HomeMy WebLinkAboutX2021-3245 - PermitsCity of Newport Beach - Building Division
*X2021-3245*
COMB Permit: X2021-3245
�+' +
100 Civic Center Drive, Newport Beach, CA 92660
Project No
Permit Counter Phone (949)644-3288
u.
Inspection Requests Phone (949)644-3255
Combination Type - SFF
qa
T
Issued Date : 12/0112021
Y • u
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 12/01/2024 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: 1018 E BALBOA BLVD NB
Description: SFR REPLACE SIDING W/ SIDING & CHANGE OUT 1 WINDOW *NO HEADER CHANGE"
Legal Desc.: BALBOA TR EAST SIDE ADD BLK 15 LOT 10 AND BLK 15 POR OF LOT 14 AND
T 6
Owner: MCGRANE RUSSELL
Contractor: OWNER/BLDR
Architect:
omeem•
Address: 9227 FOX FIRE DR
Address:
Address:
• •
,,-tee e
HIGHLANDS RANCH, CO 80129
.� ° e e'
ems -
Phone: 303-881-8892
Phone:
Phone:
State Lic:
e
.Ze' e°„
Applicant: MCGRANE RUSSELL
Address: 9227 FOX FIRE DR
Con State Lic: 0/8
Lic Expire:
Engineer:
Address:
"O°e
• • o
••
• e�
HIGHLANDS RANCH, CO 80129
Bus Lic:
�•awmmm
mesmo
Phone: 303-881-8892
Lic Exp Date:
Phone:
State Lic:
•mama
Code Edit: 2019
Worker's Compensation Insurance
Designer:
f71 •
�l•••••�-
Type of Construction: V-B
Carrier:
Address:
ems"'
Occupancy Group: R3/U
Policy No:
mm m m
• •
m m m m
Added /New sq.ft. Bldg: 0
Expire:
Phone:
®.....
......
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks Rear: /
Special Conditions:
FLOODZONE
No of Units : 1
Front: /
Bldg Height: 0
Left: /
(n
Bldg Sprinklers:
Right: /
M
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $5,000.00
Building Permit Fee: $161.00
Excise Tax: $0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee: $0.00
Plan check Fee : $0.00
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: $0.00
Grading PC Consultant : $0.00
SJH Trans : $0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee: $0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee: $0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee: $0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PM Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %: $0.00
San Dist: $0.00
Building Green Fee : $1.00.
Mechanical %: $0.00
NMUSD Fee: $0.00
$0.00
Plumbing %: $0.00
$0.00
TOTAL FEE : $162.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$162.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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).
1�//�',.as owner of the property, or my employees with wages as their sole compensation, will do `) all of orC�oortions of the 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 propertyl7ia"ho, through employees' 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 completion, 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, Business 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).
I am exempt'lI M:censure under the Contractors' State License Law for the following reason:
: V"y lignaturebelow.[ acknowledge that, except for my rsonal 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
sell a slructure.thatJ ileve built as an owner -builder if it s of been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Coot* is a4ailable upon request when this pli anon submi or at the following Web site:http://www.leginfo.ca.gov/calaw.html. / �/
r'3iJr(pMdte of Property Owner or Authorized Agent � Date,
LJCE14SED CONTRACTOR'S DECLARATIOO
4 hereby affirm urldanpenalty 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
and effect. License Gass License No Date Contractor Signature
WORI,*ERS' COMPiNSATION DECLARATION
.....
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
'dbSt OP- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm'up((2r penalty of perjury one of the following declarations:
**I have and will maintain a certificate of consent to self -insure for workers'
eM fnance ottfibWo=k forwhich this permit is issued. Policy No.
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
I have and will maintain 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'
urance carrier and policy number are:
Policy Number
me of Agent
Date
I certify that, in the perfor nce 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 agree
It, if I should become sN e t to the workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�/L/
Inature of Applicant Date
:CLARATION REGA�D�Ttl ONSTRUCTION LENDING AGENCY
ereby 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).
rider'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 coUA ordinances and state laws relating to building construction.
I authorize representatives of this city or co my, o of the e-identified property for inspection purposes. A/(
mature of Prooertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Na� ' "`�`' a Date
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY DECLARATION OF IREGULATIONS PA T061 OF IITLE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY
JBM ITTED ASBESTOS NOTIFICATION TO
EPA
ACM
BESTOSM671kATION IS NOTAPPLICABLE TO
LO
rn
rn
U "
E�
W d-
m
p 6�coa
�
m ol
O q m
a3
w' v
3
W =d m
33
a
2 n 3
m
vv
F c
a @
C
W o
T v
0
w-
u
4„klilj
c
T
am
W o &
m 3 yy
X z Oi
0 >
�ency
>
3 6 m �
LL
LL U a
U n
ao
3
ALO
U $
ul U U O N I
m +- N pCj O O I
Q N O tlj n s Cl
+-- Oui
U O I
C13 O C L VJ 45
Q= a GI CDCO
�I i
a • � "I I I I
rj9 a?
.0 C6 •C O r0h co ' RY � I
�G O ��
U rn = O U
C� 6Oi O E j O O �)
CL LU
0"1 -O lV O tB U >
Lu -j d N tU � 'c c m cll CL J
-" a
zm
CL1 •"� O Rs �t � i
CL
n U L1 3 b s
oc a) a)
o E a) d o 0
a�LL y O c
�� O € G Co O`
a
Lmdr a Q m
c
�>� d aao i
mV oc ��C-
O > _ a CDp>ZEt �c
O c
'UO O
Lu d' a)'c m .0
9 N m m C m C
O ? a) E U O
p E O 9 T
T -o 0. `OV
m
N M C m Y U a
co W a 3 c > O
a0 u'D
� s o
ci 4 N p 7r
= O c%v c Trp oo
w .o m= eET
m 0 N
U N yr- a)
_ N
F- s)c .� E !w
p Com 3= y L
Z €�Oa a�
c w
ID
Q m cp N c c -o
mL= aam 0 c
- d o p C m C a)
mmmTT3°'mU
c 0` C O N a a) ..T.
O c as 2=o c a) `o
: ° 3 N a?)o
a) U T a m m C m c m5
c'p_ N a) 0— G m 0)
n. N O m �, N •3 m U
c a a) a)c 0) a)
�2 a)� m o� 3 a)
0 w ET ao o.
C f0 L O j N N c N a) 0 y m a 'O N J O) a) T
C 9 c
jU0(D`0 0 (D Em ac) 0 Lmm n�a� mE
d° a o rn 3 5 o O m s E o
c
L O L$ a) E O L a` m Co 'O C d L a(D _ w
m Ol L W N N c i s (6 E O N w .3 3 N X Cc
a) 0) a 3
N ccm3 d co o E oc rn-m d� c a)d
3a Q N �'g N cU o w'- d Q° a 0 o m N
0,5 > N N. p .� m Co T c 0) N
,z. rco
°NT=c N m L) ENE maEiNa Mn
aap• my '2N U a a)a)
0 .N m E m N o„ U U c m E cp N C w a N .E
0 N m �._ m 3: CoN m
a dcmm a) mw `om a 0 a 1 wa) O0�m p-3
w--� O' L > OQ N 0) O = .p ?i m 0, C 2 TJ L N O
N 0° V om .C� s oaf mEo Co
�c
C L Op' N :EN C .0 0 m a m c a N d U C 0 U U Q
O c a a @ L m
0) c
Q .T a) N (6. O N C C C N N a a) a ^N C L L U N
T y y C C m > C O T
c E O a) .T 'N i� op. la U >, m ya 3 0 U j a) T C
a ysCL
0a0E a� �cc m (6mm 0.'NoE JE4)� a>
0 a N� O O N m 3 - m (D w )> N i N Y O� N
o a) 9 p-� c 0 C o p w.J c L w na .co
3 w am c °c E ID m E 3 O1N-0 `= -0Y U� c� o c o
C U T-� m NC p c j� N N C N '_. Yp Co
.o T3cE:S aTic°) _O-0 T a)°` o((aaom OT m w
E 0() 9y wua) a=cp 0 aCL Nw`0
O o C c U 0 0 L a N a) U 2 0 E O o m - O ca N — N L
E ocmmcd co -aE0 _�O a)wa Tmc oocY a N
.9) p N T m m N C 'j O' L C E C m N (P O O m� C
y cO�aN� ma) CO a�i� oc0)0 m�mN= Co °cp3 v.EE
_ —cc wm �a))c da 0Em �'0E� .E�NLa,. m
a) am Cc �cw`ma 0m pEr �a o°� Nycoio �a)aa)0 (DN3
c' p= c c O c a 0: a N a) c 3 C r m 0�— 3 a Y
c 6(D 01 N m� mow m� > c ac � E d 2 `0 cc � 0 c
d a.- a -02 's ca — O EEoii "p - mmN
a r- o)— E• 's w m o" c O c ,� m U m c a a) c N a '0 w
N m e @ C L O a c T. O O ._ O 0)0 (OD wm E _ N N c w
(a6 C m C ) c a) m E= m o Co aL+ m C 0) 3 T m 'p € m m C
ta0> i mmE E E o c— E2 —E "(D (D `m o
a) O N `O C w a a c C m N V a J N C _T a Co O
O J O O m p O C N O N J = N T J N
m O N i C_ O O -p' E'- O d C
U C p >` 0) T N O�sM N m d' 'U��� � Co E O U s N O C O c C
O �Ly o co 0� o m o �0�/I t �_!I0 e m e c 3 O Ipa mma�Nm3L
N
w
N
z v
0
.. m
D
N 0
O
N
CD0
0
W
S Z
d N
-0 O.
V N
CDm
4_
o °
m m
m 0
N' 0
=3
d
c �
mo
ID
0
0
v
m
(-
CD c@d
m m
0 0 O. N
N d O -
Q N c CD
0 0
ZCm
CD Z CD <
V 0
O
0 °
W (D N
a CD �
m 3
g • d
oM0-
m > > 3
na
O
I'oa 0
0
D N N
m 0
0 O
5 (D
m
o°
n
a °-
fA
� � N
N N N
a CDo a
CD y. 0
SID
W �.
n
z In
—
a w
v
a 3 0
m w .00.
U)
0 D 0
D 0 0
c 0 0
0 0 0
O N 0
CD
n D n
D CD °
N O N
0 N
m
z
O
FA
Cl) 3=m m
0 dal
m 6 g o
O c N. J
03 gro
0
>>CD
�CD
W N O
m
v
o"Zc0
CDoo�
900 0
0 N m
000
o��.d
m �
0
0103.0
s
0 a N d
� CD CD X
v CD c
0
3.0 0
Zc=
O
3a ,0
v ,3< �
m c s
O CD —
f/1 j
O m
y. 3
d CD
M N
0.0
(D d
rk
0
m
O
N
N
v
3
d
0
a
r
t O W 0 a 0 0 t d fD
3 d o%3 n W
° ° ° 0 d 0 CD o p 0Ei�- =
CD CD 0 cc
a CD —0 Md In Z 0 0 O_ w n d IV N-- — O d .v
ooaa 0.c-CD no05 � and 30•<<Z
�ac'oE Co
o� -m ns3 003cDo
N t c S 0 d �' N d (D y d d O ^" j
o 7 m CD C 5 o L 0 d O' CD y —: O N y d
.� 0 c 6 91 o C (D O . 0— 0CD - d N Q O d O.
m as WCD 3Mm >> d 3m °m
L m o 0 0 9 n0 d =0) -O ,�' -o n�
1 a S 3 0= d a— N j .� N `G DI 0 G 'd0 'M N d CD
o `G
O
o °< 0 m m 0 m m D m> - s tOa n N m 0 o
,�C1� m cd c am �CD �<0 drd(D Q
c o'^0 da3viai0, CD0. o-� ��0 �mdn3
Q M N C O0 *0 0 d d '_",< O O d (D ',d D� W 0 Cl) N
.,(DfCD 00 .w 0m m° ° 2°<.m
o %v a �2°.m 3 m ad O d m
<yo m0 w0�n ?w y' 0B-a o
N
\O•'�? Q Wn0KNN p0 dd MO o�3
00 3 na �.� cn °-
^, ; 0 0 d(D?� '0' 3 � N d o
ID M S 3 m d m d N Q 3
v o r 3 d i sCD
NSW va0 o0' m - m5. fl -.n
O A C. C 0 R O 3 (D O O_ N �• -yp n .a O1 O d
f0DC'O 0 d 3 •c j D 0 CD O_
3'CD CD
O�p r �0'CD o0�Wm 0 GQc oc°l y(o
0 0 Do O°>> T N.... 0 N y ICD
dno0 <D `< a j s -O 0 3.mo3 N�Dcm0o_CD fl:�oc0 y�o
�'•v d 3vv0O a0vw do d cod d In—N0 p n O K _6 a fD o 3 WyO O CD K N- fl. N'0-0 0
A d ° .0.. aTC M O O N d J cN Ca CD vZ •< 3 Q 0 N O 0 -� N(D N(71 yyOto.< C Oa d 0fD N -ON n 0 Nd
io c3c 0-o uo oJCD �^�O(o0w S.o2 -33
Q o a, D- M d 0 0 0 a NO m< Od=oK mn03 0o3po
co
-0�0 �wo oQ'-(D 3 m � c0- ° m CD
3�U)Fig m m =0 °°t O O 0 d>> Va d oS MoN_ d aK d O N O a d d
LO
U
�I
/
co
O
"'
O O
Ucli
m
Cw
r a
LL
Wz��
W
°--
a
a,
a3i'o
�AFz
co U
a
W
2)
zA�ma
c
�I
Uo
C)
U
o
N
6i
w
U)
Z
w
U
Q J
Q
too
m �
O M
M
U)
w w W
m
Q z
U Z
w U Q
a J Z
a Q O
00
(6
> Le,
�3
O
as
v
cna
cn
aI
0
aQ
N 1-
(D \
°' 3
0
c
O�
a
L
N l❑
m
E
00
3 0 0+i
>0-
Q Q Q Q Q
w
M
J
#
N
g
(D 3
C
Y
q
o c m r p
.10)
r NN O
LO II 11 11 11 M
u E n 12
In O u>o >"
} O r N N m}
d. r 00 LO O Ln O
O LLJ r r N:N m
o a o
o r r'O
M II II II N
10 N A
II N :LO N
} CDN N }
'n o 6 o Lo
O � r N N
0
m
II
}
o
Q
D
f»
v3
cf
d
o'
QSV,3.3*)!t
— „r,/, v m*L. = G70S 1GyC Ob07
LO
�
x
zObx
00
p
c
o
V
W
Z
F.
a
Q
Uo
0
s
o
m a
Z Z
W
AGav
00E
M�a
a0
z�3�
z>
Qa�
U_
r-�-
pA00m
OC7r--50
pLL_o
Z~
w�
ow
awe
%
W
oo
O LLLLJ
m
A'7a
0-
HJ�
0
>>> C�
H
Z
W
O
U
W
U
o
o
C)
vi
Iz
J
�i
(D 0.c
a)
7
(D
.N
co
7
co
O U)
°'
C 0
rr) O
0. m
_0
N 7
°
N
m U)
L
0
C
o
.0 `)
U>
o
0 0 0
3 R
0 3
a
U)
0 d
1,
c
-oo
_�
me
_y
p�m
n
°�>N
�K
3a
0o
U)
E
oo c
rn
c0.0c
00
a
�a
m 0�
s c
O
°
OCVcO
0
O C O
;.
C a
toin
U
L
c
m
m
c
U-o
3L
0
E mti
-°
_0
0
y
O
CD
o)
OL LU°
0
wo
U
NC
axp>
o a)
d
0O
o°
c L m
7
3
U 7 V
a)c 3$
c
via
C
E
oNE�
wRo
mrn
Y
W� 7
N° 3
L-
c
E£ y
o a
E
C a)
...
O
ca
(mII (D E
«
w m
N
0)
p O (n
7t::
C C)
cu
N
N
N N'o 0)
.�.
U N
O .0 :5 N
0>
N
0. N L 0.
m a)
tU
(V
w
N N C
> .� U
.0
0 0 _0 a
t Y C
.' O•
� N
aca
a
^
a
o o c
o
L)
Z_ m
U)
3 M
(L6 'Q
N
0. � (�Q
cn
y R
o
O
cm
VaLO
0)
¢ ��m
N
o
n�m.5
a�iw
O"C
v0�"
t
N E—
c
'_Q 0
0t V
ZCO
-0z
U
0-0
c
O .-.
,�„
C L O N
E
(0
>' a 7
N
me
U
g c c�
Q
`m
E �6 U))
s u 0
gw
Loa
m ��
oc_)
c�
cIt
3
0 W
Y
o �
d d d
�
V)
O N
° °) 0
c t
'C c
f6 N
L
"a M
c�
y
f0 N
m0 E
C
�t 3a
°) d
�_
U
N
N
U c
°
N
a C>
"
3
cu
°
a)c
3°
d
o
m
U
"aa
c
o°
��
cm�
--v°i a
a0i
Ec°)m
O0c
_
L L
d df
d
coO
W O .�.
L N
m X �'
O
O O L fQ
•" `
0)
O d G
I— .5
U a) U
00
0_ w
= O G
cn
z c°