HomeMy WebLinkAboutX2022-0517 - Permits��WPOaT
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
COMB Permit : X2022-0517
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Plan Check No : 0465-2022
Issued Date : 10/20/2022
Inspection Area : 3
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 : 1124 ESSEX LN Legal Desc : N TR 3000 ELK LOT 50
Description : NEW SFR ON (E) FOUNDATION 3,985/524 SF
Owner: HEINKE KEITH L TR
Address : 1124 ESSEX LN
NEWPORT BEACH, CA 92660
Phone: (949)233-6931
Applicant: GONTERMAN CONSTRUCTION
Address: 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone: (949)697-0746
Owner/Builder:
Address :
Phone:
Contractor: GONTERMAN CONSTRUCTION
Address : 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone :
(949) 697-0746
Con State Lic
: 858073
Lic Expire :
04/30/2023
Bus Lic:
BT30048414
Bus Lic Expire : 09/30/2022
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9259518
W. C. Expire: 8/22/2023
Architect
Address
Phone:
State Lic
Engineer:
NEALWANKET
Address :
1608 W FESCUE LN, #2D3, .
COUER d'ALENE, ID 835J$,'
Phone :
(951) 506-6507
Designer:
JASONRICHART
Address :
1041 18TH W, Al06 "
COSTA MESA, CA 9261J,,,'
Phone :
(949) 422-9191
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft. Bldg
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:
$1,0TA,�5C4130 '
524
3,985
OWNER -BUILDER DECLARATION
I hereby affirm under penaltyof perjury that I am exempt from the Contractors' State License Law for 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 conslrucL alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that lie 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 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 ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) 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
mprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Bauder will have the burden of proving that it was not built or
mproved 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
a 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
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 legalij
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 a copy of theapplicable 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:liw .leginfo.,a.gov/calaw.htmi,
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 ) of givi5ion 3 of the Business and Profs i as Code, ntl m licy enas is In full farce
and effect. License Class License No Dat o '?>/ D1 Contractor Signatur Gamma--
Z
WORKERS' COMPENSATION DECLARATION
NARNING: 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 (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one 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, for th
QT,76irinanka of the work for which this permit is issued. Policy No.
y>/eve and will rrairtnin 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'
Irance �arrler and. policy number are,
Policy Number Expiration Date
of Agent
]I rerHfv that, in tl,e pe,tormanco 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' compensation laws of California, and agre
nat, if I should bectnc oubjecctt�to�the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,igra'L.-r of Applicar r"""'E" Datg%?�. ip/-&, /9.zoea-
IPCLARATION FIEGARDING CONSTRUCT[ N LENDING AGENCY
herebv affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
e.Idar's Fame Lenders Address
ly my signature l7••eIOW, I lertify 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 state laws relating to building. construction.
I authorize representatives of this city or county to enter the above -identified o erty for inspection purposes.
tionaiure of ProDenv Owner or Authorized Agent Print Prol lty Owner's or Authorized Agent's Name�`Ut i'e'� w�.Pv>°�L DatEX �C
ACTION
DATE
BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE.
1403
FOR OFFICE USE ONLY
PERMITEXPIRED
' I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
L1EPA
. _,_
P€RiOtIT EXTENDED
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PERMITFINAL
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LJAyBEQ NOT I FICA noN 15 NOTAPPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY155UED
SIGNATURE;
EWP°Rr City of Newport Beach I III I III II I II IIIII I II I Permit: X2022-0517
100 Civic Center Drive Plan Check: 0465-2022
Newport Beach, CA 92660
`9�,FonHr
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: HEINKE KEITH L TR
Address: 1124 ESSEX LN, NEWPORT BEACH, CA
Tenant:
Use Zone: R-1-6000 -Single-Unit Residential (6000 indicates minimum lot area)
Description of Work: NEW SFR ON (E) FOUNDATION 3,985/524 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: /zzL
Code Year Edition: 2019
Number of Stories: 2
Construction Type: V-e
Occupancy: U,R-3
Total Occupant Load:
Fire Sprinklered: YES
Date: 12/19/2023