HomeMy WebLinkAboutXR2022-2212 - Permits�EWroRr City of Newport Beach II III I III IIII II II IIII III II III I II COMB Permit : XR2022-2212
o� @ Community Development Department- Building Division X R 2 0 2 2 2 2 1 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2051
Permit Counter Phone: (949) 644-3288 Issued Date : 11/03/2022
iJ S Inspection Requests Phone: (949) 644-3255
cgG��OpN+P Inspection Area :4
newportbeachca.govnspections f
Combination Type - SFP ELEC
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 : 10 THUNDERBIRD DR Legal Desc : N TR 15390 BILK LOT 31
Description: SFR EXT ALT TO FACADE, COVERED PORCH ENTRY, METAL ROOF, REAR EYEBROW ROOFS, & R/R GARAGE DOORS. ALT DRAINAGE
Owner: LIA BRAL
Address : 10 THUNDERBIRD DR
NEWPORT BEACH, CA
Phone: (310)864-3597
Applicant:
ANDRADE STANLEY
Address:
2880 S COAST HWY
LAGUNA BEACH, CA 92651
Phone:
(949)715-7474
Owner/Builder :
Address :
Phone :
Contractor: BJ SCOTT & ASSOCIATES INC
Address : P 0 BOX 297
YORBA LINDA, CA 92885
Phone:
(714)779-8886
Con State Lie
: 718333
Lie Expire :
01/31/2024
Bus Lie:
BT30067214
Bus Lie Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U,R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Aeronutronic Ford
PROCESSED BY:
SPECIAL CONDITIONS:
Architect;
ANDRADESTANLEY
Address :
2880 S COAST HWY LAGUNA BEACH, CA
92651
Phone:
(949)715-7474
State Lie
Engineer: VAHDAT SIAMAK
Address : 4000 BARRANCA PKWY #250
RIVERSIDE, CA 92504
Phone: (949)654-0858
Designer:
Address : 8 0.. I ,,^.,-,. 9- �—t'�+ rn_i
Phone:
Construction Valuation : $80,000.00
Added/NewITl sq. ft. Bldg:
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
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) 1 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
is 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 Cade) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars (1500),
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) porttons of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Cooe: 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 sold within one year of completion. the Owner -Builder wit] have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
�PIy 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 I am exempt from licensure under the Contractors' State License Law for the following reason: T�
ry 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 legaily
ell a structure that I have built as an ownar-builder if it has not been Constructod in its entirely, by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the ausirloss and
'rolessions Code, is available upon request when this application is submitted or at the following Web site;http:liwww.leginfo.ca.govfealaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C Riultforce
nd effect. License Class License No Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN T AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY°B FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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, forth,
erformance of the work for which this permit is issued. Policy No..
11 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' compensafloi
Tsurance, carrier and policy number are:
36 ier Policy Number Expiration Date
n�tof Agent Phone
f ce 'fy that, iIT the performance of the werk for which this permit is tssued. 1 shall not employ any person in any manner se as to become subject to the workers' compensai[brt laws of CBlifomla, and 2gre
hat, if I hould become subject to the workers' compensation previsions oPSection 3700 of Ilte Labor Code, I shall forthwith comply with those provisions.
e of Applicant,_,_, Dat
)ECLARATION REGAIR ING IfCTIGN LENiiING- NCY' -
hereby affirm under penalty of perjury that there is a Siruction lending agency for the performance of the work for which this permit is issued (Section 309 Ivi Cade -
.onder's Name Lenders Address
3y 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.
I 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 to enter the above -identified property for inspection purposes.
Signature of Propertyy Owner or Authorized Age Print Pro a Owner's or Authorized A ent'sName Date _ -
ACTION DATE. BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V II
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I 1 SURMITTFD ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PER,VFIT FXTENDED I errLI QMD
PERMI7FINA1 IJ ASBESTOS NOTIFICATION I5 NO1'APPLICABLE TO
CERTIFICATE OF 43' PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: