HomeMy WebLinkAboutX2022-0031 - Permits��EWPoR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
C Commu ,ty Devel(tpment Department - Building Division X 2 0 2 2 - 0 0 3 1
100 Civic Center Drive, Newport Beach, CA 02660
.i Permit Counter Phone: (949) 644-3288
_-. Inspection Requests Phone: (949) 644-3255
C9[/FpR�p newportbeachca.gov/inspections
Combination Type - ELEC PLUM
Work Class - Other
COMB Permit: X2022-0031
Plan Check No : 0040-2022
Issued Date : 1013112022
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
t r
Job Address : 1706 PORT SHEFFIELD PL
Legal Desc : N TR 6621 BILK LOT 7
Description: SFR FREE-STANDING SOLID -ROOF PATIO COVER 272 SF W/ FIREPLACE
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i
Owner: TODD MILLER
Contractor: KEVIN J VOYTOVICH
Architect
Address : 1706 PORT SHEFFIELD PIE
Address : 26442 MONTECITO LN
Address
NEWPORT BEACH, CA 92660
MISSION VIEJO, CA 92691
Phone:
Phone: (949)294-4235
Phone:
Con State Lie : 1042112
State Lie : ..
Lie Expire: 07/31/2024
Applicant: KEVIN J VOYTOVICH
Bus Lie : BT30074293
Engineer : WICKSTROM ERIC ,
Address : 26442 MONTECITO LN
Bus Lie Expire : 10/01/2023
Address : 28581 VIA PRIMAVERN . • >>
MISSION VIEJO, CA 92691
SAN JUAN CAPISTRANO, CA 92675 ,,,,,
Phone: (949) 294-4235
Workers' Compensation Insurance
Phone: (949) 454-8045 , , . ,
Carrier :
. ' . : , ,
Owner/Builder:
Policy No :
Designer: ... ,
Address :
W. C. Expire:
Address : ..
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - 3 Harbor View Hills
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 :Text 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
the 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
Professions Code) or that he or she is exempt from licensure 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
not more than five hundred dollars ($500).
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements are 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 built or '..
improved for the purpose of sala)"
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
o 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 taw),
❑ at apply m exempt from licensors under the Contractors' State License Law for the following reason
By 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 legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca,gov)calaw.html.
Signature of Property Owner or Authorized Agent _ _ _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm untie, ?nra,ty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod my to efs ce
anp effect. License Class License No Date /(. 0/11 Contractor Signature
WORKEPS' COMPEN'.SATION DECLARATION
'WARPING: °AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (9i00,00C), IN ADDITION TO THE
COaT CF CC APENSATICF, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
'.I hereby affirm une'er pe^ally of perjury one of the following declarations:
0, 1 have and wi,i maiotadD 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 the
ffywrmance of the A'oik f3r which this permit is issued. Policy No.
.E 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 ano policy number are:
mer
cc hf Pgent
Policy Number
Date
ce,ioy that, in the per'ormance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should become s fact to the work ompensa r visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `� / �%
Talure of Applicant „_7�L'�,�, _. ��, Date (0/J it Zl
hereby affirm under penalty 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 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 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 nter above-i d property for inspectlon purposes. /J/
ionature of Prooertv Owner or Authorized Aoenl. Print Property Owner's or Authorized Agent's Name �L-urKrU.� C
ACTION
DATE
By Is�ATION (J�,dMPLIANCE WITH CODEOF FEDERAL
j RFGUILATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMITEXPIRED
I I Su eMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLED
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L"`iEPn
PERMIT EX7ENOED
❑AQMD
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❑ASeEST05 NOT IF ICAI ION IS NO] APPLICABLE 10 - - C
CERTIFICATE OF
(
PROPOSED DEMOLITION
OCCUPANCY ISSUED
;SIGNATURE: