HomeMy WebLinkAboutXR2022-2572 - Permits (2)ewPORr, City of Newport Beach
o @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u z Permit Counter Phone: (949) 644-3288
'a. Inspection Requests Phone: (949) 644-3255
Cq(/FOR��P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
II III I I I I I I I I I II I III I II COMB Permit : XR2022-2572
Plan e: Check
o : PC2022-2406
issue022
Inspection Area : 3
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: 1 HAMPSHIRE CT Legal Desc : N TR 3852 BLK LOT 33
Description: SFR INTERIOR REMODEL 2000 SF
Owner: BLANCHARD FAMILY TRUST
Address : 1 HAMPSHIRE CT
NEWPORT BEACH, CA 92660
Phone
Applicant:
WENDIYOUNG
Address :
3990 WESTERLY PL
NEWPORT BEACH, CA
Phone:
(714)850-0083
Owner/Builder :
Address :
Phone:
Contractor: SPINNAKER DEVELOPMENT LLC
Address : 428 32ND ST
NEWPORT BEACH, CA 92663
Phone:
(949) 544-5806
Con State Lic
: 985114
Lic Expire:
07/31/2023
Bus Lic:
BT30029026
Bus Lic Expire : 04/30/2023
Workers' Compensation Insurance
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Policy No : WSD506138700
W. C. Expire : 7/1/2023
Architect
Address: q,
Phone :
State Lic
Engineer:
Address
Phone:
Designer: WENDIYOUNG
Address: 3990 WESTERLY PL
NEWPORT BEACH, CA
Phone: (714)850-0083
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$250,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
2,000
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage :
0 • a
TOTAL sq. ft. Bldg :
0 - -
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
5
-
SPECIAL CONDITIONS:
HAULER: TIGHT QUARTERS
4
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmarx(s) I have placed next to the applicable items)
(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
riot more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 properly who, through employees' or personal effort, builds or improves the properly, 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-Buflder will have the burden of proving that it was not built or
improved for the purpose of sale),
I❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
❑ I am exempt tram licensors under the Contractors' Slate 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 cannel legatl,
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
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llw .leginfo.ca.gov(calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
'I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) of Division 3 of the Business and Professions Coda, and my license is in full force
and effect. License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone of the following declarations:
I 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
'ormance of the work for which this permit is issued. Policy No.
and will 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
carrier and policy number are:
Policy Number
of Agent Phone H
Date
certify that. in the performance of the work for which this permit is issued, I shall not employ any person in any mannor so as to become subject to the workers' compensation laws of California, and
if I should become subieoLtIf the workedx�ri Aen�ttion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant Dale — �} _-
CLARATION REGARDII - r R LE _ NG AGENCY, �� �__
Heby affirm under penalty of perjury the sere is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature oelow, I certify to Each of the following: -____
I -,m the prnpedv owner or authorized to act on the property owner's behalf.
I nave read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
authorize representatives of this city or county to entar the above -identified property for inspection purposes.
cature of FrJLcn-/ Owner or Authorized Aaent Print Prooertv Owner's or Authorized Aaenfs Nam
1!:PMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PROPOSED
NOTIFICATION 15 NOT APPLICABLE TO
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