HomeMy WebLinkAboutX2020-2899 - Permits�EwPoi City of Newport Beach II III I III I II III II IIIII II COMB Permit : X2O2O-2899
Community Development Department- Building Division
u` 4� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2307-2020
Permit Counter Phone: (949) 644-3288 Issued Date
x'. " Inspection Requests Phone: (949) 644-3255 Inspection Area:
a tlpclg,o' newportbeachca.gov/inspections
Combination Type -
-' Wnrk Class - Tenant Improvement
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
Description
Owner:
Address
Phone:
436 HELIOTROPE AVE, A Legal Desc : CORONA DEL MAR LOT 20 BILK 435 NELY 16 FT(AND ALL -INC FOR OF ALLEY ADJ- L OT 22
435
COMM CHANGE OUT (6) (E) WINDOWS, REMOVE STONE VENEER, INSTALL SIDING (C2019-0209)
436 HELIOTRIPE AV-CDM LLC Contractor: Architect
436 HELIOTROPE AVE NEWPORT BEACH, CA Address: Address
Applicant : ROD JEHEBER
Address : 410 32ND ST NEWPORT BEACH, CA
Phone: (949)723-4393
Owner/Builder: 436 HELIOTROPE AVE-CDM LLC
Address : 410 32ND ST STE203 NEWPORT BEACH
92663
Phone:
Phone:
Phone.
Con State Lic :
State Lic:
_
Lic Expire :
Bus Lip:
�i Engineer :
rN, �� ���
Bus Lic Expire :
�\� Address :
I't +u
Workers' Compensation Insuranc„Le�� Phone
Carrier : \�^
CA Policy No : ,{Q� ` �\ Designer: ROD JEHEBER
W. C. Expire: `�' ! ° v ���..i� Address : (94 32ND ST NEWPORT BEACH, CA
Phone: (949)723-4393
Mde Edition: 2019 - Fire�`Finklers : NO ^d,Construction Valuation: $7,500.00
Type of Construction : V-B Fire Hazard Zone :�\�! Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
Bldg Height: No of Stories: ® 2 AddedlNew sq. ft. Garage : 0
Building Setbacks :
Flood Zone : X
Use Zone : CC - Commercial Corridor
PROCESSED BY:
SPECIAL CONDITIONS:
hereby afflmr udder pecalty of perjury alai I am exernpt from the Contractors' Slate License Law, for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable fern(c)
(Section 7031.5 Business and Professions Code: Any city or county that requires a permit to COmnFLca, alter, Improve, demolish, or repair any structure, prior to [Is Issuance, also requires the applicant for
the permit to No a. signed statement Ihat he or she is l onsed 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 licensors and the basis for the alleged exemptlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvll penalty of
not more than five hundred dollars ($50C).
❑ 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 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 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 this burden of proving that it was not built or
Im roved for the purpose of sale),
owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The ContractorsSlate License Law does not
rSpplill to n owner of property who builds or Improves thereon, and 'who contracts for the. projects with a licensed Contractor pursuant to the COntractar9''-Stale License. Law)
IJ I -rtl exempt frorn licensors under the Contractors' State License Lew for the following reason:
By mq signa Wro below acknowledge that, except for my personal residence in which I must have resided Far at least one year pr}or to completion of the 'improvements covered by this. permit, I.cannot legally
ell .structure that I have built as an owner if l( has not been constructed in its entirely by licensed contractors. I understand that -a copy of the applicable Jaw, Section 7044 of the Business and
Pro esslons Code., Is available upon request who this a. li aIibo Subm11[ed rat 11 olio Ing IA'eb siteaiitp:!/wav✓.IAginfo.ca.gov/cal[iw.ditmL
LICENSED
of CONTRACTOR'S
Owner Ror A DECIed Agent
I.IC><NSED CONTRACTOR'S pECLARAT W�(�
I hereby of imr under penalty of perjury that I am licensed hder provisions of Chapter.9 (Commencing with Section 7000) of Division 3 of the Business and Profeszfons ode, anc my lipense is in full force
snd effect, License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARN ING: 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 (IT 00,.00q. IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CDOE, INTEREST, ANO ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the fallowing declarations:
1 have: and will maintain a certlficafe, 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 the
lerfermance of the work for which this permit is issued. Policy No.
-11 have and wht maintain workers' compensation Insurance, as
isurance carrier and policy number are: -required by $action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
Is
Policy. Number
Agent.
Date
Lill ce fy that.. in the performance of the work for which this permit is Issued., I shall notemploy any person in any manner so asto become subject to the workers'compensation laws of California, and agre
hat, If t hould become sub act to the workers' compans lI r provisions of Section 3,700 of the Labor Code, I shell forthwith comply with those provisions.
$I re of Applrc.an[ /({� /.L5AGENCt_ZZ DECLARATION REGARD1N6 Q T L N tit AGENCY _7
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hereby affirm under penalty, o perfu that there Is a Construction lending agency for the performance of the work forwhlch this permit is Issued (Section 3097, Ci 'I Code). .w
Lenders Name ___lender's Address
Bow,y my signature belI Crtifyeto each of the following;
I am the properly owner or authorized to act On the property owner's behalf,
I have read this ePrllcali'l,orl and the information I have provided is Correct..
I agree to comply with all applicable city and county ordinances and state laws felaling to building construction, �o 0 y—r /`e-
I authorize representatives of this city or county to e ter the a--' a title roe for Inspection purposes. p
ii nalure of Pro art Owner of Authorized A out - Print ProperlyOwner's or Authorized A ent's Name
f/ O
ACTION DATE 9Y EC 0. _ N FCOMPLIANCCWITH CODE OF FEDERAL FOR OFFICE USE ONLY
R ONS PART6,f Of TITLE 40ANT); 0RlltE
I SURMiTT@D ASS€STOS NOTIFICATION TO
--- _ ucrA All required alarms., latches gates Ind fegces. whirl, Serve, as ar; cf PEAMiT EXFENDEb — ----- P ` a Pccl; spa..harrier, shall
q. qMO be In place prior to approval to H!Cp N; sns& shill I err rr In place & fir maintained for the
PERMIT FINAL 1�9._a q v ASBE5TOSNOTIFICATIGN 15 NOT APPLICABLE TO life of the pool
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