HomeMy WebLinkAboutXR2023-1061 - PermitsrE jPokr City of Newport Beach
d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C11-IFp0.N�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
��III11111111111111111111111111111111111111111jj COMB Permit : XR2O23-1 Os1
Plan Check No : PC2023-0950
Issued Date : 04/25/2023
Inspection Area : 2
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: 1217 BAYSIDE DR
Description: MFR R/R STUCCO AT PATIO OVERHANG.
Owner: LEZLIEGUNN
Address: 4045 S BUFFALO DR STEA101
LAS VEGAS, NV 89147
Phone:
(702) 241-7776
Applicant:
Brant Keiser
Address :
1120 Princeton Drive 6, 6
Marina del Rey, CA 90292
Phone :
(760) 573-9116
Owner/Builder:
Address :
:11T- d
Legal Desc : N TR 8917 BLK LOT 1 UN 101. TR 8917 LOT 1 UNIT 101 FP, RP, CP 1, CP2 OF
Contractor: RECONSTRUCTION EXPERTS INC
Address : 5310 VIVIAN STREET
ARVADA, CO 80002, CA
Phone : (310) 648-8653
Con State Lie : 750511
Lic Expire :
10/31/2023
Bus Lic :
BT30062567
Bus Lic Expire:
03/31/2023
Workers' Compensation Insurance
Carrier.: SENTINEL
INSURANCE COMPANY LTD
Policy No :
34WEAAU7W0J
W.. C. Expire:
-1111/2023
Architect
Address:
Phone:
State Lic
Engineer: STUARTAHN
Address: 3823 EL MORENO ST
LA CRESENTA, CA 91214
Phone : (213) 820-000B
Designer
Address
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $9,700.00
Type of Construction :
V-B
Fire Hazard Zone i NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone:
AE, 8 FT; X
Use Zone :
RM - Multiple Residential
T j S
PROCESSED BY:
SPECIAL CONDITIONS: AE8 FLOODZONE
OWISIMBUILDER DECLARATION
I hereby affirm under penally of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have pinto next to the applicable items)
(Section 7031,5, Business and Professions Code: Any city or County (hot 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 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 licensure and the basis for (he alleged exemption. Any violation of Section 7031.5by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred' dollars ($500),
I, as owner of the property, or my employees With wages as their sole compensation; will do {_) all of or (_) Portions of.the work, and thestructureIs not Intended or offered for sale (Section 7044,
Businassand 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 notIntendedor Offered for sale. If, however, the building crlmprovemant is sold within one yearof completion, the Owner -Builder will have theburden of provingthat it was not built or
improved for the purpose of sale),
i0 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 owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors'' State License Law),
0 I am exempt from Ilcensure under the Contractors' State License Law for the following reason;
iBy my signature below I acknowledge that, except for my personal residence in which I must have resldod Forst least one year prior to completion of the Improvements covered by this permit, I cannotlegally
sell astructure that I have builtas an owner -builder if it has not boon .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 avollable upon request when this application is submitted oral [he following Web slte:http:/jvw,t.ieginfo.ca.gO\,Iralave.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 700 ) of Divla"'' 3:of the Business andProfsC e, and my license is in full force
and effect License Class. License No Date y 2S 20� Contractor Signature
WORKERS' COMPENSATION DECLARATION
(WARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES'UPTO' ONE HUNDRED THOUSAND DOLLARS ($100„000), IN ADDITION TD THE
COST OF CCMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR SODS, INTEREST, AND AT TQRNEY'S FEES. '
I hereby affirm underpenalty' of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to selWnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr
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 theperformanceof the work for which this permit. is Issued. My workers'
Trance carver and policy number. are:, "
is of Agent
certify final, in the performance of
If I should become
Subject o h
IalureorAuolicanl
Policy Number Expiration Date
for which thispermit is "issued; I shall notemploy' anyperson in any mannersoas to become subject to the workers' compensation laws of California, and
Compensation provisions of Section 3700 of the, Labor Code, I shall forthwith comply with those provisions.
Date— L41 7-S Zj
hereby affirm underpenalty'Of perjury that theca fart construction lending agency forthe performance of the. work fdrwhich 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 ordinances and slate Evvs relating to building construction.
I authorize representatives of this oily or county to enter the above-Iderd fled property for Inspection purposes.
denature of Prooartv Owner or Aulhonead Aden[ Print Pronerty Owner's cr Authnri>ed Aawnn, Name-+''+✓`'� �2`Se'�
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE: ONLY
REGULATIONS. PART 61 OF TITLE 40 AND AGINIO RULE
EXPIRED
PERMITEXTEND¢D _ 'r L1AQMD
"PERiYIIT FINAL j`(.. `s— J >r,.I ASBh5T 05 NO I I FICA'I ION IS NUT: APPL CABLE to
CERrIFICAIM OF l PROPOSED DU LI71[NN
OCCUPANCY ISSUED SIGNATURE- tl
Date