HomeMy WebLinkAboutX2021-3282 - PermitsaeWPo?T City of Newport Beach II III I II I II I IIII I II I I I II
p� a Community Development Department- Building Division COMB Permit : X2U21-32H2282
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2843-2021
Permit Counter Phone: (949) 644-3288 Issued Date : 08/29/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
q<.�FnaN` newportbeachca.gov/inspections
Combination Type - SFP 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: 1501 E BAY AVE Legal Desc : BALBOA TR EAST SIDE ADD LOT 1
INC S1/2 ABAN ST ADJ ON NAND BALBOA
Description: SFR INTERIOR REMODEL OF KITCHEN & PANTRY 362 SF
BLK 24 INC S1/2 ABANST ADJOIN NAND LOTS 2 & 3 BLK 24
Owner: TYLER ALAN BRUCE TR Contractor: RINO NAVERA GEN CONTR Architect
Address : ARLINGTON, TX 76094 Address : 1945 N CANYON PARK CIR ORANGE, CA Address:
Phone:
Applicant :
Gonzalo Gutierrez
Address :
1945 N Canyon Park Circle Orange, CA 92867
Phone :
(714) 225-1633
Owner/Builder
:
92867
Phone: (714)473-2656
Con State Lic : 953022
Lic Expire : 10/31/2022
Bus Lic : BT30071714
Bus Lic Expire : 04/30/2023
Workers' Compensation Insurance
Carrier :
Phone:
State Lic
Engineer
Address
Phone:
KHANSA EYASS
2252 JOSIE AV LONG BEACH, CA 90815
Address :
Policy No :
EXEMPT
Designer: BRIAN SCOTT
Phone :
W. C. Expire:
Address: 962 N HARWOOD ST ORANGE, CA 92867
Phone: (562)865-7935
Code Edition : 2019
Fire Sprinklers
: NO
Construction Valuation : $70,000.00
Type of Construction : V-B
Fire Hazard Zone
: No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units :
1
Alteration sq. ft. Bldg:
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 5
Flood Zone : AE, 8 FT; X
Use Zone: R-1 - Single -Unit Resident I
PROCESSED BY:
0
SPECIAL CONDITIONS:
No CONSTRUCTION N018
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I 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 Items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after. Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
'rofessions Code) or that he or she is exempt from licensers 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sate (Section 7044,
lushness 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 property, provided that the
nprovemenls 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
mproved for the purpose of sale).
] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' Stale License Law does riot
5ply to an owner of property who builds or improves thereon, andwho contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' Slate License Law for the following reason:-_____
Iy 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 legallt
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by Incensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:AAwww.leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Socfl 00 ,,' . 3 the Business and Prof to s- m I' a se i I ell force
no effect. License Class License No Dal Im re'to' Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ISID0,000), IN ADDITION TO THE
OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY-S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided far by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
Policy Number
Date
prise of Agent vnone a
IJ certity 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 agre
tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'IgnatureofApplicant __ Date____
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm i+nder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
onder s Nama _ Lender's Address
v my signature below, I certify to each of the following:
I am the Nro;)erty owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct..
1 agree to comply with all applicable city and so itq ordinances and state laws relating to building construction. i//ter/
I aulhorhs raplaaentalives of this city or coI I yyjl/�G egG��mthe above-id/en�tified/property fir inspection purposes. ��/7 GL%�? (ice`'
I,ouature of Prooertv Owner or Authorized Agalpt�( L� f �.d _/� /C4 ��'/(/t Print Property Owner's or Authorized Agent s Nam Q. _ Dat�
ACOON
DATE
BY " (—DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATION5 PART fit OF TITLE 40 AND AQMD RULE
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( Lli sUBMITTEO ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of -a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
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