HomeMy WebLinkAboutX2021-1490 - PermitsLA ROCHE
DENIS A
Address:
1037 GRANVILLE DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
LA ROCHE DENIS A
Address:
PO BOX 3708
TUSTIN CA 92781
Phone:
949-939-3047
Code Edit:
2019
Type of Construction:
V-A
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
4
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $60,000.00
Building Permit Fee:
$889.00
Plan Check Fee: $773.43
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$12.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $1,968.23
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
O .ITft(, 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 - MFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2021-1490
Project No: 1303-2021
Issued Date : 09/16/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/16/2024 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: 1037 GRANVILLE DR NB
Description: MFR INTERIOR REMODEL & WINDOW/DOOR C/O 2157 SF !�
Legal Desc.: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-421-13 0'A
EEE a
Owner: FRENCH ROBERT E �,�
Contractor: JON DELAVAN GENERAL CONTRACTOR Architect: ':N
Address:
17235 CITRON
IRVINE CA 92612
Phone:
949-933-3382
Con State Lic:
984903
Lic Expire:
06/30/2023
Bus Lic:
BT30071549
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier:
EXEMPT
Policy No:
no employees
Expire:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
PO BOX 3708
TUSTIN CA 92781
949-939-3047 State Lic:C013756
State Lic:
Building Setbacks Rear: / Special Conditions:
Front: /
Left: /
Right: /
Use Zone: Parkino Spaces: 0 Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
-' ` -'
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNJ Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$62.23
San Dist:
$0.00
Mechanical %:
$35.56
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$80.01
$0.00
I
Plan Check Fee
: $880.68
Fee Due at Permit Issuance :
$1,087.55
PUBLIC WORKS APPROVAL
PLAN CHECK BY:
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
11, 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,
lusiness 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
nprovements 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
nproved for the purpose of sale).
11, 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
poly 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
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 legally
ell a structure that I 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) ivisi n 3 of the Business and Professions d m ice se is in full force
nd effect. License Class License No Date Contractor Signature 7_
VORKERS' COMPENSATION DECLARATION
it I
'ARNING: 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 _OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm L:nde, penalty of perjury one of the following declarations:
1
j I ha,,e 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 the
erfo,t.iance of the work for which this permit is issued. Policy No.
have and will malr!ain 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'
ranee carrier and policy number are:
Policy Number
Agent
Date
Vrt,ry that, ir, the performance of the work for which this ermit 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
I should become subject to the woror��er, compP�, s\atio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
:g:ictTre of App'IcaY / \i�"� Date
DECLARATION REGALING CONSTR ON LEN 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
y 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 counW ordinances and st to laws relating to building construction.
I authorize representatives of this city or county ptaF4he ab v Ade�aq,ffiied property for inspection purposes.
ianature of ProDertv Owner or Authorized Agent ,a_ _ _P 1 `��\ Print Prooertv Owner's or Authorized ADent's Name ��TO k 1 /.k IlA t%7^ `^ Date. //h i
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMIT EXPIRED I L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED M6
PERMITFINAL / �3 / BESTO TI CAT NISNOTAPPLICABLE TO
CERTIFICATE OF J �1 P OPOSED M ITION
OCCUPANCYISSUED sIr,NATI IRF•