HomeMy WebLinkAboutXR2022-2695 - Permitsr WPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O22-2695
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, Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2535
Permit Counter Phone: 949 644-3288
( ) Issued Date : 01/12/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
°g4ro a�",� newportbeachca.gov/inspections
__ Combination Type - SFP ELEC MECH PLUM
Work Class - New
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 : 1531 KATHLEEN LN Legal Desc : N TR 3057 BLK LOT 14
Description: NEW SFD ON EXISTING FOUNDATION 1737 SF WITH 769 SF ADDITION/477 SF GARAGE (PLAN CHECK FEES PAID ON XR2022-2649)
Owner: FOREST MONROE
Address : 1531 KATHLEEN LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: Bob Yoder
Address : 2405 Calls Madiera
San Clemente, CA 92672
Phone : (951) 538-3980
Owner/Builder : FOREST MONROE
Address : 1531 KATHLEEN LN
NEWPORT BEACH, CA 92660
Phone:
Contractor
Address :
Phone:
Con State Lie
Lie Expire:
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition :
2019
Fire Sprinklers :
YES
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks :
Front: 20,
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:
Architect: NIEMERSKIKENNETH
Address: 2031 ORCHARD DR #100 NEWPORT
BEACH, CA 92660
Phone:
(949)553-9100
State Lie :
Engineer :
WONG RNMON ROMAN II
Address :
1800 E 16'TH CT
SANTA ANA, CA 92701
Phone:
(714)835-2800
Designer
Address
Phone:
Construction Valuation :
$550,110b.00
Added/New/Ti sq. ft. Bldg :
2,506
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
477
TOTAL sq. ft. :
2,983
OWNER-13UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
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
re 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 licensers 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).
11, 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,
usiness 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
rlprovements 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 sale).
I, 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
ply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
,y 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
oil a structure that I have built as an owner -builder if ithas not b a struct d in its entirety by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and
'rofessions Code, is. available upon request when?thlapplicat' i -s Etta or t he following Web site:http:/lwww.leginfo.ca.gov/calav+.html.ignaMue of Property Owner or Authorized Agent D.ICENSED CONTRACTOR'S DECLARATIhereby affirm under penalty of perjury that I am fiad under visio of or
9 (commencing with Section 7000)of Division &of the Business and Professions Code, and my license is In full force
nd effect. License Class License. ND Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNINGI 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 (Sf00,000), IN ADDITION TO THE
OST OF COMPENSATION; DAMAGFS AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury ol,e of the following declarations:
] I 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, forth(
erformancer of the wnfk H"vhich tf.is ps:rrit Is issued. Policy No.
have and will maintain workerss' 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 carder and policy numberare:
Policy Number
Date
ne of Agent Phone #
certify that, in the performance c` `hT 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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of ApplicantDate_ _
,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under t,er,alty of penury 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 Lenders 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 ordi ces and state laws relating to building construction.
I authorize representatives of this city or county )o ant 1 �akipr"iijad property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMiTEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
(//7
MNIZ17-14-01
OF COMPLIANCE WITH CODE Or FEDERAL
PART fit OF TITLE 40 AND AQMD RULE
A5BEST05 NOTIFICATION TO
NOTAPPLICABLE To
FOR OFFICE USE ONLY