HomeMy WebLinkAboutX2021-2410 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
s1 Inspection Requests Phone (949)644-3255
rnuNs Combination Type - SFP ELEC MECH PLUM
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPE
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m.
Job Address: 760 VIA LIDO SOUD NB
Description: SFR BATHROOM & LAUNDRY RM REMODEL 130 SF o
Legal Desc.: N TR 907 LOT 283
Owner:
ROSS STEVE & GAIL
Contractor:
Address:
760 VIA LIDO SOUD
Address:
NEWPORT BEACH, CA 92663
Phone:
Applicant:
TANNER JEFF
/hnLe
Address:
893 OAK ST
COSTA MESA, CA 92627Phone:
949-235-4856
Code Edit 2019
Type of Construction V-8
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:
Flood Zone:
11 Construction Valuation: $3
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Policy,
Palicy�.No:
Expire:
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COMB Permit: X2021-241
Project No : 2084-2021
Issued Date : 09109/2021
Inspection Area : 2
0910912024 OR PERMIT WILL BE INVALID
No work on Sundays or Holidays
�PJ TANN�ON$$Tf.�CTION Architect: RANIERI RA `.
893 O!�(STRIID Address: 206 1/2 ABALO AVE
COSTA ME 9262 (S. - NEWPORT BEAC A 92662
949-235-48 6 r0 Phone: 714-296.5502 to Lic:CO24225
X44104 Engineer: w911,
12/3112021 Address:
BT98043220,#
0613012022 Phone: �� St B Lic:
n Insurance r'd2'+�� Design �
PREFERRED PRO INS `1 Add
ON0897403 e-
06/0112022 - Photi'e: �A� sue,
Rear: I a`'e Sp
Front
Left: I e'N
.Right: /
Building Permit Fee 655.00 Excise Tax $0.00 y�Planning Department Fire Department
Plan Check Fee: $569.8 „'% Additional Fee $0.00 91 Plan check Fee : 2.00 Fire Inspection: $0.00
Overtime Plan Ck: 00 Grading Bonds Fee:- $0.00 Fair Share: $0.00 Fire Plan Rev $0.00
Fee
Investigation Fee: $
PC
Record Management: $0.00 G a 14iPermR Fee�ant : $0.0 SJ eu Hnssing Fe $0.00 Demolition d Building Adm $0.00
Energy Compliance: $0.00 ra ing'�PC Fee $0�0 "'iiiiii a1 P is rks De rt nt- General Service $0.00
CA Seismic Safety : $0.00 .Fee - $0.00 �� Pa Dedica n $0.00 Refund Deposit $0.00
Disabled Access : $0.00 "' ,`� Li Plan h $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 E al%: $4', ,�/ I an Dis $0.00
Building Green Fee : $2.00 Mechanical %: �'p$$6.20 r NMU F $0.00 $0.00
umbing ° . \S$58. $0.00
TOTAL FEE : $1,409.85 Plan C eck F $0.00 Fee Due at Permit Issuance : $1,409.85
PROCESSED BY: Z' PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: ! �-
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or re
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Ch
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7 .5
more than five hundred dollars ($500).
by the checkmark(s) I have placed next to the applicable items)
p .r any structure, prior to its issuance, also requires the applicant for
r commencing with Section 7000) of Division 3 of the Business and
by a applicant for a permit subjects the applicant to a civil penalty of
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions a work, and the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, th gh employees' or__pCCe
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one ye f completion, the O
improved for the purpose of sale). 'Ce
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the pro' (Sectior`l44, BusjRj9 and Pr
apply to an owner of property who builds or improves thereon, and who contracts for the projects with censedI 9P actor pNS Mont to the
is not intended or offered for sale (Section 7044,
)rt, builds or improves the property, provided that the
Jill have the burden of proving that it was not built or
The Contractors' State License Law does not
Is License Law).
I am exempt from licensors under the Contractors' State License Law for the following reaso
y my signature below I acknowledge that, except for my personal residence in which I must a reside)�'fkL at leastlo year prior t ompletion of the impr ments covered by this permit, I cannot legall}
ell a structure that I have built as an owner -builder if it has not been constructed in its an y by fcelq g cont `crs. I understa hat a copy of the applicabl w, Section 7044 of the Business and
'rofessions Codv, i., available upon request when this application is submitted or at th ollowing Web site:ht` ww.legirl . gowcalaw.htl
signature of Pro; cr'y Owner or Authorized Agent Date
'CEY:SED CCP'TR:ICTOR'S DECLARATION
hereby affirm Uer+er penalty of perjury that I am licensed under provisions hapter 9 (cue nmencsng with Sectile
b is of the Business and Pr Sion e y ense is 'u-full force
❑d eugct. License Class License N / Dontractor Signatur
VORKERS' COMPENSATION DECLARATION
IAPNIN@' FAILURE TO SE6URE WORKERS' COMPENSATION COVERAGE I LAWFUL, AN HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O D THOUSAND DOLL S 13Y�000), IN ADDITION TO THE
'DST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3] F THE LASO DE, INTEREST AND ATTORNEY'S FEES v�
5cr'^y affirmIntle• penalty of perjury one of the folio declaratio r 3;
I have and will maintain a certificate of con to s for workers' compensation issued by the Director of Industrial R t p;0Vided for by Se on 3 0 of a' Labor Code, for th
,i iucnance of the work far which this permit sued. Ali o. +`e;
i
rCl have and wi'Lmairtain workers' co ns�igQ�s nce, as required 6y Section 3700 of the Labg�9de, for the pertain the for which th' per s . My workers' compensatioi
's a,ro:e carrier, and policy number �/•
;arner Polir y'Number ( afl n Date
me of Agent v
I certify that, in the perfoma e oft ?,'Work forwhich this permit is Issued. I shall not employ any person in an
d, if 1 should becomes bject t kers' ogjpensation provisions of Section 37N of the Labor Code, I shall
mature of Applican
hereby affirm under penalty of peT}urytharther
.ender's Name
3y my signature below, I certify to eachrof t f(
I am the property owner or autholto a
I have read this application and the iAx Irna
I agree to comply with all applicable cityianl
I authorize representatives of this city or co,
signature of Property Owner or Authorized Age
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
AGENCY
�cuon lending; agency for the pe of the work
<= Lender's, $s
l
evaded is c behalf. a, w j
molded Is correct „L"`e
OMPLIANCE WITH C OE OF FED
TI RT 61 OF TITLE 40 �AOMD LE
UB TTED ASB S OTIFICAT T
EPA O
AQMD
CERTIFICATE NAL PRO SIB S MOLF �I,S J APPLICABLE TO
OCCUPANCYISSUED SIGNATURE
so as`to become
9 comply with tye
OFFICE USE ONLY
Name
wo rs' compensation laws of California, and agree
3097, Civil Code).