HomeMy WebLinkAboutX2021-0621 - PermitsT,xrrk City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'si rc Inspection Requests Phone (949)644-3255
r'rtedu+r'' Combination Type - BLDG
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS.
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m.
Job Address: 760 VIA LIDO SOLD NB
Description: BLOCK WALL **STOP WORK** RAISE EXISITNG 8 LF OF WALL TO 5' "
Legal Desc.: N TR 907 LOT 283 .�'
Owner: ROSS STEVEN
Address: 760 VIA LIDO SOLD
NEWPORT BEACH, CA 92663
Phone
Applicant: RJ TANNER CONSTRUCTION
Address: 893 OAK ST
COSTA MESA CA 92627
Phone: 949-235-4856
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0 ,t
No of Stories: 0 �` V
No of Units : 0 A
Bldg Height 0 OI
Bldg Sprinklers: `
Flood Zone: _ .
Contractor: OPRJ TAN ERRC
Address: 893 STRJ
COS; M/�E��Ss�
Phone: 949-235-'8#
Con State Lic // 744104
Leo Expire' 12131/2021
Bus Lic BT98043220
Lic Ex01Date 06130/2021:
�y'V34••�E P/l�
gS42CCTIc
210
?A 92627t\•
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Worke Compensation Insurance
Carrier. PREFERRED PRO INS -
Policy No: ON0897402
,Expire: 06/01/2021
Building Setbacks Rear
Front I
Left' / s
4p' s Right. I Ov
COMB Permit: X2021
Project No : 0569-2021
Issued Date :
X
Inspection Area : 2
E COM TED BY OR PERMIT WILL BE INVAL
a.m. tofi:001il No work on Sundays or Holidays
Architect:
Address:
Phone:
State Lic:
Engineer: r-7
DAMIR
Address:WPORT BL C-', ,
BEACH CA 926
Phone: 3 J�'t�� toLLic. 38570 -
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Construction Valuatl uu uu -
Building Permit Fee: $11 00 ; Excise Tax ' r,LL} $0 00 Planning Departure - ,� Fire Department
Plan Check Fee: $95. t Additional Fee: $0 00 Plan check Fee. /?$4fi.25 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00, ' Fair Share : / $0.00 Fire Plan Rev $0.00
Investigation Fee: $110 00 '` Grading PC Consultant. $0.00. ;, SJH Tran $0.00 Demolition Fee
Record Management: $0.00 -=` Grading Permit Fee $0 00 In -lieu ousing a1. $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 ^, Grading PC Fee. $0.00 , ,SS Publi orks partment - General Service $0.00
CA Seismic Safety : $0 00 > "JOsp: Fee $0.00 -;� ,(� rk Dedi tion $0.00 Refund Deposit $0.00
Disabled Access : $0.00 i�, : - „ � 4 PAN PI C ck : $0.00 Grading Bond: $0.00
Hazardous Mat $0 00 '`Eyectncal / $hF.00 1 San 0 $0.00
Building Green Fee : $1.00 Mechanical % ". a Q� 0.00 N S .ee: $0.00 $0.00
Plumbi $0.00 $0.00
TOTAL FEE: $362.95 `-. ��Pla heck eel $0.00 Fee Due at Permit Issuance : $362.95
PROCESSED BY: �� Z' ry PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: -
GRADING APPROVAL: APPROVAL TO ISSUE: �r� -
1
a�aa�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the r on(s) indicated ow by the checkmark(s) I have placed next to the applicable items)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, all
Improve, demolis or air any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contract State License L hapt 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. y violation of Sen� 7031.5 by applicant for
permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). /Business
I, as owner of the property, or my employees with wages as their sole compensation, will do ) all of U port,and the at
ture is not intended or offered for sale (Section 7044,
driess and Professions Code: The Contractors' State License Law does not apply to an o er of pr'A whys%Trip ees' or person ffort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improveme Is sold zbm onf i 5a the Owner-Builde ill have the burden of proving that it was not built or
roved for the purpose of sale). \� ��/
I, as owner of the property, am exclusively contracting with licensed Contractor consyru Oe or OSectioss and Professions Co , The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts r the p c s wit ensed Cont to the Contractors' Sta icense Law).
U I am exempt from licensure under the Contractors' State License Law for
By my signature below I acknowledge that, except for my personal residen
sell a structure rha, , nave built as an owner -builder if it has not been co f rul
Drofessions Cod.;, i.; available upon request when this application isrbmitte
3&1J'La:e of Pmperty Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLAVVEAUGELIl,,�,,rVVFUL,
h Dreb" affirm under penalty of perjury that isio of
and erfect. License Class
W'JRYERS' OJhiPrNSATION DECLA
NARNING: FAILUPF TO SECURE WORKERS' COMPEUL, AN[
DAMAGES AS PROVIDED
affirm under penalty ofperjury one
e apO,will maintain a certificat
peg C� the w¢rk for wXthisrn
and will maintain wps
e earlier'a,tJ;aolicy n
ie of Agent JIF IONN
certify that, in the petfo ante of
if I should become subje the
iature of Apptfa@nt C�
THELABOR
e following reasg 16 A\'
which I must habE
d in ids entirety by
ory the following
Chapter 9 (commencing with
one year prior to cor
. I understand that a
ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIEIL
INTEREST, AND ATTORNEY'S.FEES. G
7dPolcy
declarations:
f Insure for workers' compensation Issued by the Director of Ind`tyQal F
No. -
Insurance, as required by Section 3700 of the Labor bode, for the pedormancce/q
Policy Number / 1
this permit, I cannot
of the Business and
and
TO ONE 06NDRi-PIYOUMRD DOLLARS (S100,000), IN ADDITION TO THE
by Section 3700 of the Labor Code, for
this permit is issued. My workers'
this permit is issued, not employ anyperson in any manne o as to ec a subject to the workers' compensation laws of California, and
phon provisions of Section 3700 of the Labor Code, I shall fortdh cc y those provisions.
--I,L.
ueby affirm under penalty of-DipirfuryXiatAere is ti$o hruction lending gthe perf•6
Ider's Name I t.'� ende�,Adl
my signature below, I certify to eac-oft follo �`� s`� L
I am the property owner or authoriz' ' Jp a on th erty owner' 81fJ pV
1 have read this application and the init�uYuat! I have provided 's c e O y-
I agree to comply with all applicable city, i d;oo y i state Irelating to it
I authorize representatives of this city or cooJ'(y to property f insp
nature of Property Owner or Authoriyeee¢t "
ACTION I DATE -�r BY
40 AND AQRD RULE
TO
PERMIT EMENDED LIAQMD
PERMITFINAL U ASBESTOS NOTIPANN IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITIbN
OCCUPANCY ISSUED SIGNATURE:
permit is issued
FOR OFFICE USE ONLY
R
Civil Code).
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