The URL can be used to link to this page

Home My WebLink AboutX2021-1703 - Permits} wrvt� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .'.. Y .' Inspection Requests Phone (949)644-3255 Ot) Combination Type - SFP COMB Permit: X2021-V03 X 2 0 2 1 1 7 0 3��II�I Project No : 1485-2021 Issued Date: 11/03/2021 Inspection Area: 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110 12024 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: 611 N BAY FRONT NB Description: SFR CHANGE OUT (2) SLIDING GLASS DOORS Legal Desc.: BALBOA ISLAND SEC 3 BILK 12 LOT 16 Owner: CHILDS FAMILY TRUST Contractor: RANCHO LAGUNA BUILDERS Architect: I Address: ` 611 BAY FRONT N Address: 1433 CORAL DR Address: t1V NEWPORT BEACH, CA 92662 LAGUNA BEACH CA 92651 ry�J Phone: Phone: 949-422-0982 Phoq�p State Lic: Applicant: CHILDS MICHAEL Con State Lic: 687520 \eer: Address: 611 BAY FRONT N Lic Expire: 04/30/2022 ,{' , dress: NEWPORT BEACH, CA 92662 Bus Lic: BT30055781 �^A� Phone: 949-244-3395 Lic Exp Date: 03/31I2022 ��e�W Desig .�� CHILDS MICHAEL State Lic: Code Edit : 2019 Worker's Compensation Insurance (� Type of Construction: V-B Carrier: WIC EXEMPT \a1 Ad 611 BAY FRONT N Occupancy Group: R3/U Policy No: (NO EMPLOYEES) o NEWPORT BEACH, CA 92662 Added /New sq.ft. Bldg: 0 Expire: one: Added /New sq. ft. Garage: 0 ( v No of Stories: 0 Building Setbacks Rear: / ® - ,\ Special Conditions: HIGH DENSITY No of Units : 1 Front: / 1 �'G Bldg Height: 0 Left: / ®� i Bldg Sprinklers: Right: / � Flood Zone: A01 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $11,450.00 Building Permit Fee: $280.00 - Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $243.60 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: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical 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 : $591.60 Plan Check Fee: $304.60 Fee Due at Permit Issuance : $287.00 PROCESSED BY: . s`-•+o f a "a e a a ° ° jUBLIC WORKS APPROVAL: ZONING APPROVAL: � e, PLAN CHECK BY: GRADING APPROVAL: e e ° y ° Q" APPROVAL TO ISSUE: ° °ae ede :. . edc ee eNa 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) 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 a9 )fessions 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 penal 6 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 ovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of coil pletion, the Owner -Builder will have the burden of proving that it was not built or 'oved 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 y 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: I ly 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 legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I iunderstand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent I Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 Oj of Division 3 of the Business and Profe ons o nd m1 "siaSi�ll force nd effect. License Class License No Date 2 Contractor Signature PORKERS' COMPENSATION DECLARATION 1 IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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 IN erformance 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 thei performance of the work for which this permit is issued. My workers' rance carrier and policy number are: ier Policy Number Expiration Date of Agent that, in the perfo mance of the w r which this ermit is issued, I shall not employ any person in any lould become s�u/'ect to the ore co ti n rovisions of Section 3700 of the Labor Code, I shall of Applicant A Q IECLARATION REGARDING'CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w: Ender's Name Lender's Address Iy 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 tate laws relating to building construction. I authorize representatives of this city or county t 'enter e o -i n I rt for inspection purposes. limnature of Prooertv Owner or Authorized Anent int Prooertv Owner's or so as to become subject to the workers' compensation laws of California, and agree 1 comply with those provisions. Date t L -3 i this permit is issued (Section 3097, Civil Code). Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •.• •.. PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • •" •�� PERMITCANCELLED EPA •• a. • • •+ a • PERMITEXTENDED � QMD '•' ••• �+ PERMITFINAL IDASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF 99,1, PROPOSED DEMOLITION ••• OCCUPANCY ISSUED [/� SIGNATURE: • ••� ••• ••• ••• .'• a Date 00(a pC