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HomeMy WebLinkAboutX2021-2991 - Permitsuo;'s OOW�.N,r,City of Newport Beach - Building Division IIIIIIIIIIIIII 11IIIII II COMB Permit: X2021-2991 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 9 �" Project No : 2597-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255n [��TCombination Type - SFP MECH ELEC PLUM N I Issued Date : 1110312021 Inspection Area >c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT . PROJECTS �US BE COMP ET B y(D3/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m, to 6:30 p.m. d S !gpfay fO�rF:0 I a.m. 6:00 p. Nbr lrtrk on Sundays or Holidays Job Address: 421 MARGUERITE AVE NB _. 'I� 15• Description: SFR "STOP WORK" KITCHEN AND BATHROOM REMODEL"230 SF A INDO HA QUT (NO C NGE TO HEADER) AC R: 0.30/SHGPV.23 -CITY STANDARD" 121-3229 Legal Desc.: CORONA DEL MAR BLK 438 LOT 15 .n\X �" o Owner: LUDLOW HOLDINGS LLC Contractor: OW LD °`° Architect: O - Address: 555 WEST SAN JOSE AVE Address: LUDLOW UMt Address: CLAREMONT, CA 91711 555 WES N JOASS®� .?^ Phone: 909-331-8265 Pro 909-331-82 5 v` Phone: Lft,Yhy , Applicant: LUDLOW HOLDINGS LLC n State Li O/ �� Engineer: Address: 555 WEST SAN JOSE AVE is Expve Address: CLAREMONT, CA 91711 Bus Li Phone: 909-331-8265 Lic p Date: Phone: Stat /® Code Edit : 2019 W o r 's Cofntioance De A[,h ES HO N JNo/RType of Construction: V-B Car 4 Occupancy Group: R3 w Poli '� CLAREM T, A 17 11 Added /New sq.ft. Bldg: 0 ,,�•y ®O�'ho�� 909-3-8Y¢��\ � ®�. n Added /New sq. ft. Garage: 0 [[ ` v- No of Stories: 1 �7 acks Special Condit s: H1�'10D ITY Q No of Units : 1 '? ,' q.LC C VERIFIED Bldg Height: 0 Bldg Sprinklers: ig / Flood Zane: _ se Zone:<> rkin S aces: 0 Fir azard on . N Construction Valuati 00.00 Building Permit Fdt� 99.00 Excise T $0.00 cAA,p Planning Depart nt- Fire Department Plan Check Fee: t347.13 ddition $0.00 V Plan check F $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $ 0 Grading Bo $0.0 \.. 6E!!!! Fa� are $0.00 Fire Plan Rev $0.00 Investigation Fee: }`•$$ 9. PC ultant : $0. Tr s : $0.00 Demolition Fee Record Management : t00 ra i ermit Fee: f 00` a� InAe ousin e $0.00 Building Dept Adm $0.00 Energy Compliance: $� Fee: 0. 0 �+�?i Lj ub Work a ment - General Service $0.00 CA Seismic Safety : $0.00d.. W .Fee : ��$O.o�. ark De ' a $0.00 Refund Deposit $0.00 Disabled Access: $0.00 '•2��m: 5 PM an eck : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Ele trical %: 93 � San st $0.00 Building Green Fee : $1.00 ..,, Mechanicsny/� �� c'c.9 ,}v N ee: $0.00 $0.00 TOTAL FEE: $1,279.93 PROCESSED BY: ZONING APPROVAL: D L $0.00 Fee Due at Permit Issuance : $1,279.93 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: EA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the ason Section 7031ta, Business and Professions Code: Any city or county that requires a permit to construct, r, improve ie permit to fila a signed statement that he or she is licensed pursuant to the provisions of the Contra rs' State Lice 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exempti . Any violation of t oiure than hvq hundred dollars ($500). �,`l 7 I as owner of the property, or my employees with wages as their sole compensation, will L) all of or (_) pog�0 ,Lsiness and Professions Code: The Contractors' State License Law does not apply to a ner of property � , nprovements are out intended or offered for sale. If, however, the building or improve nt is soWithin oar of Soroved for the pLr pose of sale). .�� 0 � 'I; as owner of the property, am exclusively contracting with licensed Contrac to co t the�rr act (Sectio r ppiy co an owner c` property who builds or improves thereon, and who contr for theacts licensed DID 7 I am exempt f,om licensure under the Contractors' State License Law the fo((o . re�gq: idicated below by the checkmark(s) I have placed next to the applicable item(s) emolish, or repair any structure, prior to its issuance, also requires the applicant for 6 aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and act\ed any applicant for a permit subjects the applicant to a civil penalty of of fia structure is not intended or offered forsale (Section 7044, 3h pe"Ieffort, builds or improves the property, provided that the imrfer-$Milder will have the burden of proving that it was not built or Business and P pursuant to the iy i,y signature helo.v I acknowledge that, except for my personal resk ce in whls I mu Pta a resided r at least one year prior to completion o e trt ell a structure Thar I h, ve built as an owner -builder if it has not e - nst cted in its err r�[y_ by lice,*d contractors. I understand that a copy of the pl 'rereerons Code, is available upon request when this polio itted or at the owing site:http://www.Ieginfo.ca.gov/calaw.html. lignat,iie of PmpB3y Cwner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATIO %0 hereby affirm under penalty of perjury that I am license niter provi ' ns of Chapter 9 (commencing with Section 7000) of Division Business and nd effect. License Class Licen No Date Contractor Signa CORKERS' COMPENSATION DECLARAT ,ARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAG S UNLAWFUL, AND SHALL SUBJECT AN EMPLQYER TO CRIMINAL PENAL CI& FW INES UP TO O H DST OF COMPENSATION, DAMAGES AS PROVIDED F IN SECTION 06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ` a,\ 1 hereby affirm under penalty of perjury o of the follo ng decfarations: �'le I have and will maintain a 'ormance of the work for wh have and will maintain wyy trance carrier and policy�9fui of Agent if ireby affirm 063pen' yr5f p ffir ider's Name `,'�: a _ a my signature belovJr � ni\oeachI am the property ow" ..I have read this appllca I agree to comply with all I authorize representatives o - q nature of Prooertv Owner or Auth ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED The Contractors' State License Law does not e License Law). Section 7044 of the Business and and my license is in full force DOLLARS ($'100,000), IN ADDITION TO THE of cons nt to se#f-insure for workers' compensation, issued by the Dti'�cfDrof Irs�rial Relaf s \W vi for by Section 3700 of the Labor Cade, for the nit' ed. Policy No.`3 on insurance, as. required. by Section 3,�00 of the Labor Code for the,lberformanc of tth�Qv�rk which this permit is issued. My workers' compensation Policy Number - 7IT n Date P e# vorldl" this permit is issued, I shall not employ any person in any me er so a b ome subject to the workers' compensation laws of California, and agree c nsaton provisions. of Section 3700 f the Labor Code, I s hwith c p ith those provisions. �^ Date/ LENDING AGENCY t th�ps a construction lending age e performann a work w this permit is. issued (Section 3097, Civil Code). to Be on the property orriSa on I have prow y a y ounty ordin>�j iLr county tgey ,tt> 1403 OF C( PART Owner's or Authorized AD F FEDERAL I FOR OFFICE USE ONLY D RULE TO NOTAPPLJCABLE TO Name Date 43.