HomeMy WebLinkAboutX2022-1040 - Permitso�aEwvo�T City of Newport Beach
A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
D> S Inspection Requests Phone: (949) 644-3255
cgr�F x+N`� newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Alteration
COMB Permit : X2022-1040
Plan Issued Date
0Check : 0955-2022
22
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 : 23 SOUTHAMPTON CT
Legal Desc
: TR 10987 LOT 2 UNIT 1.27 OF PROJECT LOCATED ON AP 442-351-08 TOGETHER WITH A N UND
1/50 INT IN
LOTS 1-4 INC
Description:
MFR INT REMODEL OF KITCHEN/NOOK 240 SF
Owner:
JOSEPH FARLEY
Contractor:
MARQUAND CONTRACTING CORP Architect
Address :
23 SOUTHAMPTON CT #140 NEWPORT
Address :
5321 UNIVERSITY #G IRVINE, CA 92612 Address
BEACH, CA 92660
Phone :
Phone :
(949) 387-2617 Phone
Applicant: ALEX BISHOP
Address: 90 VANTIS, 3043 ALSO VIEJO, CA 92636
Phone: (714)612-6316
Con State Lic :
316089
Lic Expire :
07/31/2023
Bus Lic :
BT30075855
Bus Lic Expire :
07/31/2022
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
Y
Occupancy Groups : U,R-2
No of Units :
4
Bldg Height :
No of Stories :
2
Building Setbacks :
Flood Zone : X
Use Zone: PC - Aeronutronic Ford
PROCESSED BY:
SPECIAL CONDITIONS:
State Lic :
Engineer: COOMBS CURTIS
Address : 129 OLDENBURG
92860
Phone: (951)737-9400
LANE NORCO,CP�
Designer: -
Address
Phone:
Construction Valuation : $45,000.00
Added/New/TI sq. ft. Bldg : 240
Added/New sq. ft. Garage : 0
INSpaCTOR
.�aa
I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkrins ) I have placednext to the applicable ttem(s)
Section 703t.5. Business and Professions Code: Any city or county that requires a permit to consmat, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
in 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
'rofessions Coda) or that he or she is exempt from ficensure 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
of more than five hundred dollars ($500)
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovemams are not intended or offeredfor 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
n—{proved for the purpose of sale)_
J 1, as owner of the property, am exclusively contracting With licensed Contractors to construct lha project (Section 7044, Business and. Professions Code: The ContractorsState License Law does not
ply 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).,
I am exempt from licensors under the Contractors' Slate License Law for the following reason: .,
ly any 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 iegalh
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:Ilwww,leginfo.ca.govicalow.html.
kIgrr tum of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION 5r
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Sectio 000) of i vision 3 of the Business and Pr f de y libeps all force
nd effect License Ulass License No ba �• 2 Contractor Signatur
VORKERS' CUMPENSATION DECLARATION
IARNINC: FAILURE T� SECURE WORKERS'COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND IT LLARS 1E4 4Atl0I, IN Ar OITION TO THE
DST OF COMPEN3, SION, DAMAGES AS PROVIDED FOR IN SECTION 3708.OF THE LABOR CODE, INTEREST, AND ATTORNeya FEES.
hLTap} affirm under penalty of perjury one of the following declarations:
21 1 ave 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
""mane or the work for which this permit Is issued- Policy Na.
I' 'icve and will maintain workers' compensation insurance, as required by Section 370D Of the Labor Code, for the performance of the work for which this permit. Is issued. My workers compensatiol
11,rence carrier and policy number are:
`z-/rer Policy Number Expiration bate
Igtne of Agent _, Phone ft
av �vrdfy that,in the performance of the work for which this per it is issued, I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and afire
tat • I should hec•)P?bTf
ubject to t e /rrkkers' compensation r visions of Section 3700 of the labor Code, I shall forthwith comply Win those provisions_ � �/ �7 A s,
Ilgnature of Applican— !"" ..__... ._._.___._... DISK . / / / '1 `
IECLARATION REG13 O R " N L SIDING GENCY //
hereby affirm under penalty of perjury t at. Cher. a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code).
ender s Name .Lenders Address
ly 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 corroCl.
I agree to comply with all applicable city and c�ty ono s and state laws lol g to building construction.
I authorize representatives of this city or cou ty to an in eye identified pro arty y for Inspection purposes.
mPi/
licature of POwner or Authorized ADan Print ProoOwner's or AuthName Dark
Anent Nam��( d// '�✓J Dar, /
ACTION DATE BY I)FCLARATIqN OF EO DANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATION t OF TITLE 40ANO AOMD RULE
14Ud
PEHMII kl:Pfpbo I I U I SUBMITTF0 ASBESTOS NCTi FICAV0N TO
All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall
be in Flo prior to approval to fill pool/spa & shall remain in place & he maintained for the
IS NOT' APPLICABLE TO /I life of the pool
CPRTIf1CATE OF
OCCUPANCY 155UEO