HomeMy WebLinkAboutX2022-0843 - Permits00'.
Cirty olf NDewport Bepachrt-s�adg DivisionCOMB Permit:X2022-0843
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : 0770-2022
Permit Counter Phone: (949) 644-3288 Issued Date : 08/02/2022
Inspection Requests Phone: (949) 644-3255newnewportbeachca.gov/inspections Inspection Area : 3
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition/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 : 1863 BONAIRE WAY
Legal Desc : N TR 3282 BILK LOT.24
Description: SFR ADD 1,090 SF, REMODEL 260 SF
Owner: Jean C J Linsky
Contractor: ALPHA OMEGA CONTRACTORS INC-
Architect : BROWNING JEFFERY
Address: 1863 Bonaire Way Newport Beach, CA 92660
Address : 3972 BARRANCAPKWY STE J141
:. Address : 1570 WEST 9TH STREET SAN PEDRO, CA
IRVINE, CA'92606
90732
Phone:
Phone: (714)616-0417
Phone: (310)308-6496
Con State. Lie : 998620
State Lie
Applicant: BROWNING JEFFERY
Lie Expire,: 11/30/2022
Address : 1570 WEST 9TH STREET SAN PEDRO, CA
Bus Lie : BT30074748
' Engineer : GALBREATH SEAN
90732
Phone: (310) 308-6496
Bus Lie Expire : 03/31/2023
Address : 600 SOUTH LAKE AVE #308 PASADENA,
CA 91106
Workers' Compensation Insurance
'` Phone: (323) 744-0010
Owner/Builder: _
Carrier: .NAT'LLIABILITY & FIRE INS CO
Address :
Policy No: V9WC207380 -.
Designer:
Phone:
<: W. C. Expire: 7/1/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/Ti sq. ft. Bldg : 1,090
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg : 260
Bldg Height:
No of Stories : 1
: Added/New sq. ft. Garage: 0
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) ! S P ECTO
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PROCESSED BY:
SPECIAL CONDITIONS: CMSD a•
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My of perjury that tam exempt train the Contractors' State License Law for the reasons) indicated Wow by the checkmark(s) I have placed next to the applicable itam(s)b
A Professions Code; Any city or county that requires a permit to construct, alter, improves demolish, or repair annystnrctufe, prigr to Its issuance also requires the applicant for
lament that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70OO) of Division 3,nf the Business and
or she is exempt from l censure and the basis for the alleged exemption. Any- violation of Section 7031.6 by any applicant for a perrnit subjects the applicant to a civil penalty of
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,:
ass 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
vements 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
1, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section
y to an owner of property who builds or Improves: thereon, and who contracts for the projects with licensed Car
i am exempt from Hcensure under the Contractors' State License Law for the following reason.
ny signature below I acknowledge that, except for my personal residence in which I must have resided for at leas
a structure that I have built as anowner-buildar if it has not been constructed in its entirety by licensed contracto
esslons Code, is available upon request when this application: is submitted or at the following Web s telhtipalww,
iature of Prooertv Owner or Authorized-Acent.
Tn under penalty of perjury; that I am licensed under provisions of Chapter 9 (commencing with
License Class Licensa No
COMPENSATION DECLARATION
DST OF COMPENSATON,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErs 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 Dire
e mance of the work for which this permit is issued. Policy No. _
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Isu,'.,yt,'ce carrier and policy number are:
',arTA(ar Policy Number
re of Agent:
certify that, in the performance of the work for which this
. if I should become subject to the :v orkers' co?punsatio
I hereby affirm under penalty of perjury that there isa construction :lending agency for the performance of the work fi
Landes Name Lender's Address
By my signature below,. t 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 providedis correct
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to ter the above -identified property for Inspection purposes.
Signature of Property Owner or Authonzed ant. Print Property Owner'
ACTION I DATE I By E£LARATIONOFCOMPLIANCE WITH CODE OFFEDERAL PDIi
Business and Professions Code,. The Contractors' State License Law does not
pursuant to the Contractors State License Law).
to
law, Section
Date
13 of the CbgtractorSiusiness and nattara� siif' " e isn In fail
g.
CPAL FINES UP TO ONE HUNDRED THOUSAND DOL AR$ ($100,000), 01 ADDITION TO THE I
of industrial Relations. as provided for by Section 3700 of the Labor Code, for
thework for which this permit is issued.
Date
ianIIter so as. to become subject to the workers`compensabon laws of California, and agree
odhwith comply with those provisions.
tr Ihicb this permit is issued (Section 3097, Civil Code):.
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PERMIT EXPIRED j L11 SUBMMMASBESTOS NOTI FiCAT{ONTO • ♦•• •♦.. r-•
PERMITCANCELLED - ' EPA _ All required alarm;, lAches gates Afences.%hich s>rve as part of a pool/spa barrier, shall
PERMII'EXTENVED LJAQNlD be in place priaTo appnevalte flll pvo0spa-& slVi reilain in place & be maintained: for the
PERMIT FINAL 2 S8ESTOS NOTIFICATION IS NOT AVr7A4LE TO life of the pool.
CERTINCAT1:Of 3.I ZJ PROP E OE
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