HomeMy WebLinkAboutXR2022-1985 - Permits�gWPp�T City of Newport Beach II IIII I III II IIII II IIII III III III II
o� @ Community Development Department- Building Division X R 2 0 2 2 1 9 8 5
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9�/FOAN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2022-1985
Plan Check No: PC2022-1832
Issued Date : 10/25/2022
Inspection Area : 1
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 : 2210 CHANNEL RD
Legal Desc : TR NO 518 BILK P LOT 22, 23 &
24 AND POR LOT M AND POR OF ADJ ABAND STR(CHAN NEL
ROAD)
Description: SFR INTERIOR REMODEL 2428 SF
Owner: SCOTT THIEL
Contractor: WINKLE CUSTOM HOMES
Architect : OSCAR ALMENDAREZ
Address : 2210 CHANNEL RD
Address: 33971 SELVIA RD #110
Address : 31234 W NINE DR LAGUNA NIGUEL, CA
NEWPORT BEACH, CA 92661
DANA POINT, CA 92629
92677
Phone :
Phone : (949) 873-3125
Phone : (951) 9904834
Can State Lie : 992007
State Lie:
Lie Expire : 03/31/2024
Applicant : OSCAR ALMENDAREZ
Bus Lie: ST30063271
Engineer
Address : 31234 W NINE DR
Bus Lie Expire : 05/31/2023
Address
LAGUNA NIGUEL, CA 92677
Phone: (951) 990-4834
Workers' Compensation Insurance
Phone: 1 le r-^
Carrier : STATE+COMPENSATION+INSURANCE+FUN
{ 3
D
Owner/Builder :
Policy No: 9122252
Designer
Address :
W. C. Expire: 1/10/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $364,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg :
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg : 2,428
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg: 2,428
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
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 item(s)
iection 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 previsions 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 vioiation 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 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,
•usiness 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 ate 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 bulli or
nproved for the purpose of sale).
1, 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
�piy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure 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 legal)
ell 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 the applicable law, Section 7044 of the Business and
'rofessiors Code:, is available upon request when this application is submitted or at the following Vii site:http:/Iwww.ieginfo.ca.gov/calaw,htmi.
'•Ignature of Property Owner or Authorized Agent Date
.ICENS£D CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio 00) of Division 3 of the Business and Pr s' s e, and my Been a is full force
nd effect. License Class License No Dat Contractor Signatur.
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
,mane 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'
carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the pert m ce work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the war rs' compensation laws of California, and agre
iat, if I should beco s j oft hew kern' compe Salle rovi 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Da. � Gam`
DECLARATION REG Dl R
hereby affirm under ;penalty of at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. CI it Code).
entices Name Lender's Address
y 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 prove ed is correct.
I agree to comply with all applicable city and coup or ' Bud s and state laws relating to building. construction.
I authorize representatives of this city or coun{4 t0ls er the 4me-Identified•-67o34rtv for tnsDectlon ourooses.
ACTION
GATE.
BY / I CLARA N OF COMPLIANCE CODE OF FEDERAL
r Rf-G AFIONS PART 61 Of TITLE 40 AdV0 AQMD ROTE
1403
PERMIT EXPIRED
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