HomeMy WebLinkAboutXR2022-2690 - Permits�wru,r_, City of Newport Beach
b e Community Development Department- Building Division
F e n 100 Civic Center Drive, Newport Beach, CA 92660
>� _= Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Fn RN11newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
II III I I I II I II I III III II II II COMB Permit : XR2022-2690
Plan Check No :
Issued Date : 10/1112022
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 HQ ID_ � A)PS �N AFL AREAS
Job Address : 2306 ARALIA ST
Description : SFR CHANGE OUT (2)
Owner: TUNG JOHN ROBERTS TR
Address : 2306 ARALIA ST
NEWPORT BEACH, CA 92660
Phone
Applicant: AMERICAN VISION
Address: 2125 N MADERA ROAD#A
SIMI VALLEY CA 93065, CA
Phone: (888)563-0008
Owner/Builder :
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: R-3
Bldg Height :
Date:If applicable:
_ ---
BAY WINDOWS *NO CHANGES TO THE OP IN ❑ 80% or ❑ 100% refund
Ph
CGractor A ",I N Arcprt�ect
F A RA,� D ,�� i ` tOA • .. r �.-
SI LLEL CA 9�"065, CA 93065 j a
Y Phone : (888) 563-0008 Phone
C XV70P
StateLicLi e�;tk.� �`rBu is 9 Engineer
Bu Address
Workers' Compensation Insurance Phone
Carrier: INSURAN E+COMPANY+OF E ' s a
49nan
. rx
� 01 Dfspard pEtt
Address :
(Work started) (no work started)
Phone:
iGt£': Fire Sprinklers : NO
re azar one : NO
No of Units : 1
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: -
SPECIAL CONDITIONS:
TOTAL sq. ft. Bldg : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law fof the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
c(ion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for
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 Scatter,70G) of Division 3 of the Business and
fessmirs Code) or that he or she is exempt from licensure and the Sale for thealleged exemption. Any violationof-Se"iJin 7Sff,5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500), "
J I, as owner of the properly, or ITIUSiri and P'rofesslans Coda: IT
nprovements are not intended or of
nproved for the purpose of sale).
3 I, as owner of the property, am ea
ply to an owner of property who bu'.
am exempt from licensure onde
r,y my signature below I acknowledge
ell a structure that I have built as an
'rofesslons Code, is available upon r
iqr lra of Property Owner or Authc
ICENSED CONTRACTOR'S DE
hereby affirm under penaltyof pequl
nd effect. License Class _
es with wS IS p tiofiBuilt do L) all of or (_) portions of If {p)�jjQ y)tl cture is not intended or altered for sale (Section 7044,
Cont Fall �SLrtet ,Lice r es of p a&wner of ropertysuho,- through amplafj++ebs' or personal effort, builds or improves the property, provided that the
gyred f 6.d GflGt howev r he D Is sold within ono year of Gomple i nbt�eO�wPer-gq�dar Rh vedhe'burilen of firoving that ft was not buill or
0
Or IJ I �v`
lusfvely contracting wit I' ad ANha�sl
rtl �o t eel' , 7044, Business and Professions Code: The Contractors' Stale License Law does not
lue
or reon; cC trac(or pursue to Contractors State Lioerl Law).
e with a I, to Writ_ otha . -_
e C-rtractore late nee � a,a ((TT1tat, ceps for Pere o or at least one year prior to completion of the improvements covered by this permit, I cannot le(
In s not b constructed in its ontiroty by licensed contractors. i understand that a copy of the applicable law, Section 7044 of the Business and
st w an is application is submitted or at the followlna!heb sitaassA3tL''mwtartinfo-ca.aovlcalaw.html.
:RS' COMPENSATION DE
FAILURE TO SECURE WORKERS C(
FOR IN
hereby affirm under penalty of perjury 01
a c
I I have and will maintain a certifl,catnmd!
of
a ormance of the work for which this p
ve and will maintain workers' coor
lsurance cgrrier and policy nunyber are:
...... r Date
s and i N c Ion s„haY E?I'S (cn �clri, _its n f Divisi n oS the Business and Prof sip Code.'and y tense is In full force
Lic�y' Dale // Contractor Signature, 1
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL EWESUPT ONE UN�jR Ft.SMO and
(E100,00061N ADDITION TO THE
[dTION 3706 OF THE LABOR CODE, INTEREST,. AND 0.TTORNEY'3 FE Discard
q iq3' - tll rin DIarEA,iqo�nS: {{^^}} eo10 G 3 @@66e00'
to S ur�eftl! ro cer$.�� ti idh, issued by tier o! Industrial Re I vided for by Section 3700 of the Labor Code, for the
P (no Walk sft�`c'i
insurancf*t,�Y quiigtl� lie n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Compensator
Policy Number
re of Agent
certify that, inthe perfor ante of the 1 ark for which this permit is issued'.. I shall not
if I should becomelllLubj cl to Llrmwort rs',eemoensatlon orovugCms-aL5ec.4ien-37rn
Signature of Applicant ABIK61
Dal
DECLARATION REGA lt4 LENDING AGENCY I
hereby affirm under p that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097,
-ender's Name Lender's Address
3y my signature below, I certify to oath of the following:
I am the property owner or authohzed 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 cou y or ' a as and slate laws relating to building construction.
I authorize representatives of this city or county o er bove-i ified property for inspection purposes .i
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A erl Nam JCcrr7E
ACTION DATE By DEC TION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
REG TIONS PART 61 Of TITLE 40 AND AOIAD RU LE
PERMiTEXPIRED 17/2 tit l eM I:�, '. ❑ 1 SUIMITT'-D ASBF-TO5 NOTI
PERMIT FINAL I'A5BE5T 5 TIFI' 'I'ION IS 1 APPLICABLE TO
CERTIFICATE OF ! PROPOSED O 1 N
OCCUPANCY ISSUED j VGPATJRr
Code).
laws of California, and