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HomeMy WebLinkAboutX2021-1690 - PermitsCity of Newport Beach - Building Division a ' % x4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP NO CONSTRUCTION NOISE COMB Permit: X2021-1690 Project No : 1237-2021 Issued Date : 0612912021 Inspeption Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUSTSE COMPLETED ll 024 OR P MlT 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: No work on Sun ys or Holidays Job Address: 1603 BALBOA AVE NB Description: SFR DELTA 1, (9) WINDOWS REPLACED, INFILL WATER HEATER, CLOSET DOOR, ELINDOWS (REV21-1052) Legal Desc.: BALBOA ISLAND SEC 5 LOT 13 BILK 6 W 30 FT E 60 FT LOT 14 BILK 6 to{u p nf1pp n Owner: FERGUSON THERESA Contractor: OWNER/ �� aRr?hitect: 10� �� Address: 1603 BALBOA AVE Address: F ON THERESA Adpr@18: O� NEWPORT BEACH, CA 92662 O co co Phone: 949-310-4716 Ph Phone: State Lic: u Applicant: FERGUSON THERESA Con State Lic: ,�0drpv r ' 1 Address: 1603 BALBOA AVE i �j./iir let jtt<j NEWPORT BEACH, CA 9 /) ic: r Phone: 949-310-4716 1 Lic Exp D Phone: State Lic: ate Code Edit: 2019 Q Wor m n AUVI esigner: FERGUSON THERESA Type of Construction: VB Carrier: ddress: 1603 BALBOA AVE Occupancy Group: R3/U olic N NEWPORT BEACH Af>� Added /New sq.ft. Bldg: 0 Phone: 949-310-47 Added /New sq. ft. Garage: 0 No of Stories: 1 uilding Set a Special CondWQrl�iS C N & H No of Units : 1 on / �\ NSIT EA Bldg Height: 0 : Bldg Sprinklers: N Right: / t� Sta' Flood Zone: X one: Parkin 5 aces: 0 Fir ire : N Construction Valuation: $4,000.00 ryj� Building Permit Fee: $144.00 \EEle Tax: 00K v_PlanningDepartment- Firs� �^1 e t Plan Check Fee: $125.28 nal ee : ►-/1 0. Plan check Fee : -.25 \nSp Fie Ins $0.00 Overtimge Plan Ck: $0.00 ds l ,{.J`0 Fair Share: $0.00 Fi ev $0.00 Investigation Fee: $0.00 C on n �, C SJH Trans : emolition Fee Record Management: $2.00 't Fee: �Q(�$II.00 In -I! using Fee: Building Dept Adm $0.00 Energy Compliance: $0.00 Fee: $0.00 is Works De ant - General Service $0.00 CA Seismic Safety: $0,01 sp. Fee: $0.00 Park De ion : .00 Refund Deposit Disabled Access: $0.00 Ian $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 al %: $0.00 Sa $0.00 Building Green Fee : $1.00 Tki AQ$0. USD Fee: $0.00 $0.00 . /o. $0. $0.00 TOTAL FEE: $318.53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $318.53 PUBLIC WOR: S-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) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an Lure, 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 (ChapiswwrommeVing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7 y any applic t for a permit subjects the applicant to a civil penalty of 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 po of the work, and the iness and Professions Code: The Contractors' State License Law does not apply to an owner of prope , through employees' or pe rovements are not intended or offered for sale. If, however, the building or improvement is sold SWOT one year of otion, the O}� rvoved for the purpose of sale). \% nr�010 I as owner of the property, am exclusively contracting with licensed Contractors t struct the prc to an owner of property who builds or improves thereon, and who contrac he projects with a I am exempt from licensure under the Contractors' State License r the following y my signature below I acknowledge that, except for my perso idence in which I all a structure that I have built as an owner -builder if it he een constructeds ant rofessions Code, is available upon request whe t pli ation is subm' at t e f ignature of Property Owner or Authorized A ICENSED CONTRACTOR'S DE TI N All (I hereby affirm under penalty of ry that I ril aIi a der prow ' ns C ter nd effect. License Clas _ 1 L�nse , FAILURE TO hereby affirm under pertrt ty of I have and will main[ a erformance of the work fo N JI have and will maintain w%kers'11111111111 Isurance carrier and policy nu ber are: 1e of Agent 1 certify that, in the performa= r if I should become subiect to nature of Applicant CLARATION REG G C09STIJL :reby affirm under penalty of perjury t Ider's Name my signature below, I certify to each of I am the property owner or authorized I have read this application and the'in I agree to comply with all applicable b I authorize representatives of this city ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED and P to the intended or offered for sale (Section 7044, Ids or improves the property, provided that the e the burden of proving that it was not built or The Contractors' State License Law does not p License Law). resided ferat least onexxea�o completion of the impr ements covered by this permit, I cannot lega ensed contract�o�GS _Werstand that a copy of the applicab law, Section 7044 of the Business and b site:htto�w�IV9.teglnfo.ca.gov/calaw.html. CC Dat1�,P�'Z�i` 2 Ong with Section 7000) of Division 3 of the Business and Profess) ns Code, and my license is in full force Date Contractor SiivAature AGE I No SHALL SUB1 A P E C NAL PENALTIES AND CIVIL FINES UP Ti N 3706 E OR CODE, 1NrrE A 's e ratio Vii self -insure atl , Issued by the Director of Ir e )onus pi Polic - S e "'�r, 1ca,`4`ce as r3700 of the Layrr�ye, r \erforrry�lc6bf'tha work for o Ober \\\0 NO Expira' atf ne# this permit is issued, ploy any person in any manners to bepgtl�eb)ect t ation provis_on�Se AID of the Labor Code, I shall fo comply wi oSe I the property I have provir DOLLARS ($100,000(, IN ADDITION TO THE 3700 of the Labor Code, for My workers' orkers' compensation laws of California, and agre Myi-'1M,-PAR for the perfQA 5nce of the war vVDi NfBis permit is issued (Section 3097, Civil Code). and stat s r to building construction. v mif' operty for inspection purposes. rl t Property Owner's or Authorized Ag I OF COMPLIANC&WftH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQM D ROLE ASBESTOS Nr1TIFICAl10N NOTIFICATION IS NOTAPPLICABLE TO