HomeMy WebLinkAboutX2022-1672 - PermitsrE�wnoRr.
City of Newport Beach
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Community Development Department -Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/Inspections
Combination Type - MFP
Work Class - Other
IIIIIIIII�IIIIIIIIIIIIIIIIII6IIIIIII II COMB Permit : X2O22-1672
Plan Check No : 1516-2022
Issued Date : 0510212023
Inspection Area :3
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: 1633 BEDFORD LN Legal Desc : N TR 1893 BLK LOT 12
Description: MFR SEISMIC RETROFIT W/ CANTILEVERED STEEL @ SUB -TUCK GARAGES
Owner: NEW NEW HINOKI LLC
Address : 3645 LONG BEACH BLVD
LONG BEACH, CA 90807
Phone: (562)264-5078
Applicant: DELIA GARCIA
Address : 24702 NARBONNE AVE
LOMITA, CA 90717
Phone: (310)294-8111
Owner/Builder :
Address :
Phone:
Contractor: OPTIMUM SEISMIC INC
Address : 5508 S Santa Fe Ave
Vernon, CA 90058
Phone:
(323)605-0000
Con State Lic
: 1012702
Lie Expire :
04/30/2024
Bus Lie:
BT30081447
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Policy No : 1000004338
W. C. Expire : 9/15/2023
Architect
Address
Phone:
State Lie
Engineer: GARCIALIONEL
Address: 24702 NARBONNE AVE
LOMITA, CA 90717
Phone: (310) 294-8111
Designer:
Address :
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$50,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U,R-2
No of Units :
2
Alteration sq. ft. Bldg :
I'll
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage!
0
TOTAL sq. ft.:
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 0
Flood Zone:
X
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Use Zone:
RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors` State License Law for the reasons) 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, after, improve, demolish. or repair any structure, prior to its issuance, also requires the applicant for
no permit to file a signed statement that he or she is licensed pu€suantto the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
lrofessions Code) or that he or she is exempt from licansure 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 penaky of
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I_) portions of the work, and the structure is not. intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emptoyees' or personal effort, builds or improves the property, provided that the
m rovements are not intended or offered for sale, F. 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 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 Contractors' State License Law does not
Iy 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)_
t am exempt from ticensure under the Contractors' Slate License Law for the following reason: _
ly 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 legatl)
all a structure that I have built as an owner -builder if it has net 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:ltwww.leginto.ca.gov)calaw.htmi.
>igrnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivision 3 of the Business and P esslo ode a is 11 force
Ind effect. License Class License No Date Contractor Signatu
PORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINE$ UP TO ONE HUNDRED THOVSANO DOLLARS ($100,000), IN ADD171014 TO THE:
:CST OF COMPEHEATIO.N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATT ORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
4eve 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
ance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers' compensation
ranee carrier and policy number are:
tar Policy Number Expiration Date
is of Agent Phone #
certify that, in the performance of the work for which this ?errnit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ages
, if I should becom subject to to weK nsati ISiens of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ /� /
lature of Applicant m - Dale""'Y'P '+ Z- r, arrar.r�a, rvr+rt nra nravnwA,twntia„na,w,a,n arvna,w.v✓
hereby affirm under penaky of perjury that there is 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
3y my signatwe below, I certify to each of the following:
t 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 W Can ply with all applicable city and County ordinances If state ws relating to building Construction.
I authorize representatives of this city or CCU the a ve,i roper inspection purposes.
a:gaature of Proeert Owner or Authorized Agar)
t Print Property Owner's or Authorized A ant's Name .A�i
ACTION u PATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFJCE USE ONLY
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