HomeMy WebLinkAboutXR2022-3178 - Permits-*P"
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Other
COMB Permit : XR2022-3178
Plan Check No : PC2022-3043
Issued Date : 12107121
Inspection Area : 4
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: 2061 PORT BRISTOL CIR Legal Desc : N TR 6623 BLK LOT 24
Description: SFR REPLACE REAR P/L BLOCK WALL (116' LONG BY 6' HIGH) NOT BORDERING NEIGHBORS
Owner: GRITSCH NORMAN R TR
Contractor: ADVANCED DECORATING CO INC
Architect
Address : 2061 PORT BRISTOL CIR
Address : 27075 CABOT ROAD #105
Address
NEWPORT BEACH, CA 92660
LAGUNA HILLS, CA 92653
Phone: (949)706-7996
.Phone: (714)612-1135
Phone:
Con State Lie : 393506
State Lie
Lie Expire : 09/30/2024
Applicant: ADVANCED DECORATING CO INC
Bus Lie : BT30071440
Engineer: YAGHI SHUCRI I
Address : 27075 CABOT ROAD 9105
Bus Lie Expire : 03/31/2023
Address : 112 E. CHAPMAN #D
LAGUNA HILLS, CA 92653
ORANGE, CA 92866
Phone : (714) 612-1135
Workers' Compensation Insurance
Phone : (714) 997-9120
Carrier: COMPWEST INSURANCE CO
Owner/Builder :
Policy No : CWWCP100070195
Designer:
Address :
W. C. Expire: 11/6/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $15,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10
Flood Zone: X_
Use Zone : PC - Harbor View Hills
PROCESSED BY: r
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 item(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 pormit 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 ($500).
❑ I, as owner ofthe property, or my employees with wages as their sole compensation, will do O all of or t_) 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 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 -Builder will have the burden of pmAng that it was not built of
improved for the purpose of sale).
❑ 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
,a.9rply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
LJ I am exempt from licensors under the Contractors' Stale 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 lega111
sell a structure that I have built as an owner -builder If ithas 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, isavailable upon request when this application is submitted or at the following Web site:http:tlwww.leginfo.ce.govlcalaw.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 S (commencing with Section 70 D D A to f the Business and Profession ode, d my lice) is in full force
.and effect. License Class License No Dete Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNEIREO THOUSAND DOLLARS (6100,000i, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
II hereby affirm under penalty of perjury one of the following declarations:
El 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 th
performance of (he 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' compensatiol
ranee carrier and policy number are:
-ter Policy Number Expiration Date
to of Agent Phone If
certify that, in the performance a w rk for whic. t permit is issued, I shall not employ any person in any manner so as 10 become subject to the workers' compensation laws of California, and agre
If I should become subject he are compe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant _ Dale_
]LARATION REGARDING CONSTR 10 E ING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097. Civil Code).
-Ender's Name Lenders Address
3y my signature below, I certify to each of the following:
I am the prooedy owner or authorized to act on the property owner's behalf.
I have reaC :h.:s zpplication and the Information I have provqisect.I agree to comply with all applicable city and county ordinaate la elating to building construction.
I EJthGrize reiamsentatives of this city orcountyto enter Trifle roperty for inspection purposes. f /f p 1 / �1
;inn -fix. of Pronerty Ownw or Antrim?, Anent Print Property Owner's or Authorized Aoent's Narne f7 /i!1 7 r/(/�I,
AC. -;ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RESULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PFRMIT EXPIRLD I U I SUBMiiTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMIT FINAL FJi123 �� S tj}�J'IASBESTOS
CERTIFICATE OF PROPOSEDDE
OCCF�ANCY IS?'.JfD SIGNATURE:
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