HomeMy WebLinkAboutX2021-1741 - PermitsCity 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
° ga fia Combination Type - MFP
IIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1741
X 2 9 2 1 1 7 4 1 Project No : 1525-2021
Issued Date: 0710612021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07106/2024 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: 1808 W BALBOA BLVD NB
Description: MFR REPLACE PATIO RAILING, SLIDING DOOR & WATERPROOF DECK 60 SF **STOP WORK 1-21-1734** for
Legal Desc.: NEWPORT BEACH SEC B BLK 118 LOTS
Owner:
STEPHENS GARY
Address:
1808 W BALBOA BLVD
Record Management:
NEWPORT BEACH, CA 92663
Phone:
310-860-2648
Applicant:
STEPHENS GARY
Address:
1808 W BALBOA BLVD
Bus Lic:
NEWPORT BEACH, CA 92663
Phone:
310-850-2648
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
0 W NERIB LDR
Address:
STEPHENS GARY
Record Management:
O/B AUTH ATT
Phone:
310.650-2648
Con State Lic:
O/B
Lic Expire:
$0.00
Bus Lic:
$0.00
Lic Exp Date:
$1.00
2019 Worker's Compensation Insurance
V -B Carrier:
R3/U Policy No:
0 Expire:
0
Building Setbacks Rear: /
Front: I
Left: I
Right: /
Building Permit Fee: $195.00
Plan Check Fee: $169.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$195.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $612.65
PROCESSED BY:
Excise Tax:
U
Planning Department -
Architect:
Additional Fee:
$0.00
Address:
Fire Plan Rev
Grading Bonds Fee:
$0.00
U
Phone: State Lic:LU
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SJH Trans
Engineer: AXSOM ERICH
Grading Permit Fee:
$0.00
Address: 92 CORPORATE PARK
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SUITE C-125
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Phone: 949 735-9050 State Lic:S-004435
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Designer:
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Address:
$0.00
Mechanical %:
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Phone:
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Special Conditions:
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Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
$52.00
Additional Fee:
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
ZONINGAPPROVAL:
GRADING APPROVAL:
Plan Check Fee
$612.65 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: !�
APPROVAL TO ISSUE:
G
Fire Department
$52.00
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
$612.65 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: !�
APPROVAL TO ISSUE:
G
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 itefn(s)
action 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
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
ifessions 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
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 the work, and the structure is not intended or offered for sale (Section 7044,
:iness 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 property, provided that the
)rovements 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
r.d fr the purpose of sale).
ner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
a structure that I have built as an owner -builder if it has not keen constructed Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code, is available upon request when thlyapplicatipsubmitted or Hawi eb site:http://www.leginfo.ca.gov/calaw.html. ,�
nature oj� Pfld lgdy Owner or Authorized Agent( Dat 1 n^
IENSEDCOIOTRACTOR'S DECLARATION
Irreby affirm VnEEr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
@ffect..Llcense Class License No Date Contractor Signature
5RKERS' OOMPENSATION DECLARATION
PNING: FAILUNI! f0S$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
r OF COMPEa^y/..K DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:aeby affirm.Lglrier penalty of perjury one of the following declarations:
P have arsd wo14aintaln 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, forth
formance of file work for which this permit is issued. Policy No.
kve and Nill jftntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compen
rance carnernand policy number are:
ier Policy Number Expiration Date _
T.11 Phone #
is of Agent p
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._
nature of Applicant uare_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou ordinances and state laws relating to building construction.
I authorize representatives of this city or county t�ter the abdV Ile ro for inspection purposes.
DATE BY I DE�w IT ONS PARTON OF 061 OF TATE 40 ANDCE WITH CO%MD RULE AL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION
PERMIT EXTENDED UAOMD
PERMITFINALjb(z.. SBESTOS LITT
OTIFICATION\\\IS NOTAPPLICABLE TO
CERTIFICATE OF I ROPOSED DE ON
OCCUPANCY ISSUED SIGNATURE: cel