HomeMy WebLinkAboutXR2022-2418 - Permits�agWPpRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2U22-2418
Community Development Department- Building Division X R 2 0 2 2 2 a 1 8
F 'y" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2505
Permit Counter Phone: (949) 644-3288 Issued Date :
Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
cgc�cor+N`P newportbeachca.gov/inspections
Combination Type - SFP ELEC PLUM
Work Class - Other
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
r"3
Job Address : 4639 ORRINGTON RD Legal Desc : N TR 3357 BILK LOT 64
Description; SFR - 25 CAISSONS FOR POOL (S2022-0191). RETAINING WALLS (VARIOUS DIMENSIONS)
Owner: KEITH BUCKLEY
Address : 4639 ORRINGTON RD
NEWPORT BEACH, CA
Phone: (714)231-0443
Applicant: STEELE BRET/STEELE POOLS
Address : 4921 E LEEDS
ORANGE, CA 92867
Phone : (714) 496-1427
Owner/Builder :
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U
Bldg Height :
Contractor: STEELE BRET/STEELE POOLS
Address : 4921 E LEEDS
ORANGE, CA 92867
Phone:
(714)496-1427
Con State Lie
: 923975
Lie Expire :
10/31/2024
Bus Lie:
BT30042152
Bus Lie Expire : 02/28/2023
A
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No : EXEMPT
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
6
- 2
- 1
Architect
Address:
Phone:
State Lie
Engineer :
KOLODZIEJ KENNETH J
Address :
400 E ESTHER PLACE
PLACENTIA, CA 92870
Phone:
(714) 996-1219
Designer
Address
Phone :
NO
Construction Valuation :
NO
Added/New/TI sq. ft. Bldg
0
Alteration sq. ft. Bldg :
0
Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: A
SPECIAL CONDITIONS:
$200,000.00
0
0
0
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 checkmark(s) I have placed next to the applicable item(s)
(Section 7031.,5, Business and Professions Code: Any city or countythat requires a permit to construct, after. 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 Gill 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred. dollars 1$500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
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).
El 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
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).
❑ 1 am exempt from ucensure under the Contractors' State License Law for the following reason:
By my signature below P. 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 legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirmy by licensed contractors. I understand that a copy of the applicable law. Section 7044 of tho Business and
Professions Code., is available upon request when this application is submitted or at the following Web site: http:liy. ^ ,i.leginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000), of fvisi n 3 of the Business and Profession e, a �:rtlyt' ense is in full force
and effect. License Class License No Date ..Z 1 '1 Contractor Signatur
VVORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS Y000,0001., IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 0706 OF THE LASOR CDDE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty, of perjury one of the following declarations:
I have and wilt maintain a Certificate of consent to Solt -insure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'ormance 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 permitis issued. My workers'
ranee carrier and policy number are:
ter Policy Number Expiration Date
of Agent
nify that, in the performance
I should become subject to
ure of Aoolfcant
for which this permit is Issued'.. I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California, and
edi7pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - ,
hereby 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
shear's Name Lender's Address
Iy 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 applicablecity and coup nances and state laws relating to building construction.
I authorize representatives of this city or county I rth — rillfled property for inspection purposes. q
l Onature of ProDenv Owner or Authorized AoenVJ / % Print Prooertv Owner's or Authorized AoenPs Name 1a5T L
DATE 6Y --l-DECTARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE
PERMIT EATENDEO —�I
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PERiViIT FINAL
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