HomeMy WebLinkAboutX2022-0697 - Permits,gwnr City 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
Combination Type - SFP PLUM
*X2022-0697'
COMB Permit: X2022-0697
Project No : 2410-2021
Issued Date: 03/141e2022
Inspection Area :9
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/14/2025 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: 706 LARKSPUR AVE NB - - -
Description: MFR CHANGE OUT(E) INDOOR GAS FIREPLACE (REV22-0415)
Legal Desc.: °„•
i
Owner: LAFEVER MICHAELIJACQUELINE Contractor: J E P C Architect:
Address: 706 LARKSPUR AVE Address: 103 PAINTED TRELLIS Address:
°+ c•
NEWPORT BEACH CA 92625 IRVINE CA 92620
Phone: Phone: 949-233-7101 Phone: State Lie: °
Applicant:
BISHOP ALEX
Address:
90 VANTIS DR #3043
ALSO VIEJO CA 92656
Phone:
714-612-6316
Code Edit: 2019
Type of Construction: VB
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:
Valuation:
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
IITOTAL FEE: $305.92
PROCESSED BY: -
(115
ZONING APPROVAL: msw
GRADING APPROVAL:
Con State Lie:
10138222
Lie Expire:
07/3112022
Bus Lie:
BT30063683
Lie Exp Date:
06130/2022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
�arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11.43
Plan Check Fee
0
Engineer:
Address:
Phone:
State Lie:
Designer: AKB CONSULTING
Address: 17 BROOKSTONE PL
ALSO VIEJO, CA 92656
Phone: 714-612-6316
Special Conditions
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Sham:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$162.49 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
GH9iii
a °„a
a
iea•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$143.43
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 U all of or U portions 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 property who, 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 ovIlrWotproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exemp1:1rom licensure under the Contractors' State License Law for the following reason:
By 4 signatu re tiftw 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 legall)
sell a"structu6th9Pl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
5"gneture of Prppert)bOwner or Authorized Agent Date
[_ICENSED e.7111TRACTOR'S DECLARATION
I RWv6y affirm ugcler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ivisio 3 of the Business and Professi ns Co 51 can in full force
n; qffect. License Class License No Date j i Contractor Signature �
MPENSATION DECLARATION Q(ARkERS' C(t
N�NIV$: FAILURE TO si WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE
pOaT ORCOMPEJ ATIQN,CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm ufider penalty of perjury one of the following declarations:
'❑,J.halie andwvilll tn4ntain 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, for th
cerrormance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
Agent
Date
,I certify that, in the performance of the work for whlcTgs 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 agre
Tat, if I should become sXu¢I'ect to the work �R atio�isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant / ` lz� Date l
22�
)ECLARATION REGARDING CONST ON LEND NG AGENCY
hereby 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).
.Ender's Name Lender's Address
ly 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 county ordinances a stat IS elating to building construction.
I authorize representatives of this city or county to enter th Id I i property for inspection purposes. -1 /t � C�
iionature of Propertv Owner or Authorized Agent 'nt-P-roperty Owner's or Authorized Agent's Name x �L L (fn� Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
1403
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMITFINAL
TE 65UED Arc-- PROPOSED DEX LIITIONION IS AP IC BLE i0
CERTIFICATE OF—�r1_2L X////