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HomeMy WebLinkAboutX2021-2626 - Permits+'tag City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ryty cr Combination Type - SFP IIIII��X 202 1ryllll COMB Permit: X2021-2626 Project No : 2280-2021 Issued Date : 11/29/2021 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY i f/29/202410R PERMIT WILL BE IN nspection Area 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 Holiday Job Address: 2804 W OCEAN FRONT NB Description: REPLACE 3 FRENCH DOOR W/ 15 FT FOLDING DOOR Legal Desc.: NEWPORT BEACH CITY BLK 28 LOT 3 Owner: MORENO EVA ELIZABETH Address: 2804 OCEAN FRONT W NEWPORT BEACH, CA 92663 Phone: Applicant: MACHADO DAVID Address: 12211 FRONT ST NORWALK, CA 90650 Phone: 562-716-8667 Code Edit: 2019 Type of Construction: V_B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $844.92 PROS ISED BY: ROVAL: "AL: 0 000000 Contractor: Address: FAMILY HONE IMPROVEMENTS Architect: �" ° ° FRONT ST Address: ire g Y � 1 NOR NORWALK CA 90650 Phone: 562-464-0684 Phone: Con State Lic: 863271 State Lic: Lic Expire: 08/31I2023 Engineer: COOKE CONWAY CECIL Bus Lic: BT30077336 '� 34658V LINDA ROSEA RD .... Lic Exp Date: 11/30/2022 / ("® CS,J6 p iAddress: yon� 6 t,reTg 9NO-�2592 Worker's Compensation Insurance OCU p �CA�/ S./ 1 eLic:S-005524 Carrier: STATE FUND Designer: Policy No: 9266247 Address: Expire: 12/20/2022 ON THEWEEKEND Building Setbacks Rear: ! Front: / Special Conditions: Left: / Right / Use Zone: Parkin Spaces: D Fire Hazard Zone : N Excise Tax: Additional Fee $0.00 Planning Department - : Grading Bonds Fee: $0.00 $0.00 Plan check Fee : Fair _ Fire Department $52.00 Fire Inspection: Grading PC Consultant: Grading Permit Fee: $0.00 Share : SJH Trans : $0.00 Fire Plan Rev $0.00 $0.00 Grading Fee: $O.OD $0.00 In -lieu Housing Fee : $0.00 Demolition Fee $0,00 -- WO Insp. Fee: . F $0.00 Public Works Department - Building Deptce $0.00 Park Dedication : General Service $0.00 $0.00 Electrical al $0.00 P/W Plan Check: $0.00 Refund Deposit Grading Bond: $0.00 Mechanical %: $0.00 San Di Dist: $0.00 $0.00 Plumbing %: $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee : $413.92 $0.00 Fee Due at Permit Issuance $431.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION License Law Chapter ir (commencing with Section 7000) of Division 3 of the Business and 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 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) (Section 7031.5, applicant for a permit subjects the applicant to a civil penalty of the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Lice Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any app' not more than five hundred dollars ($500). all of or ortions of the work, and the structure is not intended or offered for sale (Sectionded044, In the ❑I, as owner of the property, or my employees with wages ns their sole compensation, will do (_) U P Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the grope y, p improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for t4i QW90se of sale). ❑ I, a, owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section Contractor Business and Professions Code: The Contractors' State License Law does no �RIY'iQ lt an ow,?rr 1'1 i operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I gm exempt fro ow under the Contractors' State License Law for the following reason:sided sell a structure t signature atlltleve built as aneowne except eder if i hasnotbelen constructed which residence in t l entirety by licensed must have refcontracto so I understand that a copy of the appl cable aw Section 7044tof the Business and his permit, I cannot ega gfe9yons C&e, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.htm . Date ignature of Propgrty Qwner or Authorized Agent Is in full force dEENSED OQy$LMCTOR'S DECLARATION Dy1( Ion of the Busin�Katu_r ofes s C e, mY Date �i7 Contract ilorebyaffirm under penalty of perjury that I am licensed under L tense provisions of Chapter 9 (commencing with Sec 700 ) A eygct. License Class W6R&RS' @br*pENSATION DECLARATION 4RWN3 FAILURE TO SECURE IGES AS PROVIDED FOR IN SECTION 3'IOeGE IOF THE LA5UL AND BS UN�vr OR COOS, SHALL SUGTEAND ATTORNYERETS TO FEES,RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'IOE,0001, IN ADDITION TO THE COMPENSATION WORKERS sOth i OFCOMPENj4f�iTJ(J%Q I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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 o rice of the work for which this permit is issued. Policy No. ce of the work for which this permit is issued. e and will maintain workers' compensation insurance, as required by Section 3700he Labor Code, for the performan�My workers' compensaho rance C rrier a polic p",rr ofnumber are: /l Z 2_Expiration Date Policy Number _I phone# Carrier w Name of Agent s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ZG I certify that, in the performance f the work ation for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work 's' compensation laws of California, an a that, if I should beco ub to he� ate Signature of Iicant DECLARATIO REGARDING ONSTRUCTION LENDING AGENCY I hereby affirm under penalty f perjury that there is a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, CIVL Code). Lenders Name By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct.building �' to �l I agree to comply with all applicable city and county or ' antes and staff fled s relatingot° inspection pu postesn z" th I authorize representatives of this city or cou= t Print Property Owner's or Authorized Agen am Signature of Property Owner or Author' DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE CERTIFICATE OF OCCUPANCY ISSUED TO IS TAPP�TO