HomeMy WebLinkAboutXR2022-2607 - PermitsCity of Newport Beach
II IIII I I II I II I III III II II II COMB Permit : XR202111, 2-260%
100 Civic Center Drive, Newport Beach, CA 92660tDevelopment mnt-Building Division
Permit Counter Phone: (949) 644-3288 Plan Check NO: PC2022-2439
Inspection Requests Phone: (949) 644-3255 Issued Date : 10/0
022
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newportbeachca.gov/inspections Inspection Area :2
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
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 : 20 IMA LOA CT
Legal Desc : N TR:7817 BILK LOT 3 UN 135 TR.7817 LOT 3 UNIT 135 OF PROJECT LOCATED ON AP
Description: MFR REMODEL(331 SF) MSTR BATHROOM,
KITCHEN, HALL BATHROOM, `AND POWDER ROOM. ALT (E) DECKS (277 SF): *STOPWORK 122-2269*
Owner: WALDEMAR MOOSMANN
Contractor: ALLPRO CONSTRUCTION SERVICE
Architect
Address : 20 IMA LOA CT
Address : 1617 WEST 7TH STREET
Address :(Yo
NEWPORT BEACH, CA 92663
Phone : (949) 910-1042
SANTA ANA, CA 92703
Phone 747-4544
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X
:' (714)
Phone
Con State Lie : 1012456
Lie Expire : 03/31/2024
State Lie
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Applicant: 1ST CHOICE DESIGN & DEVELOPMENT
Bus Lie: BT30061768 -
Engineer: ZAKERI BEHZAD
Address : 2400 E KATELLA AVENUE, 800
Bus Lie Expire : 1013112023 '.
Address: 13628 FREEPORT RD
ANAHEIM, CA 92806
SAN DIEGO, CA 92129
Phone: (844) 292-3700
Workers' Compensation Insurance
Phone: (714) 600-0182
Carrier: NATIONAL LIABILITY
Owner/Builder: -
Policy No: 'N9WC638358-
Designer: 1ST CHOICE DESIGN & DEVELOPMENT
Address :.
W. C.Expire: 6/9/2023
Address : 2400 E KATELLA AVENUE, 800
ANAHEIM, CA 92806
Phone: -
Phone: (844)292-3700
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $33,833.00
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg :
Occupancy Groups : U,R-2 -
No of Units : 7
" Alteration sq. ft. Bldg : 608
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg: 0
Building Setbacks :
-
Flood Zone : X
Use Zone: PC - Newport Crest - UP1585
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PROCESSED BY
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SPECIAL CONDITIONS:
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I hereby affirm under penalty of pegury: that f am exempthom the ContractorsState License Law forthe reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Von 7031.5,' Business and Professions Code: Arty city or county that requires. a: permit toconsbuct, alter, improve, demolish, or repair any structure, prior to its issuances also requires the applicant for
permit tofile 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
essions Code) or that he or she is exempt from licensure, and the basis for [he alleged exemption Any: violation of Section 7031;5 by any applicant for a permit subjects the applicant to acivil penalty of
more than five hundred dollars ($500),-
1, as owner of the property, or my employees with wages as their sole compensation; will do-(_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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
rovements 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
roved for thepurpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not
ly to an owner of prop" 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 from ticensure under the Contractors' State License Law for the following reason:
riy 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 legal
a structure that 1 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
fessions:Code, is available upon request when this application is submitted or at the fallowing Web site:httpgiwvAy.leginfo.ca.gov/calaw.html.
tature of Property Owner or Authorized Agent Date.
affirm under
a. License
I am licensed under provisions of
License No I
with Section
VORKERS' COMPENSATION DECLARATION r I
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
OS7 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penaityof perjury one of the following declarations:
and my license is In full force:
(S100.000). IN ADDITION TO
I have and will maintain a certificateof 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,
Forman€e of the work for which this permit is Issued, Policy No,
1raMa_and Will maintain workers' compensation insurance as required by Section 3700 of the Labor Code, for the performanceofthe work for which this permit is issued. My workers' compensator
Trance carrier and policy number are:.
Tier. Policy Number Expiration Date.
Tie of Agent Phone #
certify that, inthe performance of the work for which this permit .is -:issued. I shall not employ any person in any manner w as to become subject: to the workers' compensation laws o'fCalifornia, and agree
t, if I should become Vec, to the Svorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
_nature of Appli Cat
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CLARATION R60A 4
!reby affirm under penalty of perjury that4lIe a is a construction lending agency for the performance of the Work forwhich this permit is. issued (Section 3097, Civil ode).
ioer's Name-- - Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized:: to act on thepropertyowner's behalf.
I have read this application and the Information I.have provided Is correct.
I agree to comply with all applicable city and cclunp ordinances and state laws relating to building construction.
I authorize representatives of this cityor coup enter/�the above -identified property for inspection purposes, � // t/�/� 1 ' % j �J
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