HomeMy WebLinkAboutXR2023-2852 - Permits2¢,WPORT City of Newport Beach
D� d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G N+a x
Permit Counter Phone: (949) 644-3288
o, Inspection Requests Phone: (949) 644-3255
CgL,Fp PH�P newportbeachca.gov/inspections
Combination Type - MFP
Wnrk Class - Other
��1111111111111111111111111111111111�11111111111111 COMB Permit : XR2022-2852
Plan Check No : 2831-2019
Issued Date : 1110412022
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: 2131 CRESTA DR Legal Desc :
Description: BLDG 10 BLOCK WALLS 45'10" X 5'6", 59'8" X 3'6"
Owner: SHEA HOMES LTD PTNSHP
Address : 2 ADA, STE 200
IRVINE, CA 92618
Phone
Applicant: SHSCSC INC
Address : 655 BREA CANYON RD
WALNUT, CA 91789
Phone: (909)594-9500
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Contractor: SHSCSC INC
Address : 655 BREA CANYON RD
WALNUT, CA 91789
Phone:
(909)594-9500
Con State Lic
: 1012096
Lic Expire :
03/31/2024
Bus Lic:
BT30069571
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: LIBERTY MUTUAL INS CO
Policy No: WA266DO66115031
W. C. Expire : B/l/2023
2019 Fire Sprinklers :
V-B Fire Hazard Zone:
U No of Units :
No of Stories
Architect: GRAHAM VANCE D
Address: 17848 SKY PARK CIR STE D IRVINE,
92614
Phone:
(949)346-1962
State Lic:
Engineer :
WONG RAMON R II TR
Address :
17 PORTICA
NEWPORT COAST, CA 92657
Phone:
Designer:
Address
Phone :
NO Construction Valuation : $12,686.57
NO Added/New/TI sq. ft. Bldg:
4 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg: 0
X
RM-6000 - Multiple Residential (6000 indicates minimum lot area)
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Teasoo(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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 toits 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 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 7031:6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, as Owner of the property, or my employees with wages as their sole compensation, will do (_) 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 properly, provided that the
Improvements are not Intended or offered for sale. It,, 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).
0 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
apply to an owner of property who builds of Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
0 1 am exempt from kcensure 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 Got by this permit, I cannot legail;
sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 70" of the Business and
Professions Code., is available upon request when this application is submitted or at the following Web slta:httplAvww.leginfo.ca.gov/calaw.html.
Signature of Properly 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 7000) o ivision 3 of the Business and ProfigpsrCo. de fyi m 11 is In full force
and effect. License Class License No Date I I 1- r Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TOORIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS10D,000j, IN ADDITION TO THE
COST OF COMPENSATION: OAMAGES AS PRDVIOEo FOR IN SECTION 370e of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
�hereby affirm underpenalty 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 time Labor Code, forth,
� ormance of the work for which this permit Is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that in the performance 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' johnipansafforl laws of California, and
d: should become s�t to t,FT orkers 00 npe es� n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature o(Appkcan pa I I2-
hereby affirm 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, Civfl Cade).
endeis 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 county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county io/err the above-irf..wUIIed properly for inspection purposes. ,
11/H/L-t
ACTION
DATE.
BY /
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS. PART 61 OF TITLE 40 AND AQMD RULE
'
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
OEPA
MQM p_�
,
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PERMIT CANCELLED
PERN7TEXTENDEO
PERMiFFINAL
q
CERTIFICATEOF
PROPOSED DEMOLITION
i)CCUPANCyiSSUEA
SIGNATURE