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Home My WebLink AboutX2021-1798 - PermitsCity of Newport Beach - Building Division COMB Permit: X2021-1798 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 7 9 8 Project No : 1882-2020 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 07/08/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/08/2024 OR PERMIT WILL BE INVALID 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 Job Address: 908 E BALBOA BLVD NB Description: SFR DETACHED GARAGE 436 SF (ADU UNDER X2020-2356) Legal Desc.: BALBOA TR LOT 4 BILK 13 ALL -INC FOR ABAN ST ADJ-(AND BALBOA BAY FRONT �']'5��1L+� VV Owner: ROBITAILLE FRANK Contractor: JADON CONSTRUCTION Architect: S 4T1 y RBORD Address: 5643 E CREST DE VILLE AVE Address: 444 OLD NEWPORT BLVD STE B Address: 42 HST #22 NEWPORT EACH 949 6311 3682AAC{{Sto e661'��s �Q0�{yy ROHRER PAUL 17ijllp7iEs - 1527 E. AUTUMRIDGE CT ORANGE CA 92866 714-272-9579 State Lic:S-004340 ORANGE CA 92867 Phone: Applicant: SMITH BRADFORD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949-631-3682 Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 436 Added /New, sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $661.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 PROCESSED BY: NEWPORT BEACH, CA 92663 Phone: 949-647-9711 Con State Lic: 911837 Lic Expire: 03/31/2022 Bus Lic: BT30044825 Lic Exp Date: 09/30/2021 Worker's Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON0962802 Expire: 0312512022 Building Setbacks Rear: 10' WATER Front: V STREET Left: 3' Right: 3' Phone: Engineer: Address: Phone: Designer: Address: FEMA ELEVATION CERTIFICAT Phone: REQUIRED FOR FINAL Special Conditions: HIGH DENSITY��C: L �Jg LIQUEFA �q` Use Zone: R-2 Parking Spaces: 0 Fire H; Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant : $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $46.27 San Dist: $0.00 Mechanical %: $26.44 NMUSD Fee: $0.00 Plumbing %: $59.49 TOTAL FEE: $867.20 ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $867.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - /) r" 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 below by the 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, improve, demolish, or repair any structure, 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 provisions of the Contractors' State License Law (Chapter 9 (commencing 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of th work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through ei iployees' 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 complo tion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, E usiness 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I uni 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.legini signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700,O�.g1 nd effect. License Class License No Dat t�� ) VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL", DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 rmance of the work for which this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe Is ance carrier and policy number are: ' mer Policy Number is of Agent _ certify that, in . if I should be permit is issued, I shall not employ any person in any manner: t provisions of Section 3700 of the Labor Code, I shall forthwith nature of Applica t CLARATION REG CTION LEN ING AGENCY ;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address 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. have read this application and the information his orr ct. I agree to comply with all applicable city and c nt o na es n state la s elating to building construction. I authorize representatives of this city or (oun u n� be denti a operty for inspection purposes. Signature of Property Owner or Authorized Agzr l � Print Property Owners or AU! ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SU BMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED ❑AQMD PERMIT FINAL /�Q/L 'dCC UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF ( PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: that a copy of the the Business Contractor S rents covered by this permit, I cannot law, Section 7044 of the Business and AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS is in full force IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and agre )mply with those provisions. Dete)pL is permit is issued (Section 3097, Civil Code). ONLY