HomeMy WebLinkAboutXR2022-2964 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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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 - SFP ELEC
Work Class - Other
III IIIII�R II2II IIIII III I2 I I II2 lull lull Ill
COMB Permit
Plan Check No
Issued Date :
Inspection Area : 6
: XR2022-2964
PC2022-2817
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: 3501 SEABREEZE LN
Description: SFR -ENERGY STORAGE SYSTEM
Owner: CAZORT JOHN GUY III TR
Address: 3501 SEABREEZE LN
CORONA DEL MAR, CA 92625
Phone
Applicant: PARKER JONES
Address : 24 EXECUTIVE PARK, STE 230
IRVINE, CA 92614
Phone: (714)514-1517
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 6228 BLK LOT 33
Contractor: ORANGE COUNTY CONTRACTING
Address : 24 EXECUTIVE PARK STE #230
IRVINE, CA 92614
Phone: (714) 514-1517
Con State Lic : 1023627
Lic Expire : 02/28/2023
Bus Lic: BT30061755
Bus Lic Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: STARNET INS CO
Policy No : BNUWC0156509
W. C. Expire : 4/8/2023
Architect
Address:
Phone:
State Lic:
Engineer: MORALES DOUGLAS
Address : 20751 KELVIN LN
ALISO VIEJO, CA 92656
Phone: (949)285-5104
Designer:
Address
Phone:
Code Edition:
2019
Fire Sprinklers :
NO
Construction Valuation :
$10,000.00
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:
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks :
Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
s_
Use Zone :
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARA
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 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
io 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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
nprovements are not intended or offered for sale. If, however, the building or improvement is said within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n proved for the purpose of sale).
3 I, 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
poly 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).
3 1 am exempt from licensors under the Contractors' State License Law for the following reason
,y 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 legalll
oil a structure that I have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors, I understand that a copy of theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpliw .leginfo.ca.govlcalaw.html.
Ifgnature 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 Section 7000) of ivisio 3 of the Business and Pr •sions C d(I e, a y licen is it force
nd effect. License Class License. No Dat /d 1 a Contractor signatuill-
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (SID0,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3905 Or THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
hereby Rffiign under penalty of perjury one of the following declarations:
Viand 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
Ice 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' compensa
carrier and policy number are:
Policy Number Expiration Date
of Agent
I certify 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 agra
t, if I should becom1"N..,0&�.T.,,TQNL
ect to al provision coon 3700 of the Labor Code, I shall forthwith comply with those provisions. ,�� �' / 11
(nature of Applicant�.�ral—�2�uZ oC
CLARATION REGANG AGENCY
3reby 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, Kil Code).
orders Name Lenders Address
my signature below, I 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 provided is correct.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county ent th eve-ide i eny for inspection purposes. a/
(nature of Prooertv Owner or Authorized ADentg� , /%i Print ProoerN Owner's or Authorized Agent's Name �Q !r VS'I'i(1 F1'ej_ M Date _��
ACTION DATE BY I REGULATIONS PART6 OF TITLE 40 AND AQMD RULER IL FOR OFFICE USE ONLY I
PERMIr EXPIRED ( LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEDI LIEPA I
PERMITFINAL I
D/c-^_ I LJ ASBESTOS NOTIFICA r1ON 15 NOTAPPLICABLE TO
CERTIFIC4TEOF —.fir{-'.Z5 PROPOSED DEMOLITION
OCCUPANCYISSUED i SIGNATURE:
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