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HomeMy WebLinkAboutx2022-0613 - Permitst. City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIil�lllllllllllllllllllllllllllll COMB Permit: X2022-0613 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 6 1 3 Project No w r' Permit Counter Phogists (949)644-3288 )644 NO CONSTRUCTION NOIS u � Inspection Requests Phone (949)644-3255 6 V F � Combination Type - MFP I ued Date In edion Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO (��D BY 0f; P MIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6,30 p.m.. a .1 WM o cY•U*i*"C'A, S ndays or Holidays Job ress: 206 VIA ANTIBES Description: MFR REMOVE UN -PERMITTED ERMITTED SIDING, RETURN TO O STUCCO *STOP WORK 121-1�14 r ` �rulflOr C legal Desc.: N TR 907 LOT 1081 0 010 0+ Owner: SCHULTHEIS PAUL ont to ESTRELLAET9I:TIONArcF�@c:Address: 617 LIDO PARK - s: 644 1- NEWPORT B CH CA 92663 S <o �'�$s.Tg� G �L® g! Phone: g-S� trr. P e 7 ,- 89- 0 Phone: C\/ ® s- �`4 T)� rr Applicant: ESTRELLAJO @� e 9 Engineer: C / C S/ Address: 644 N BILLOW 2/31/2023 Address: _ yA�® 5. /.i)fU �Q`,rr SAN DIMAS CA 9 773 Lic: BT3007 'l1 CC Phone: 951-489-8800 CGO Lic Exp Date: 0 1 3 Phone: ate L 4, r Code Edit, 2019 W r e n a - Designer: Type of Construction: VB Car - NO Address - �� i Occupancy Group: R3/U oli NO EMPLOYEES m r Added /New sq.ft. Bldg: 0 ��Ba� _ Added /New sq. k. Garage: 0 }} l ` No of Stories: 2 Building Setbacks Rear: / SoseiaPlp`nnd ans: LIQUEFAC No of Units : 3 F�-o� �i �(1� ��tt''f�`"' DENSITY Bldg Height: 0 ,pp + X d Bldg Sprinklers: g ; j�'Ig / .1� Flood Zone: X Z ! i plat ' Spaces: 0 azard Zone : jfVa Construction Valuation: $1,500.0 ++ Q(k C��� r jin Building Permit Fee: $110.00 Excise Ta:h�'� $0.00 tanning Depar' �'� Fire Department Plan Check Fee: $0.00 Additional Fee : Plan c ee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck:. $0.00 Grading Bonds Fee: $0.00 air Sh $0.00 Fin: Plan Rev $0.00 Investigation Fee: $110.00 G;;�mg P sultant : $0.00 rans : $0.00 Demolition Fee Record Management: $0.00 N�PaSing Permit Fee: .00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fe Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 W . Fee. $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 le-ctrical W $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 : $221.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $221.00 s PROCESSED BY: E a PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAA „^.HE jC BY: GRADING APPROVAL: 4 e APPROVAL TO ISSUE: \ Esc 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 (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any strut the permit to file a signed statement that he or she is licensed. pursuant to the provisions of the Contractors' State License Law (Chapter encing with Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section any applicant for a I not 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 portions of the wor the structure is not i Business and Professions Code: The Contractors' State License Law does not apply to an property who, throw� or personal ffp¢, improvements are not intended or offered for sale. If, however, the building or im nt is sold within one yearW 43 etiorl th e0ic/nNr� i('�� uiI avavl improved for the purpose of sale). p pC ❑ 1, as owner of the property, am exclusively contractin ensed n t 00oonstr project (Section 'Xu%elss and Professions Code: apply to an owner of property who builds or im ere c trT f rojects with a li ed Con actor pursuant to the Contra at ❑ 1 am exempt from licensure u ontrnctor t i s r the following on By my signature below I acki edge that, except fo reside in whi I<irgewty. e f t least d r nor to completion of the imp sell a structure that I have bui as an V as t been c stru in by I nsed rs. T understand that a copy of the applic Professions Code Is avaitable. Pon when this appl" n is itt 3 p://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or uthorized'Agent LICENSED CONTRACTOR' DEC A e placed next to the applicable item(s) o is issuance, also requires the applicant for 3e ion 7000) of Division 3 of the Business and 3"subjects the applicant to a civil penalty of aiteee�d or offered for sale (Section 7044, r i proves the property, provided that the the b den of proving that it was not built or le-Conlactors' State License Law does not License aw). ivementsvered by this permit, I cannot legal ble law, S tion 7044 of the Business and I hereby affirm under penalty of p qury t I am,l "sed ons of Chapter 9 (com 'n e n 7 ) of ivi ion 3 of the Business and Profes ig ops C - nd my license is in full force and effect. License Class nse No !9. e* i Fla Contractor. Signature �X lARNING: FAILURE TO SECURE'wORKER COMPENSATION COV G 0 s eJ /�EMPL®1'E'TO CRIMINAL PENALTIES AND CIVIL FIN UP 00 I CIdE�176Hf�USAND 00 LA[2S ($100,000), IN ADDITION TO THE :OST OF COMPENSATION,'DAMAGES ASP VIDED FORT ]TO aTa OE, TEREST,�,iDSliYfrORNEY's FEES. ��••yy iCJ• / i hereby affirm Under penalty of perju one fW il g des '�L�?cI have and will maintain a certif to oIf-ic workers.' compensation, issued b ",act r o %I n Rela arysrwgy�jovi for by e on 3 WVf the Labor Code, for th performance of the work for which this rmolicy No. ('�k rj 'tf� 31 have and will maintain workers' co pesurance, asrequired by Se ii� og the Labor Co e, for the ��1�rrrTance of the work for whl It is issue lvry workers' compensatiol isurance carrier and policy number are: a _ %^ L • <, . 6f Agent '�"' ` Phon r�"-- t �n� certify that, in the performance of the w k fo his perr��yypp�� shall not employ any perso y manner �toe sub'e workers' compensation laws of California, and agre I, if I should becomes bject to worke 'compensation pVisions of Section 3700 of the ode, I shall forthwit rovisions natureofApplicant Dat ? 03 eoZZ— CLARATION REG RDIN ST UCTI LENQING AGEN r ! :reby affirm under penalty of Perjury that the t on lending agency f ertor a work for which this permit is issued (Section 3097, Civil Code). Ider's Name ddress my signature below, I certify to each of the fo wing: I am the property owner or authorized to act rope s behalf. I have read this application and the informatio rovided is correct. iI I agree to comply with all applicable city and county ordinances and state laws relating to building construction. pN/1fiX1 /ti 1 authorize representatives of this city or county eenter the above -identified property for inspection purposes. nature of Prnnerty Owner or Authorized Anent Print Print Prooertv Owner's or Authorized Agent's NamBC ✓ 19aTe o 7/010& DATE BV -QQRDECLARATIONEGULATIONS P F OMPLI 61 TITLE 40 ACE WITH CODE OF ED ESL FOR OFFICE USE ONLY PERMIT EXPIRED L_I I SUBMITTED A$BESTOS NOTIFICATION TO s PERMIT CANCELLED Loi LJEP�� ••s ss• • ••• ••• e PERMITEXTENDED If EXQMD • • • • •• • PERMITFINAL - ASeEST056 ICATIONI ©TAV1ICABIi1•70 • •e• CERTIFICATE OF PROPOSED LITION OCCUPANCYISSUED SIGNATUR � G � O � J no GGG O