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HomeMy WebLinkAboutXR2022-2417 - Permits(!', oRr City ofNewport Beach @Community Development Department- Building DivisionCOMB Permit:XR2U22-2417 n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No zPermit Counter Phone: (949) 644-3288 Issued Date : 06/17/2021 Inspection Requests Phone: (949) 644-3255op newportbeachca.gov/inspections Inspection Area:4 Combination Type - MFP Work Class - Other 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: 61 SEA ISLAND DR Legal Desc : TR 8444 LOT 1 UNIT 1 OF PROJECT LOCATED ON AP 442-251-01 TOG ETHER WITH AN U ND 1/83 INT IN LOT 1 Description: MFR ADD 600 SF TO CONVERT UNDER FLOOR CRAWL SPACE TO LIVABLE, ADD 70 SF ATTIC SPACE, REMODEL 1,819 SF & WINDOW C/O THROUGHOUT *CHANGE OF CONTRACTOR* Owner: CROMWELL PROPERTY HOLDING LLC Address : 61 SEA ISLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: CROMWELL PROPERTY HOLDING LLC Address : 61 SEA ISLAND DR NEWPORT BEACH, CA 92660 Phone: Owner/Builder : Address : Contractor: JARAMILLO WILLIAM Address: 1192 MITCHELL AVENUE #20 TUSTIN, CA 92780 Phone: (714)381-0288 Con State Lic : 902100 Lie Expire : 08/31/2023 Bus Lie: BT30075770 Bus Lie Expire : 07/31/2022 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect: BDAIWI MUSTAFA Address: 601 PARKCENTER DR #204 SANTA ANA, CA 92705 Phone : (714) 673-6611 State Lie : Engineer: JALALPOURMOHAMMAD Address : 152 DEERFIELD AVE IRVINE, CA 92606 Phone: Designer: Address: Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone : NO _ Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : B Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks: .. - Flood Zone : AE; X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the mason(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 he 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 Drofessions Code) or that he or she is exempt from licensure andthe 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 tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages 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, 3usmoss 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 mprovements are not intended or offered for sale. ff. 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 m roved 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 ContractorsState License Law does not ly 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). 51 am exempt from licensors under the Contractors' State License Law for the following reason ____.... _.. ._._...._..._. ........____ ... __....... By my Signaturo 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 legally sell a structure that I have built as an owner -builder if ithas not been constructed in its entirmv 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 oral the following Web site:hltpl'rvmv.leginfo.ca.govfcalaw.htmi. Signature of Property Owner or Authorized AgentT, D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Saotion 70 Divigign pf the Business and Pro(essi s d ny ice a iL sin full force and effect. License Class License No Date d (..LContractor Signature `� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO ORtMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADORION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AGO ATTORNEWS FEES. I hereby affirm under penalty 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 IN performance of the work for which this permit is issued. Policy No. ©I 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' compensatior insurance carrier and policy number are: of Agent certify that, in the performance of the , if I should become sublect to tf>gwbl of Policy Number _._. Expiration Date for Which this permit is issued, I shall not employ any person in any mannor so as to become subject to the workers' compensalion laws of California, and agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ,L Dale—? ._...____.... neretry 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 ender'a Name Lender's Address y my signature hallow, I certify to each of the following: I am the pmpoel- owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county Or mantes and slate laws relating to building construction, authoriz.: r-pres entatives of this city or count to r�lAtha above -identified property for inspection purposes. i ALI it rN ~rVMl7 EXPIFEU DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND ACIMO RULE I SUBMITTED PERITFINALCEFTIffCATEOF-(xp-�S �I, uOPOSED DEM(]LITNOTIFI I5 OT APPLI O OCCUPANCY ISSUED FOR OFFICE USE ONLY Civil Code). PERMIT FEE DETAILS FOR PERMIT XR2022-2417 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Issuance Fee $39.00 $0.00 GRAND TOTAL: $39.00 \ \ 0 m j / ,\\ m 4)\ \ \ \/\ z § %©0 § o �\\ § d§# ®°q \ )// /)) \») ) )�\ ) §(( / !k) ] /2) j A \ 6 j { ) / \ q ^ a 5t#4 ) / \{\a \ [\L) )/ ;\\/ { /a.,= / (o )«)2 /(C, \ J z UL) A a cn $§{2 / / e e