plan Check: $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$773.43 Fee Due at Permit Issuance:
$1,010.23
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
r
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby a,f,rm 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 Lem(s)
(Section 7031.G, Susiness 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
the oarmit to f!e aaigned 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
Professions tinde) c-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
not more than five hundred dollars ($500).
❑ ', as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and F-ri,es,ions 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
improvements 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
improved for tie purpose of sale).
EJ 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).
am exempt frc m H rH r�otr��r��� cr�rP ;,. e I „v EaT +�hg�,fatlowing,reasnn - -
�By my signature belov I acknowledge that, except for in rsonaI r dence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
gel, a srructure that I ve built as an owner-bu' r f a�r107egg, clad in its entirety by licensed co�ltractors ., l ungerstand that a copy of the applicable law, Section 7044 of the Business and
is Aquest Inc dor the follDwingWeb site: al i&L1ti0rjov/calaw.html.
P. c,`cssions Codo; ailab whe ap Io Is at p
Signature of Property wner or Authoriied Agent _ _ _ Date
LICENSED CONT CTOR'S DE LARATION n R 0/
I hereby affirm under Belt ,that I arrlieensed under proV�Slon's of Chapter 9 (corrimenFng with QtibAgl7l� 'e7��f'D,�� ��lo��h��Q�9.�tR Business and Profes on§Cod/¢, and my license is in full force
and effect. License ass License No Date �`'-)Contractor Signature N %7/��dta
WORKERS' COMP NS : I N CLARATION - to whom:
WARNING: FAILURE TO SE URE M KERS' COMPENSATION COVERAGE IS UNLAWFUL, AN IF SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INT5RF5'I', AND ATTORNEYS FEES.
I hereby affirm under T naltgf perjuryone of the following declarations:
❑ 1 have and will no main' 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 the
erformance of the wok for which this permit isissued. Policy No.
I have and will final tain workers compensation IIFYsbr+ance"ast�Tegwred`by'Secton' 3YC&-of the iLabor Code, for the performance of the work for whicV this permit is issued. My workers' compensatior
nsurance carrier and FV licy number are: y
Carrier I Policy Number Expiration Date p.
Name of Agent fa -� - Phone # :.
tl}e werk for I��1��� yyLL��Is er yt�ygs�e I shall not e, ploy any kerson to any manner+s a to a �'I a to the orkers' compensation laws of California, and agree
ofthe T`Yhail fo`I'tRIj}I 4h isions.
certify that, in the rfor%/Tv�
that, if should becom subjwrdrk'er �toAs2tion ff 1lMS 6f Section 3700 LaboP'Cd� c ply ro
Signature of Applicant, Work Started Date
DECLARATION REG DIN cONSTR ION NDING AGENCY {
'nTagency
I hereby affirm under p nalt of perjury that t constr c b en f th erforyrerteAof rk,f In permit is issued (Section 3 97, Civil Code).
Lender's Name der's r A'
By my signature below I certl Dear o o
I am the property Der or authorize P�/p�o e oy(P® � Insp.Rnie°•aes: _
mr-
I have read this ap lication-and-I... o rrlatia�#h d E'tl15-CbTr
I agree to comply tEh ad
authorize representatives of this city cr county to en r the above ide 'ed pr or inspection purposes. %
Signature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name pate
ACTION
DATE
BY
D CLARATION OF C PLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I /i�,�
�/
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
END
PERMIT EMED
QM D
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
ASBESTOS NOTIFICATION 15 NOT PPLICABLE TO
PROPOSED DE OUTII N v
SIGNATURE: YI .I ILI Y / J