HomeMy WebLinkAboutXR2023-0462 - PermitsEWPo" City of Newport Beach 111IIIpIII1111111111111111111111111111111111111111111111COMB Permit : XR2023-0462
0 - "1 Community Development Department - Building Division X R 2 0 2 3 0 4 6 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0385
Permit Counter Phone: (949) 644-3288 Issued Date: 0310212023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 2
e R� newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
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 : 7 LINDA ISLE _ Legal Desc : N TR 4003 BLK LOT 7
Description: SFR NEW INTERIOR NON -BEARING WALLS AND DOORS FOR TWO NEW MECHANICAL ROOMS IN GARAGE/HOUSE
Owner:
JOHN MANLY
Address :
7 LINDA ISLE
NEWPORT BEACH, CA 92660
Phone:
(949)689-7895
Applicant :
SCOTT AIR INC
Address :
19015 SUNDOWN LN
YORBA LINDA, CA 92886
Phone:
(714)404-5807
Owner/Builder :
Address :
Contractor: CJR DEVELOPMENT INC
Address: 16126 RED COACH LANE
WHITTIER, CA 90604
Phone:
(323)359-9532
Con State Lie
: 943952
Lie Expire :
02/28/2025
Bus Lie:
BT30080864
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INSURANCE
COMPANY
Policy No : 82211
W. C. Expire : 10/1/2023
Architect
Address
Phone:
State Lie
Engineer: WU HAROLD PING -HUNG
Address: 1168 N SAN GABRIEL BL, STE N
ROSEMEAD, CA 91770
Phone: (626)288-0708
Designer:
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $7,000.00, " ",
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg : - •' -
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage : 0 "
TOTAL sq. ft. 0
Building Setbacks :
Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone :
AE, 8 FT; X
..
Use Zone :
R-1 - Single -Unit Residential
.... .
NO CONSTRUCTION RUCTION NOISE"_",
PROCESSED BY:
%
SPECIAL CONDITIONS: HIGH DENSITY ZONE
ON THE WEEKENEY
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 items)
3eclion 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
Ie permit to fife a signed statement that he or site Is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and
rofessions 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
of more than five hundred dollars ($500).
7 1, 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,
usmess 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 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
nproved for the purpose of safe).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
-ptply 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).
J I am exempt from licensors 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 campieUcn of the improvements covered by this permit, I cannot legal,,
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, isavailable upon request when this application is submitted Brat the following Web. she:htip:llw .leginfo.ca.govkalaw.htmi.
;iinature of Property Owner or Authorized Agent _Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commending with Section 7 ) f Divi'ion 3 of the Business and Prole si s CoQe.ra7ld my license is in tuft force
nd effect. License Class License No Date - u Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 6 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,60Ej, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 170E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury One of the following declarations:
I I have and sui11 maintain a certificate of consent to setf-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e¢ormance 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 work for whichthis permit is issued. My workers'
Fence carrier and policy number are:
Policy Number
Date
is of Agent rnone IF
certify that, in the p9flOrmance, of the work for which this permit is issued,. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should becom su l ct t the rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant v._..�._.._....
hereby affirm nrdnr penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,
endees NI _ Lender's Address
ly my signature below, I certify to each of the following:
I. am the prcpert; 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 niter the above4entified property for inspection purposes.
IlonLture of Piooct,v Owner or Authorized Agent VA01 "T-Ab� Print Property Owner's or Authorized Agent's Name ✓9Z n
ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE. 40 AND AOMD RULE
Ij ✓t RMIT EXPIRED i LIISURNCTTEDASBEST05 NOTIFICATION TO _J
I_PERMIT CAA'CEd. D MEPA
�_�_�A
PERMIT FINAL ASSE TOS IS NOT APPLICABLE TO
CERTIFICATE OFPROPOSE DOCCUPANCY ISSUED 9 �, SIGNATUR'
Civil Code),
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