HomeMy WebLinkAboutX2021-0615 - Permits�xEH�t'o4- City of Newport Beach - Building Division IIIII IIIII IIII II I I I III IIIII IIII II
o� r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 1 5
Permit Counter Phone (949)644-3288
c: sv Inspection Requests Phone (949)644-3255 S P LC
Combination Type - SFP ELEC MECH
COMB Permit: X2021-061
Project No
Issued Date : 03/1512021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY
03/15/2024 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: 306 NARCISSUS AVE NB
Description: SFR REPLACE ATTIC INSULATION WI NEW ROLLED IN R-30
INSULATION, REPLACE (2) EXTERIOR FIXTURES, (6) INTERIOR
OUTLETS & (2) EXHAUST FANS ONLY *STOP W
RK*
Legal Desc.: CORONA DEL MAR BLK 241 LOT 8
Owner: SANCHEZ FAMILY TRUST Contractor:
OWNERIBLDR Architect:
Address: 306 NARCCISSUS AVE Address:
SANCHEZ TRISHA Address:
,
NEWPORT BEACH, CA 92625
Phone: Phone:
650-740-3400 Phone:
State Lie: C''
Applicant: TRISHA SANCHEZ Con State Lie:
O/B Engineer:
Address: 306 NARCCISSUS AVE Lie Expire:
Address:
NEWPORT BEACH, CA 92625 Bus Lie:'
• "
Phone: 650-740-3400 Lie Exp Date:
Phone:
State Lie: >
Code Edit : 2019 Worker's Compensation Insurance Designer:
;
Type of Construction: V-B Carrier:
Address:
Occupancy Group: r3/u Policy No:
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Added /New sq.ft. Bldg: 0 Expire:
Phone:
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,',
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I Special Conditions:
OWNER/BLDR ATTACHED
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No of Units : 1
Front: /
Z
Bldg Height: 0
Left: /
0
Bldg Sprinklers:
Right: 1
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone :
N
Construction Valuation: $2.500.00
ITI
Building Permit Fee: $127.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $0.00 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: $127.00 Grading PC Consultant :
$0.00 SJH Trans : $0.00
Demolition Fee
Record Management: $0.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee : $0.00
Building Dept Adm $0.00
Energy Compliance: $0.00 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 %:
$8.89 San Dist: $0.00
Building Green Fee : $1.00 Mechanical W
$5.08 NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $268.97
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee :
$0.00 Fee Due at Permit Issuance: $268.97
PUBLIC WORKS APPROVAL: (�^
PLAN CHECK BY: - v
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
:he 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
professions 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
iot more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (--) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
'mprovements 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
mrroved for the purpose of sale).
IV�L.I 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
'adp!)t to an owne', of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt runs iicensure under the Contractors' State License Law for the followin on:
Py rip Signature belov. I acknowledge that, except for y personal residence in which I ust ha resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
sell a structure t7�t I Five built as an owner -build if as of bee nstructed in its tirety b need contractors. I understand that a copy of the applicable law, S lion 7044 of the Business and
Prufesainns Code, Is available upon request when t i a pli a " s submitted or t f Web site:http://www.leginfo.ca.gov/calaw.htm]. % /�
Cigna:Lre of Property Owner or Authorized Agent
LICENSED CON-7ACTOR'S DECLARATI
I. here'J; affirm under penalty of perjury that I am licensed nder pr ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions , and my license is in full force
andeff?ct. Licens= Class License No Date Contractor Signature
0109WERS' COMPENSATION DECLARATION
MARr'Ir,C;,cAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
C7S7 OF C DMPENSA'JON,'JFMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under peF,alty of perjury one of the following declarations:
❑, I. have and will Tairtain 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 th
performance 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 the performance of the work for which this permit is issued. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
31 certify that, in the P"erfcfmance of the for which this rmit issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and agre
tat, if I should become jA;th ers' compens do pr ' 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant oat
IECLARATION REGA DIN N LENDING AG
hereby affirm under pie ally of perjury t t there is a construction lending agency for the performance of the work for which this pemlit is issued (Section 3097, 1 it Code).
ender's Name Lender's Address
ly 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 i orrect.
I agree to comply with all applicable city and county a and state I we &jt buildin construction.A/,1 authorize representatives of this city or countl�to ntet a bove,' I' ion purposes./(yfJij r, C/
iinnature of Prooertv Owner or Authorized Agent . \ P nt rooertv Owner's or Authorized Agent's Name 1C-( "(lr ` �"� Date\
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATEI -BECLARATION OF COMPLIANCE WITH CODE OF BY REGULATIONS PART 630F TITLE 40 AND AQMD RULE
RAL FOR OFFICE USE ONLY
NOTIFICATION TO
APPLICABLE
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