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