HomeMy WebLinkAboutXR2022-1961 - PermitsPORT
City of Newport Beach
Community Development Department- Building Division
1"y
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH
Work Class - Alteration
II III I I II I II I III II II I I II COMB Permit : XR2022-1961
Plan Check No : PC2022-1808
Issued Date :
INSPECTOR
NSPECTOy Inspection Area, 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 66 CHANDON
Legal Desc : TRACT 14565, LOT 3 OF PROJECT 936-46 LOCATED ON AP 461-241-1 5 TOGETHER WITH AN
LIND. 1/17 INT. IN LOT 3 OF TRACT 14565 &
Description : MFR CREATE NEW LOFT WITHIN (E) FOOTPRINT
101 SF
Owner: WES&SAMARA ALI-AHMAD
Contractor`: LOFTCRAFTERS INC THE
Architect:
°°°°
Address : 66 CHANDON NEWPORT BEACH, CA 92663
Address : 8 HAMMOND #102 IRVINE, CA 92618
Address:
Phone:
:Phone: (949)456-1234
Phone:
Con State Lie : 463944 -
State Lie
Applicant : BEN LOEWEN
Lie Expire : 08/31/2022 ,
Address:
Bus Lie: BT30020595
-Engineer: GARRETT LARRY
D
Phone: (949) 456-1234
Bus Lie Expire : 09/30/2022
Address : 7612 BESTEL
AVE WESTMINST® R,
92683
°°°°°°
-
Workers' Compensation Insurance
Phone: (714) 893-2979
°
Carrier: ACE AMERICAN INSURANCE COMPANY
°
'
Policy No: C69981355
Designer:
W. C. Expire : 11/1/2022
Address
..Phone:
.® °
a ° °
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
$35,000.00
Type of Construction : V-B
Fire Hazard Zone; Y - -
Occupancy Groups : R-3
No of Units : - - 2 _
Added/New/TI sq. ft. Bldg:
101
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage:
0
Building Setbacks
Flood Zone: X
- -
Use Zone : PC - Newport Ridge
PROCESSED BY: 75
SPECIAL CONDITIONS: FUEL MOD, SPECIAL FIRE, VHFHSZ
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I hereby affirm under penally of perjury. that t am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checknmrk(s) I have placed next to the applicable items)
(Section 7031,5. Business and Professions Code: Any city or county that requiresa permit to construct, altar, improve, demolish, OF repair any structure, prior to Its issuance, also requires {he applicant for
- the permit to file a signed statement that ho or sheds licensed pursuant to the provisions of the Contractors' Stale 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 Ifcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not 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 [he properly, provided (het the
Improvements 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
improved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who bullds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
11 I am exempt from [Censure under the Contractors' Slate License Law for the following reason _........ ...... ............. . . _ ..._.............. ....... ..... _._................................ _....... ,_ _._......-.......
By my signature below I acknowledge that, except for my personal residence In which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner-bulldor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Segilon 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:lly, Av.leginfo.ca.govfcalaev.htmt.
Signature of Property Owner or Authorized Agent �..__.._——.__�—___._Date
LICENSED CONTRACTOR'S DECLARATION
I hereby rif4imounder penalty of perjury that I am licensed under provisions of Chaplet 9 (commencing with Section 7000 o D vl ion 3 of the Business and Professions Code, and my license is in full force
and effefl"ensa Class License No Date Contractor Signature
ORKFRS;.WMPENSATION.. DECLARATION
%ARMING: TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (EIDe,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, INTEREST, AND ATTORNEY'S FEES,
hereby Sturm under penalty of perjury one of the fallawing declarations:
••
4 El
I hose and will maintain a certificate of consent to selfiosure for workers' compensation, issued by the Director Of Industrial Relations as provided for by Section 3700 of {he Labor Code, for Ih(
serf rmance of AID work for which this permit Is issued. Policy No. _
have %A& %II 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' compensatior
• insurance carrier and policy number are:
• Carrlar Policy Number Expiration Date
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance o€the work forwhich this permit Is issued (Section 3097, Civil Code).
enders Name ,,,,,s_,,,_, Lender's Address
iy my signature below, I certify to each of the following:
I am the property owner or authorized to acton the properly owner's behalf.
I have read this application and the information I have provided Is correcl..
1 agree to comply with all applicable city and county ordinances and stale laws relating to building construction
I authorize representatives of this city or county to enter the ab v d r or inspection purposes.
lionature of Prooertv Owner or Authorized Agent X Print Property Owner's or. Avthnrizetl,Aganfs Name �j�Q (fiG{I
PERMITEkPIRED
CEPTIFICATEOF
OCCUPANCY ISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART BI OF TITLE 40 AND AQM D RULE.
u?4
SUBMITTED ASBESTOS NOTIFICATION
PROPOSED
NOTIFICATION 15 Nor APPLICABLE TO
FOR OFFICE USE ONLY
be In place no dill vo`ol/spa
li e o t o pool, ►..i 1'
X
as part of a pool/spa barrier, shall
z'ifl'Dlaee-7.he.matnta'tned for the