HomeMy WebLinkAboutX2022-1750 - PermitsO���WPOR@ City olf NDewport Beach COMB Permit : X2022-1750
pnt- Building Division II III I III II I III I IIII II II
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : 1601-2022
Permit Counter Phone: (949) 644-3288 Issued Date : 09/14/2022
c+� Inspection Requests Phone: (949) 644-3255
cg4poa"�P newportbeachca.gov/inspections Inspection Area:4
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 : 1101 GRANVILLE DR Legal Desc : TRACT14839, LOT 1 OF PROJECT 939-63 LOCATED ON AP 442-421-1 3 TOGETHER WITH AN
UND. 1124 INT. IN LOT 1.
Description: MFR ALT 285 SF: REMODEL KITCHEN & BATHROOMS. REPLACE SEWER LINES
Owner: ONEILBARRY
'-Contractor: JONDELAVANGENERAL CONTRACTOR
:.Architect : LA ROCHE DENIS A
Address : 1101 GRANVILLE DR
Address:, 17235 CITRON
Address : PO BOX 3708 TUSTIN, CA 92781
NEWPORT BEACH, CA 92660
IRVINE, CA'92612 ,
Phone :
Phone: ' (949) 933-3382
Phone : (949) 939-3047
Con State Lie : 984903
State Lie:
Lie Expire: 06/30/2023
Applicant: JON DELAVAN GENERAL CONTRACTOR
Bus Lie :. BT30071549
Engineer:
Address : 17235 CITRON
Bus Lie Expire : 04/30/2023
Address
IRVINE, CA 92612
Phone: (949) 933-3382
Workers'. Compensation Insurance
Phone:
Carrier : -
Owner/Builder:
Policy No: EXEMPT
Designer
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $100,000.00
Type of Construction : V-B
Fire Hazard Zone :. NO -
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units : 25
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 3, Front: 15
Flood Zone : X
Use Zone: RM - Multiple Residentia
PROCESSED BY:
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SPECIAL CONDITIONS:
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t hereby affirm
ction 7031.5, E
rturythat I am exempt from the Contractors' State License Law for the -reasons) indicated Wow by the checkmark(s) I have placed next to the applicable items)
sions 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
rat ha 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
exempt from licensors and the basis for the alleged exemption. Any v otation of Section 7031 S by any applicant 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 L) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044,
smess 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
movements are not intended or offered for safe. If, however, the building or improvement is sold within one year of completion, the Owner-Eivilder will have the burden of proving that it: was not built or
roved for the purpose of sale).
L as Owner of the property, am exclusively contracting with licensed Contractors to construct the project(Sectlon 7044,Business and Professions Code; The Contractors' State License Lawdoes not
31y to an owner of properly who builds or Improves. thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contrantors`State, License Law)..
I am exempt from licensure under the Contractors'State License Law for the following reason:
my signature below I acknowledge that; except For my personal residence in which I must have resided forest least one year prior to completion of the improvements covered by this. permit, I. cannot let
I astructure that I have built as an owner builder if ithas not been constructed in its entirety by licensed Contractors. I understand that copy of the: applicable. law, Suction. 7044:of the Business and
Vignature of Property Owner or Authorized Agent . Date.
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury drat I am IlGensed under previsions of Chapter 9 (commencing with Sectio 40 - ivlsion 3 of the business and Pro Itm Ions - de, a icense is In full force
Ind effect License Class License No Da I Contractor Signature
PORKERS' COMPENSATION DECLARATION
TARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG. T OU9AND DOLLARS ISI00000), IN ADDITION TO THE
:OST OF COMPENSATION„ DAMAGES. AS PROVIDED FOR IN SECTION STOS Of THE LABOR COUe, INTEREST, AND ATTORNEY"s FEES
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and will maintain 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.
If have and will maintain workers compensation insuranoe as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
isurance carrier and policy number arei
:artier Policy Number Expiration Date
e of Agent Phone #
I certify that. In the erto monde of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the works 'compensation laws of California, and agre
ha , 't I should becom s jest tat rkers' mpe atlon provisions of Section of the Labor Code: I shall forthwith comply wadi those provisions. 1
3Ignatura of Applicant Date
)ECLARATION REGA�ti?�N<G CONT5�FR.CT'O (ENDING AGENCY
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work forwhich this permit is issued -.(Section 3097,'. Ivil Code).
.endar's Name - Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorizedto act on the: property owner's: behalf.
t have read this application and the information I have provided is correct.
I agree to, comply with all applicable city and qou ordinances and s ate laws relating to building construction. A r
i authorize representatives of this city Or ooun�}I t:r-se fgle abov idglifled property for inspection purposes.
PERNI]TEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY15SUED
BY 'J \DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL l FOR
kT101fffS NO PRESCABLE .0
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