HomeMy WebLinkAboutXR2022-1878 - Permits�aEwPoRT City of Newport Beach
D @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
.sInspection Requests Phone: (949) 644-3255
cq(.�EnpN�P newportbeachca.gov/inspections
III I I I I I II I III II I III I II COMB Permit : XR2O22-1878
Plan Check No: PC2022-1736
Combination Type: SFP ELEC MECH PLUM
Work Class : Alteration
Issued Date : 07/11/2022
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINjtL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND AvolJD YS IN ALL AREAS
Job Address; 1832 SANDALWOOD LN
Legal Desc :
N TR 3763 BILK LOT 50
Description
: KITCHEN REMODEL 800 SF
Owner:
LISA LISHERNESS
Contractor:
MAMELLI BUILDING &PAINTING
i.*j
Architect : , , ,
Address :
1832 SANDALWOOD LN NEWPORT BEACH,
Address :
881 W 18TH STREET COSTA MESA, CA
Address
CA 92660
92627
,
Phone :
Phone :
(949) 395-3244
Phone
Con State Lie:
994307
State Lie
Applicant
Address
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups : R-3
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Front: 20, Side: 6, Side: 6, Rear: 6
Lie Expire : 07/31/2022
Bus Lie: BT30058065
Bus Lie Expire : 02/28/2023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Fire Sprinklers : NO
Fire Hazard Zone : Y
No of Units : 1
No of Stories
X
R-1-6000 - Single -Unit Residential (6 0 indicates minimum lot area)
Public Works Approval:
Plan Check By:
Approval To Issue:
Engineer:
Address
Phone:
Designer
Address
Phone:
Construction Valuation : $5D,000.00
Added/New sq. ft. Bldg:
Added/New sq. ft. Garage
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of 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 construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires lice applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stat. License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
Professions Code) or that he or she is exempt from licensors 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 1$500).
13 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 properly who, through employees' or personal effort, builds or Improves the property, provided [hat the
Improvements 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
Improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The Contractors Slate 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 pursuant to the Contractors' State License Law).
I am exempt from lCensure under the Contractors' Slate 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 legallt
sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web site.htlp:flwww.leginfo.ca.gov/calaw.btml.
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 70 of 'vision 3 of the Business and Profess ors Com full force
and effect. Licenac Class License No Do Contractor Signatufed=andl,,ens,
'NORKERS' CUiAi ENSATION DECLARATION
NARNING'. FAILURc TO LCJRE WORKERS' COMP€NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGED AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and v.ill 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
° ranee of the work for which this permit is issued. Policy No,
and wid mait,tain 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'
carrier and parley number are:
of Agent __
_��r_dy that, in the performance of the work for
i` I shoulduecnm«. subject to the workers' cc
Ialure of Applicant
Policy Number
Date
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
I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dated{, 17
4GENCY j
)reby afflrm under penalty of perjury that there Is 9'canstructOn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s Name _ Lender's Address _
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 Vatt} laws relating to building Construction,
I authorize representatives of this city orcouri enter the above-idilintifik property for Inspection purposes. !,
ACTION I DATE ( By 1 =LARATION OF COM)L64NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i ( REGULATIONS PART 61 OF TITLE 40 AND AGI RULE
1403
PERMIT EXPfREO j LJ I SUBMITTFDA513ESTOS NOTIFICATION 70
PeRMrrcANc£ctEn EPA All required alarms, latches gates and fences which serve as part of a poolispa barrier, shall
PEH.ViTEXTENDED L'!MO be in place prior to approval to fill pool/spa & shall remaln I place & be maintained for the
PERMIT FINAL A58LST'OS NOTIFICATIO. IS NOT PLICABLE TO life of the pool.
CERTIFICATE OF L'L��23 '.', S GNATU E N
OCCUPANCr6SU£O f