HomeMy WebLinkAboutXR2022-1990 - Permitso��tiWPo @ C`ty of NBeach
ewport pnt-Building Division II III I I I II I II I III III II II II
Community Development
- F 100 Civic Center Drive, Newport Beach, CA 92660
� Permit Counter Phone: (949) 644-3268
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Inspection Requests Phone: (949) 644-3255 i �. P � � "
9�/FO RNA newportbeachca.gov/inspections 4 6 '6' &' E d a.�` 1 d
Combination Type - SFP
Work Class - Other
COMB Permit : XR2022-1990
Plan Check No : 2940-2021
Issued Date
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE<DR
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 : 1111 CLIFF DR
Legal. Desc : N TR;:1219 BLK7B LOT 3
Description: SFR - INTERIOR ALTERATION 2074 SF. VAULT
CEILING IN BR & GREATROOM/KITCHEN.:
RE -ROOF, NEW SKY LIGHTS. ADD 171 SF @ GREAT ROOM.
*STOP WORK* (CHANGE OF CONTRACTOR)
Owner: GARY CONWELL
Contractor: ZALAR HOMES
Architect:
Address : 2273 COLUMBIA DR COSTA MESA, CA 92626 '
Address: 8146 PAWTUCKET DR HUNTINGTON
= Address
BEACH, CA'92646
Phone:
Phone.; (714)853-9696
Phone:
Con State Lie :-1071867
State Lie
Applicant : CRAIG WOOLBERT
Lie Expire : . 12/31/2022
Address : 5622 LITTLER DR HUNTINGTON BEACH, CA
Bus Lie: BT30074051 ='=
Engineer: IBRAHIM MARK K
92649
Phone: (714) 856-2605
Bus Lie Expire : 01/31/2023
Address : 3436 E LONGRIDGE ORANGE, CA 92867
Workers' Compensation Insurance
Phone: (714) 283-2551
Carrier:
Policy: No: EXEMPT
Designer: CRAIG WOOLBERT
W. C.Expire: Address : 5622 LITTLER
CA 92649
Phone: (714)856-2605
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation
Type of Construction : V-B ,. Fire Hazard Zone 'i Y
Occupancy Groups : U,R-3 No of Units : 1 "Added/New1TI sq. ft. Bldg
Bldg Height : No of Stories : 1 Added/New sq. ft. Garage
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: CHANGE OF CONTRACTOR (X2021-3376)
DR HUNTINGTON BEACH,
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OWNER:RUILDER DECLARATION
I hereby affirm under penalty of perjury that f 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 Rem(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
the 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
not more than five hundred dollars ($5(% 1
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or l_) portions ofihe 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner.Builderwill have the burden of proving that it was not built or
improved for the purpose of sake).
0 1, 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
apply to an Owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contracto pursuant to the Contractors' State Licensee Law).
i am exempt from Ncensure under the Contractors' State License Law for the following reason:
By my 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 iegail}
sell a structure that I 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
w Professions Code, is available upon request when this application is submitted or at the following Web sihnhtfp:flwwJegin(o.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 720R0) o Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date X—i X Contractor Signature
WORKERS' COMPENSATIONDECLARATION
rARNING: FAILURE TO SECURE WOMRS' COMPENSATIOR COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37VG OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director
erformance of the work for which this permit is issued. Policy No.
2 have and will maintain workers' compensation insurance,. as required by Section 3700 of the Labor Code, for the
isumnce carrier and policy number are:
lamer Policy Number
of Agent
AND ORAL FINES UP TO ONE HUNDRED THOUSAND OOLLARS (5100,0001, IN ADDITION TO THE
Industrial Relations asprovided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
edify, that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwitii comply with those provisions.
of
Date, 01
I hereby affirm ander�penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
en Irprs Name. Lender's Address
Bymy signature below, I certify to each of the fallowing:
• • +13m the prd) erty owner or authorized to act on the property owner's behalf.
1 have roa6 thi9VpUcation and the information I have provided is Correct.
• I+ �f-agme to eemply with all applicable city and county ordinances and state laws relating to building construction.
I �I authoricarrepresentatives of this city orcoun[Kfo enterthe ahove-idenI tied property for inspection purposes. /
IiU:A7tlyEM:lfiY•7trIM
• • • I @ [ REGULATIONS PART SS OF TITLE 40 AND ACIMO RULE
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All required alarms, latches gates and fences which serve as part of a pooVspa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
NOTIFICATION 15 NOT APPLICABLE TO life of the pool
CERTIFICATE OF
OCCUPANCYISSUE0
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