HomeMy WebLinkAboutXR2022-2031 - Permitso��tiWPoRe City h
Community Newport Beach
t-Building Division IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : XR2022-2031
�. 100 Civic Center Drive, Newport Beach, CA 92660
r ? Permit Counter Phone: (949) 644-3288 Plan Check No: PC2022-1867
^>~ Inspection Requests Phone: (949) 644-3255 Issued Date : 07/27/2022
c"�iFo aN`" newportbeachca.gov/inspections Inspection Area : 3
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 : 5 PARK PL
Legal Dose : N TR 12873 BLK LOT 5
Description: SFR REMOVE & REPLACE DRYWALL IN KITCHEN AND BREAKFAST NOOK AREA 360
Owner: BERES NORMAN A TR
Address : 1460 PITTMAN TER GLENBROOK, NV 89413
SF
Contractor: TEAM ULTIMO REAL ESTATE
Address : 1529 MAXWELL WAY COSTA MESA, CA
92627
Addresst:. 470 ON EWPORT BLVD NEWPORT
Phone:
Phone: (949)689-5293
BEACH,
9 CA H,
CA2663
Applicant: TEAM ULTIMO REAL ESTATE
Con State Lic : 964742
Phone:
State Lic
Address : 1529 MAXWELL WAY COSTA MESA, CA 92627
Lic Expire : 08/31/2023
Bus Lic
Phone: (949) 689-5293
: BT30036733
Bus Lic Expire : 08/31/2022
Engineer
Owner/Builder:
Workers' Compensation Insurance
Address
Phone:
Carrier: STATE+COMPENSATION+INSURANCE+FUN
Address:
Phone:
D
Policy No: 9051279
Designer
W. C. Expire: 4/1/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction : V-B
Fire Hazard Zone : Y
Construction Valuation : $5,000.00
Occupancy Groups : U,R-3
No of Units : 1
Added/New/TI sq. ft. Bldg : 0
Bldg Height:
No of Stories : 2
Alteration sq. ft. Bldg : 360
Added/New sq. ft. Garage: 0
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
wires a Permit to consuucl, alter, improve, demolish. or repair any structure, witoYtrSocuon 7000) of D'lalso
v�sirequires
3 of the 'ir
hereby aflir€n under penalty of penury that I am exempt from the Contractors Slate License Law for the reason(s) indicated below ai the structure
s i I have placed next to the applicable pPlea
(Section 7031.5. Business and Professions Code: Any sitar or county that req p
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' state Licans0 Law 031.5 b _ (commencing
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 penalty of
44,
not more than five hundred dollars ($500). will do all of or Portions of the work, and the structure is not intended or offered for sale (Section
70 that
the
I, as owner of the property, or my employees with wages as their sole compensation, t_) (—)
Business and Professions Code The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds e burden
of the property. provided
improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of compietlan, the Owner -Builder will have the burden of proving that It was not built or
Unproved for lha purpose of sales
I, as owner of the pope wam ho exclusbuilds onmp ones thereon, with licensed
who contracts for ithe projects o Gonsruct tile
th a licensed Contracbr purl ant to herOontradorsState License s Code: The rLaw). Slate License Law does no
a ply wan owner of p Derrypermit, I
I am exempt from Ilcensure under the Contractors' State License Law for the following reason: -__—�_...--- -- must have resided for at least one year pr or 10completion of -
By my signature below I acknowledge that, oxco-dpt for it has not been constructed in i'n itsich entirety by licensed contractors. I understand that a Copy of thahappl able aw,t5ection 7044l by tof5 he Business nand
lega
Sell a structure that I have built as an owner -builder Date
professions Code, is available upon request when this application is submitted or at the following Web site,.http.1/wvw.leginfo.a.gov/calaw.kttml.
Signature of Popert; owner or Authorized Agent /
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seed' t} ZIaff o 3 0 the
Coolracto SS gna[ur ssions Co adn�v license Is in full farce
and effect. License Class
License NODab'YY
WORKERS' COMPENSATION DECLARATION AWFUL AND
WARNCOST ING'
COMPENSATION, TTOIO SECURE DAMAGES AaRRROOOED SATIC SECIN TION OIE IS THE" UNL SOR CODE.AINTEREST.ANO ATr RNEYa FEES.CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tE50aAaGh IN ADDITION TO T
HE
OR IN
II hereby affirm under penalty of perjury one of the following declarations:
1 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 t
11
orformana 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 his permit is issued. My workers' compensatto
surance carrier and policy number are: Policy Number Expiration Date
Phone #
ame of Agent loy any parson n any manner so as t
11 certify that. in the performance of the work for which this permit is issued, I shall not empforthwith amplly with those provisions.
become subject to the workers' compe%tion laws of California, and agre
at, if I should becomes bject to pensaUon provisions of Section 3700 of the Labor Code, I shall
riformano
ignalure of ApplicanKnItV!50
ECIARATiON REGCTION LENDING AGENChereby aff'rm under erjury thatihare Is a construction lending agency io Lthe P
ender's Address of the work for which this permit is issued (Section 309 Ci it Code).
endei s Name
Iy my signature below, I certify to each of the following.
I am the property owner or authorized to act on the property owners behalf.
I have, read this application and the information I have provided is correct.
I agree to comply with all applicable city and cow ty ordinances and stale laws relating to building construction.
I authorize representatives of this city or cou o enter the abo�ntifled property for insspel tion PropertyOwner's ooses r Authorized Agents Name M 1C:1-int�� 6A4i VG� DaPrint
ACTION
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY 155UED
DATE aY ( D- RATION OF COMPLIANCE WITH CODE OF FEDEE
j REGULATIONS PART al OF TITLE 40 AND AQMD RULE
ISU
ISNOTAPPLICABLE TO
FOR OFFICE USE ONLY
All required alarms, latches prates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.