HomeMy WebLinkAboutXR2022-2741 - Permits��Ewao�T City of Newport Beach
11,
Community Development Department- Building Division
C
� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u.n.. r Inspection Requests Phone: (949) 644-3255
c'�C�pppN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Alteration
II IIII I I II I II I III I II III I II COMB Permit : XR2O22-2741
Plan Issued e Check No : 2966-2021
Inspection Area :5
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 : 532 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 183
Description: DELTA 2- *ADD SCOPE* REMOVE PONY WALL IN THE BATHROOM & ADDITIONAL LIGHTING IN BATHROOMS AND LIVING RM
Owner: KIMBERLY CAPWELL
Address : 532 SEAWARD RD
CORONA DEL MAR, CA 92625
Phone:
Applicant: ZALAR HOMES
Address : 17935 SKY PARK, G
IRVINE, CA 92614
Phone: (714)853-9696
Owner/Builder :
Address:
Contractor: ZALAR HOMES
Address : 17935 SKY PARK, G
IRVINE, CA 92614
Phone:
(714)853-9696
Con State Lic
: 1071867
Lic Expire :
12/31/2022
Bus Lic :
BT30074051
Bus Lic Expire : 01/31/2023
Workers' Compensation Insurance
Carrier:
Policy No: EXEMPT
W. C. Expire:
Architect
Address
Phone :
State Lic
Engineer:
RAHMAN MOKSUDUR
Address :
14616 MCKENDREE AVE
CHINO, CA 91708
Phone:
(213)400-8078
Designer:
Address :
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg
Occupancy Groups : R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL ft Bld
Building Setbacks : Front: 5, 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: REV2022-1865
$5,000.00
0
sq. g . 0
INS' j,j
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the eneckmark(s) I have placed next to the appllca`>le 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, poor to its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions 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
of more than five hundred dollars ($500).
3 1, 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' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovemenls are not Intended or offered for sale. II, 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).
Z 1, 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
�piy 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 Ilcenaum under the Contractors' State License Law for the following reason:
q 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, 1 cannot legal
oil 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 the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!/www.leginfo.ca,gDv)calaw.html,
ignature of Property Owner or Authorized Agent �_ __.... Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury [hat I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Division 3 of the Business a o e ions Co e, a y Ile Is kn 1 fo e
nd effect License Class License No Date �% •/�'J� Contractor Sion,
COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORIKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the fallowing 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 jr,
aerformance 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:
Policy Number _.___.. Expiration Date
of Agent
rtify that, in. the perfor once 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 works mpensation laws of California, and agre
all",at, if uld become u act to od ompensahon provisions calico 3700 of the Labor Code, I shall forthwith comply with (hose provisions.
gnalureof Applicant___ D
at / /7, z�7
ECLARATION RE RUC110 LENDING A t-
hereby affirm under penalty of perjury that there is a construction lending age Fthe performance of the work for which this permit Is issued (Section 3097. Civil Code).
endRr'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 cowl rdinBrteI d state laws rat 'ng to building construction.
I authorize representatives of this city or c y n'ant oveehentified o o inspection purposes,
ignature of Property Owner or Authorized A ---E/ Pont Property Owner's or Authorized Aoent's Name ZVI/ % l
DATE
PERMIT EXPIRED
PERMIT CANCEIlfD
P€RINIT FXTENDED
RM)T CERTIFICATE
CERT7FICATEAT€ Of ll
OCCUPANCYISSUED 1 I
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 51 OF TITLE 40 AND Al RULE
SURM11'TED A58ESTO' NOTIr1G
15 NOT APPLICABLE TO
FOR OFFICE USE ONLY
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