HomeMy WebLinkAboutXR2022-2311 - MiscWPo�_
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newponbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
II II I I I II I II I III III I II I II COMB Permit : XR2022-2311
Plan Check No: Issued Date C 54-2021
08/30/20 2
Inspection Area : 5
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 : 314 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT 66
Description: DEMO SFR & GARAGE 1995 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Owner: BLUEWATER ESTATES LLC Contractor: JW CONTRACTING INC
Address : 15391 CHERBOURG AVE IRVINE, CA 92604 Address : 16833 HAY DR CHINO HILLS, CA 91709
Phone
Applicant: David George
Address : 2222 Martin, Suite 210 Irvine, CA 92612
Phone: (949)719-9818
Owner/Builder :
Address
Phone:
Phone:
(714)812-2136
Con State Lic
: 987024
Lic Expire :
09/30/2023
Bus Lic :
BT30047581
Bus Lic Expire : 06/3012016
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Architect: RHOADS TIMOTHY TRAVIS
Address: 17848 SKY PARK CIR STE D IRVINE, CA
92614
Phone:
(808)280-5961
State Lic :
Engineer:
KHOURYNADER
Address:
1278GLENNEYERE ST#201LAGUNA
BEACH, CA 92651
Phone:
(949)637-8357
Designer
Address
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 : R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
Building Setbacks : Front: 25, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: GV1_
SPECIAL CONDITIONS: CERT MAIL RECEIPTS ATTACHED
$10,000.00
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(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
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 me 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 pens y of
not more than five hundred dollars ($500).
El L, as owner of the property, or my employees with wages as their sole compensation., will do L) 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 sale).
r] 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
rapply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law),
LJ I am exempt from licensure under the Contractors' Slate 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 entirety by licensed contractors. I understand that n 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:lfwww.leginfo.ca.gov/calaw.html.
Signature. of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O) of Is' 3 of the Business and Pr dons C e' y license is In full force
and effect. License Class License No Dete Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND HOUSAND DOLLARS IS100.0001, IN ADDITION TO THE
COST OF COMPENSATION: DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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, for IN
performance 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 which this permit is issued. My workers'
ranee carrier and policy number are:
Policy Number
Date
he of Agent Phone #
'Z!@4ify that, in the pedor ante 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' mpensation laws of California, and agre
L. If I should become u tact to the work s' r nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant _. �„��_ _ Dal _
CLARATION REGA. I RUCTION L ._.. ENCY
Ireby affirm under p of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ci ' Co e).
Ger's Name Lender's Address _
my Signal a belo certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have real tHs aFplicatron and the Information I have provided is correct,
I agree to comply with all applicable city and cou9ty ord'.inances an s to laws relating to building construction.
I authorize representatives of this city or cour enter th_% ratified property for inspection purposes. L� . /// />l/' _ 1 A 7
AC'w'IJN
rt 7..,4'T EXPIRED
PERA4TCANC-LLEP
4 El?lvi„T CxTEA'DED
NER)vIiT FINAL
CERTIFICATE OF
OCCUPANCYiSSUED
DATE RV ✓ /%DrCLARATION OF COMPLIARtf-WITH CODE OF FEDERAL
REG U€ATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
LJ I St/amiTTFD ASBESTOS NOTIFICATION TO
_U
APPLICABLE TO
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
7021 0350 0001 6810 154
7021 0350 0001 6810 1520
7021 0350 0001 6810 151
7021 0350 0001 6810 1513
7021 0350 0001 6810 1506
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