HomeMy WebLinkAboutX2022-1081 - PermitsCity of Newport Beach
Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
T Inspection Requests Phone: (949) 644-3255
°4c,FoaN`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
iiiiiiiiiiilll CoM er 't : X2022-1081
Ian Check No 0992-2022
Issued Date : 011101 23
s Inspection Area :-4
y �0\0• or Cekv
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR -.LAST VALID INSPECTION, B ((�(qO QATER THAN 3 Y FROM F
NO CONSTRUCTION RELATED NOISE ON SATIJ5DAY OR SUNDAY IGH DENW REAS AND NO K ON SUNDAY
011
F k0
Job Address : 2676 BAY SHOREPR-`
Description : SFR (17 •lS'§ONS
Owner: LANG f N JA G' R J& S
Address : 5100 C PU;3'bR STE 00 t >
NEWPO T BEACH 660 `
Phone
Applicant: PROMONTO Y P INC
Address: 17401IRVINE LVD ST
TUSTIN, CA 92 0
Phone: (714)993-0554 S
e*.
Owner/Builder :
Address :
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups : U,R-3
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 10, Front: 1
AE, 8 FT; X
R-1 - Single -Unit I
SPECIAL CONDITIONS:
Legal Disc . A V BLK 54 LOT 171 IRVINE SUB LOT 171 BLK
>PA (S2022 0088:k >
Contractor: PROMONTORY P'> LS INC Architect
Address : b� TUST IRVINE BLVQiSTE B do � TUSTI N, GA 92780 rFVJ�
Phone ; (714) 993-0554 1i ho e .
Con teLic : 404194 O. S(�.`�► �st�tV L
Lic xpire; 03131/2023 V P+ 1
Byu ic: BT30043 ��Sti Engineer
Bus Lie Expire : 05/31/2021�0\Id0 Addres
Worker 9 psation Insurance
Carr
�`
(�/�^ lic: EXEMPT
Fire S ' lers
No of 1
NO'CQ • s o
9a Pv4-ate/
Phone:
ANAL ISSUANCE DATE
HOLIDAYS IN ALL AREAS
OR OF LOT
C ASN
N CA �2Q77'
- 542
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$85,000.00
0
0
0
NO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
t hereby affirm under penally of perjury that I am exempt from the Contractors.' State License Law for the reason(sj indicated below by mark{s) I na placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to coosVuct, alter, improve, demolish Ir any structure, prior to issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Lice Chapter 9 (commencing with Sec on 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from I{censure and the basis far the alleged exemption- Any viojeti.rt° ectlon 7�03�1(5 by any applicant for a� (mi subjects the applicant a civil penally of
not more than five hundred. dollars ($500).El ;, •��``- le• p
�G ootU
I, as owner of the property, or my employees with wages as their sole compensation, will do �J all of or L) ppgqrr�poi work, and tFFyyeerr�sr�l�@�eC15'nol intende or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property Who,tthrough ern toy�P o pYeKonal effort, builds or i roves the property, provided that the
Improvements are not intended or offered for sale, If, however, the b Idi[,fgsahimprovement Is sold within one year ofOc¢grf�tllawner-Bui]dar will have t u en of proving that it was not bunt or
Improved for the purpose of sale). __ r _ �v
Las owner of the property, am exclusively contracting �itfi'liceps d fit onstruct the p I (Section 7044, Busine g and stone code: The Cont ctors' State License Law does not
- Men
her
to an owner of property who builds er Iritgtvvs n Sw o for the project ,. is ed Cantract the ContractorsState License w).
LI I am exempt from frcensore. un `�:oniracto a' e i aw for the f low Bo. - to.
El
By my signature "o"w I ac Bedthat, except f r anal r idenc` _ h w ust hav at f ast one year prior m completion of the improvements vered by this permit, I cannot legali
sell a structure that I have b 'It as an owr�ryai7pl ft he not boa „ nsIF - I ire contractors. I understand that a copy of the applicable law, Se 'on 7044 of the Business and
Professions Code, 's evailab upon when this ap sy. ' n is tt rid a g Web site.http 6 ,iegmfo.ca.gov(calawAtml
Signature of Propar[v Owner Authorized Agent - • '' » _ OR
--
LICENSED CONTRACTO S DEC N . v 9
I hereby ai8m und_l feaalty of erju at. a nse phdsi, ions of Chapter 9jcrSt4fm'€ iDing with Sec Hon. ) ,i sion 3 of the Business and Pr e„ 2� Ice a " 'n full fore
�`
and eRe ,t. License Class ` License No ❑at % d Contractor Si n t
WORK CRS' COMPENSATIO DE �_ vim'=i.
' AW,
WARDING. FAILURE T V S-I TE WORKE COM TION COVERAGE M as L SL I114' . EMPLOYER TO CRIMINAL PENALTWS AND?JxIu N DRE U OL RS,ti'100,000), IN ADDITION TO THE
CGS, .IF CC.MPENSATION, pA.AAGES AS OVIOkD FOR IN N7T050FSN�LAe k. ERkST, AND ATTORNEYS FEES. `CJ\�J__ ta�edl
I hereby affirm und�i peaalty of perf one a toll ng dectaira�tl 4
'n••s and will maintain a cerlifi' to D anssnt elf-'r> r workers' compensation, Issued by Rte D;r�cln nE Indt �a( iRoe as provided y 70 of~tha Labor Code, for th
performgrce of the work for which this erml Is licy No. I nC -
GI have and wit! mai.htsin workers' co pens In insurance, as requited by StliQ f e Labor Code, for the performance of the r which sued. y`workers' compensatio
In L r^.rrs: carrier ano policy number are-
Gar inr olicM r Ex�iD�fetj
N e of Agent P. ne #
as s of California, and ogre
that. in the perfor a the for is per lr'��"0''f""°`lild, I shall not employ an on in any Mann s to subject to the workers' sompens liole—
Ihat, if I should become sable , t work. nsatian prawsions of Section 3700 o afro, Code, I sh wit y with those provisions.
Signature of Applicant . Date �e
DECLARATION R AR C LENDING AGENC - ^'
Hereby aNirm u sr p al of perju y that ther isart cif c' lending agent a pe ce of the work for vArh this permit Is issued (Section 3097, Civil Code).
Ler is Name �V�+�_ aAddress
By my signature borow, I Certify to each of the foil. :frig:
I am the property owner or authorized to act on he erty .half.
I have read this application and the information a ad is correct.
I agree to comply with all applicable city and cou Adinroes a. state laws relating to building construction.
I authorize representatives of this city or county to nt a so identified property for inspection purposes. -
y j /a�
Si nature of Property Owner or Authorized A t Print Property Owner's or Authorized A ent's Nam Date
ACTION
DATE
BY
D GLARATPbN OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
403
PERMIT EXPIRED
1 SUBMITTED ASBESTOS NOTI FICATION TO
PERMITCANCELLED
EPA_----�
P€RMIT EXTENDED
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MD
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PERiN1T HNA!
_
ASBESTOS N "lCA1'ION IS NO LICABLE i0
CERTIFICATE OF
PRO101111 N
OCCUPANCYISSUED
SIGNATURE.