HomeMy WebLinkAboutXR2022-2258 - PermitsF��WPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U22-2258
p e�Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2098
Permit Counter Phone: (949) 644-3288 Issued Date : 0110312023
' Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
c9p FORN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Wn r4 Clacc - Addition/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: 5 CHERRY HILLS LN Legal Dose : N TR 7638 BILK LOT 8
Description: SFR ADD 162 SF, REMODEL 1521 SF. NEW 321 SF CALIFORNIA ROOM (NON -HABITABLE)
Owner: BENJAMIN & KELLI TRACHTMAN
Address : 5 CHERRY HILLS LN
NEWPORT BEACH, CA 92660
Phone :
(949) 463-0720
Applicant:
STEPHEN CRAWFORD
Address:
9521 IRVINE CENTER DR
IRVINE, CA 92618
Phone :
(949) 861-2244
Owner/Builder :
Address :
Phone :
Contractor: FLUEGGE CONSTRUCTION INC
Address : 27762 ANTONIO PKWY L-1 #422
LADERA RANCH, CA 92694
Phone :
(949) 275-7311
Con State Lic
: 844285
Lic Expire :
08/31/2024
Bus Lic:
BT30080202
Bus Lic Expire : 12/31/2023
Workers' Compensation Insurance
Carrier:
Policy No: EXEMPT
W. C. Expire:
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : R-3 No of Units : 1
Bldg Height: No of Stories : 1
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Architect : Pe <z r#
Address
Phone:
State Lic
Engineer: MANSHADI FARHAD
Address : 1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone : (714) 835-2800
Designer: ERIC TRABERT
Address : 9521 IRVINE CENTER DR
IRVINE, CA 92618
Phone: (949)861-2244
Construction Valuation : $195,000.00
Added/New/TI sq. ft. Bldg : 162
Alteration sq. ft. Bldg : 1,521
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 162
I hereby affirm under penalty of perjury that I am exempt from the Contractors.' Slate License Law for the reason Qs) indicated below by the checkrnark(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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that Be 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 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 penalty of
not more than five hundred dollars ($50D).
rl 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
apply to an o:vner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
❑ 1 am exempt from licensure 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 legall,
sell a structure that I have built as an owmsr-buildor 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
Professions Code„ is available upon request when this application is submitted or at the following Web site:http:l/www.[eginfo.ca.govlcalaw.btml.
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(111)�Isionf the Business and Profs oI my license is In full force
and effect. License Class License No Da a Contractor Signatu€e
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm underpenal€y of perjury one of the following declarations:
-11 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 th
)erformance 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:
ier Policy Number Expiration Date
is of Agent _. _ phnno e
dy that, in the p rformanc f th we r which this permit !s Issued, I shall not employ any person in any manner so as to become subject to the worke 'Compensation laws of California, and agre
at, if I should become ject t t w r f;i •ompensat .Dvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��77
1gnalure of Applicant _ Date. —l' Z 3
)EGLARATION REGA DIN INS �GTION LEND r AGENCY
hereby affirm under p natty of p th there is a In
lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
-enders Name Lender's Address
iy 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 1 have m ided is �.rr �Lt/ correct. / „l.r'ol(
I agree to comply with all applicable city and co my dI s and state laws relating to building construction. v
I authorize representatives of this City or county ter h. e-identlfied property for inspection purposes. _
ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent:'s Name VOate L
ACTION DATE BY 1,.A DE. t NOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
€ REGULATI N5 PART a1 OF TITLE 40 AND AQMD RULE
1403
rercwrr�rrrineu _ L-I I SUBMITTED ASBESTOS NOTIFICATIONTO
PERMIT CANCELLED_ _ _ —0CPA
MFIifTEXTENDED ,L�ACIMD _
PERMIT FINAL 10
..J�� BE OT Lf1 71 111 N 1'APPLICABfE
CERTIFICATE OF Gy�) PROPOSEO D LIT 0
OCCUPANCYISSUED 1 cir-MenlDP-