HomeMy WebLinkAboutX2022-0366 - Permits�xui n�A City of Newport Beach - Building Division
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COMB Permit: X2022-0366
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Project No : 0325-2022
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Inspection Requests Phone (949)644-3255
Combination Type - SFPi'i.-
Issued Date : 02/07/2022
Inspection Area : 6
W
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST YXID)4SPECTPR. PROJ UST 8
0 ETED Y
2025 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a. o . 0 p.m.
nd Saturd om a
0 6:00 p. . o-
rk on Sundays or Holidays
Job Address:
Description:
Legal Desc.:
50 VIA BURRONE NB
SFR CHANGE OUT (1) WINDOW TO A FRENCH DOO
N TR 14070 LOT 81
l •n�
Owner: JACOBSON STEVEN
Address: 50 VIA BURRONE
NEWPORT BEACH, CA 92657
Phone:
Applicant: LAISY STACY
Address: 11612 KNOTT AVE #1
GARDEN GROVE,
Phone: 714-373-0011
Code Edit: 0
Type of Constructio
Occupancy Grou
Added/New s g: 0
Added /N •q rage' 0
No of Stor �' 0
No of Units'r Y`X
Bldg Height?:Bldg Sprinklers'SFlood Zone:
Construction Valuation: °?� 9
Building Permit Fee:
$24 00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.0
Investigation Fee:
$000
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
TOTAL FEE : $461.02
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
i 2.a
ontracto . RYDEN CONS ION INC Archit
Addre 11612 KN 12 , Address
A 928 714-3745
hone: 714-373 r
Con State Lic: 981264 '4"`•. eer:
Lic Expire: 02/28/2023 � ' Addre .
Lic: T30074071�4v.
Llc Ey8 D 01/31 /2023 . .
Building Setbacks
Use Zone:
Excise Tax: $0.011^
Additional Fee : $Ai(���//
it
Grading Bon ee: 0 0 \
;radIngPonsultat,0 n: Oadin ermFeeO0 ng PC FP�ee:
I W 0.00
%: $0.00
Plan Check Fee :
@e gne
ess:
Phone::
ti
Plan cbIlfk Fee
3'JH Trans :
In -lieu Housing Fee
Public Works Department
-
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Lic:
PLANS ATTACHED TO PERMIT
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance: $461.02
PUBLIC WORKS 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 belo the c
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, epair any
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law apter 9 (car
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sec 7031.5 by any a
not more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do L all of or L) po ' s of the work, and I `E
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property w throug V,rnployees'cdNO rsc
improvements are not intended or offered for sale. If, however, the building or improvement is sold within o ear of pYetion, f� ner-E
improved for the purpose of sale). G ^'�
I, as owner of the property, am exclusively contracting with licensed Contractors to construct
apply to an owner of property who builds or improves thereon, and who contracts for the project
I am exempt from licensure under the Contractors' State License Law for the followi
By my signature below I acknowledge that, except for my personal residence in which I.
sell a structure that I have built as an owner -builder if it has not been constructed in' E
Professions Coca, is available upon request when this application is submitted t the
Fignaturg of Property Owner or Authorized Agent
I. IOEN,�ED CONTRACTOR'S DECLARATION
I herebv affirm under penalty of perjury that I am licensed under pro ons of f
and effect. License Class Lic No
✓ORKERS' CGNIPENSATION DECLARATION 9
ARMING: FAILURE l0 SEdURE WORKERS' COMPENSATION OOVERf F IS UNLAW , AND
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI6N 0706 OF TH ABOR Cot
nereoy.affirm under penalty of perjury one of the following dec ations
eF� i
I have and will maintain a certificate of consent to insure for eVorke
3rforma.nce of the wc-f. for which this permit is Issue olicy No
ha�AS and will Inaimain workers' compensation insurance as required by
s ncS�arfrier ind I,clicy numb are: 4;� a
arner PAPC ' ILt_," - „40rc �olicv Number
me o7 Agent
I certify that, in the performangp of the
it, if I should become- s/ubj t e-we
mature of ADDIICanttY
hereby affirm under penalty of perjury that there icon!
ender's Name
y my signature below, I certify to each of the followin
I am the property owner or authorized to act on the p
I have read this application and the information I have
I agree to comply with all applicable city and county o.
I authorize representatives of this city or county/fo ant
ACTION
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
-.2
have
S) I have placed next to the applicable item(s)
prior to its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
IT a permit subjects the applicant to a civil penalty of
nded or offered for sale (Section 7044,
or improves the property, provided that the
e burden of proving that it was not built or
'044 �L'tvifiess and Pr essions Code: The ntractors' State License Law does not
6eursuant to Pd Contractors' State Licenli
one ye(prl6r to completion of the improvements vered by this permit, I cannot lei
I Tstand that a copy of the applicable law, SectV 7044, of the Business and
fo.ca.gov/calaw.html.
Date
(commencing with Section 70 ��) sfD��visiioonn 33 of
the Business
Date Q_ Contractor S '-
d
JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP
IT, AND ATTORNEY'S FEES
-nsatior Issued by the Director of Ind A'I nss
�}
ws:
flor Code, for the'p`yrfhor ce work for
ne-
permit is issued, I shall not employ
I previsions of Section 3700 of the
agency for
relatOg h
REGULATIONS PILRT 63,QKICKLE 40
EPA
IS NOTAPPLICABLE TO
any manner so as to
shall forthwith comply
the work for wriich this
IS�73�ltly[yX�i7x�7N�'I
tF de d licehse is in full force
ED THOUSAND DOE S 100, IN ADDITION TO THE
for action 00 the Labor Code, for th
`C
his•,ffhit sued. My workers' compensatiol
Kam' compensation laws of California, and agre
bvi s. /y /
(Section 3097, Civil Code).