HomeMy WebLinkAboutXR2022-2707 - Permits�EWPOR�
City of Newport BeachCommunity II II I I I II
I II I III I II II II II COMB Permit : XR2O22-2707
- ivision
F
100 Civic Center Drive, Newport Beach,partment
926 Dng
fC,I
Plan Check No : PC2022-2543
u } T
Permit Counter Phone: 949
( ) 644-3288
Issued Date
Inspection Requests Phone: (949) 644-3255 ��
Inspection Area : 1
9GlFnpN�
newportbeachca.gov/inspections
Combination Type - MFP ELEC ME UM
Work Class - Alteration 0
PERMITS EXPIRE 160 DAYS AF ISSUANCE AST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NiiON SAATTU!R' OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
\C �GV
Job Address : 1116 BALBOA BL A Legal Desc : N TR 234 BILK 111 LOT 5
Description: MFR REMOVE TCHEN, BATPI ND REMOVE INTERIOR WALL 1520 SF
Owner: NABIL MAKARI
Address: 603 IRIS AVE
NEWPORT BEACH, CA
Phone: (714)951-4077
Applicant:
GOETZANDREW
Address:
2855 E COAST HWY #234
CORONA DEL MAR, CA 92625
Phone :
(949) 673-3152
Owner/Builder :
Address:
Phone:
Q Contractor: PRO BUILDERS ENTERPRISES INC
Address : 7411 EDINGER AVENUE NO 314
HUNTINGTON BEACH, CA 92647
Phone:
(714)951-4077
Con State Lie
: 1052872
Lie Expire:
01/31/2024
Bus Lie:
BT30072481
Bus Lie Expire : 10/3112023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9303183
W. C. Expire : 8/5/2023
Architect :
GOETZ ANDREW
Address :
2855 E COAST HWY #234 CORONA DEL
MAR, CA 92625
Phone:
(949)673-3152
State Lie
Engineer
Address
Phone:
Designer :f TO R
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R-2
No of Units :
4
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg:
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 0
Flood Zone:
AO 1; X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
$100,000.00
1,520
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the cheekmark(s) I have placed next to the applicable ftem(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 lie 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).
0 I, as owner of the property, or my employees with \Vegas 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that tha
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 proving that it was not built or
improved for the purpose of Sale)-
0 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 not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to ilia Contractors' State License Law).
❑ I am exempt from Ifcensure 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 legal
soil a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of Ihn 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:lrwww.leginfo.ca.govicalaw,html,
Signature of Property Owner or Authorized Agent _._. Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter Xa e c g Section 70 0) of Di - ion 3 o t�o ��}},ss�ine s and Profe ions Code, and my license is In full force
and effect. License Class License No Date�5%eraieOti�natu Per
COMPENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED'itHOUSAND DOLLARS fbi00,000i, IN AODn10N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penally of perjury one 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
�mmance of the work for which [his 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
Dale
certify that, in the performance of the wor for w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I s California, and agre
t, if I should becornesubject to the' orke ooripensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of
Applicant -Date
C ONSTRUCTION ENDING AGBNC.
ueby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, CI it Code).
Ider's Name Lender's Address
lily signature below, I certify to each of the following: �f �1
I am the property owner or authorized to act on the property own ar's beha . l�
I have read this application and the information I have provided Is correc / V �Y✓ / �/ 2ey .Z
I agree to comply with all applicable city and county ordinances to lac relating to building construction.
I authorize representatives of this city or county to mde;T lheAb� KID inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE j BY a'DE4ARATION OF COM PLIANCE WITH CO DE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 61 UP TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
rrC--I11CPA
RESTOSNONHLAtION1S_1A LICABLE 10
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