HomeMy WebLinkAboutXR2022-2361 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2O22-2361
Plan Check No : 2549-2021
Issued Date : 0813112022
Inspection Area : 2
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 : 2571 CRESTVIEW DR
Legal Desc : N TR 1140 BLK LOT 56
Description:
SFR REMODEL 350 SF (KITCHEN) ***CHANGE OF CONTRACTOR***
Owner:
ALEX ROOT
Contractor: COASTLINE BUILDER
Address :
2571 CRESTVIEW DR NEWPORT BEACH, CA
Address : 107 AVENIDA CARMELLO SAN
92663
CLEMENTE, CA 92672
Phone:
Phone: (949)280-7440
Con State Lie : 837962
Applicant :
CHRIS STARUS
Lie Expire : 09/30/2024
Address :
616 S EL CAMINO REAL, I SAN CLEMENTE,
Bus Lie : BT30063749
CA 92672
Phone:
(801) 547-7017
Bus Lie Expire : 07/31/2023
Workers' Compensation Insurance
Owner/Builder :
Carrier: STATE COMPENSATION INSURANCE FUND
Address :
Policy No : 9263262
Phone:
W. C. Expire : 10/30/2022
Architect
Address
Phone:
State Lie
Engineer:
BOROSSAYARPADSTEVE
Address:
5260 HARVEST CT RIVERSIDE, CA
Phone:
(801)547-7017
Designer: CHRIS STARUS
Address : 616 S EL CAMINO REAL, I
CLEMENTE, CA 92672
Phone: (801)547-7017
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $0.00
Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg :
Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0
Building Setbacks : Front: 10, Front: 10, Side: 3, Side: 3
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: 5
SPECIAL CONDITIONS: CHANGE OF CONTRACTOR (X2021-2925)
NO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items)
',Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
.he 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
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 for a permit subjects the applicant to a civil penalty of
Tot more than five hundred dollars ($500).
1. as owner of the property, or my employees with wages as their sole compensation, will do U 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 property who, through employees' or personal effort, builds or improves the property, provided that the
mprovements are not intended or offered for sale, If, however, the noticing or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
mproved for the purpose of sale).
1 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvementscovered 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 entirely by licensed contractors. I understandthat a 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:http:IAa .leginfo.ca.govlcalaw.html.
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 70pff Is f the Business and Profes ions Code, d m fi nse is In full force
and effect. License Class License No Date ontractor Signature
JYORKERS' COMPENSATION DECLARATION
NANNING' FAILURE. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA IE. 0,000), IN AODmON TO THE
COST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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 th
all %ormance of the work for which this permit Is issued. Policy No,.
FFhhNve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' componsatiol
lucarrier and policy number are:
:arrier Policy Number Expiration Date
dame of Agent Phone #
-1I certify that In the performa/tth
the we for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' cnmpenm salon laws pppf Ca6fCmla. and ogre
hat. if I should become subject work compensation provisions of Section 370G of the Labor Code, I shall forthwith comply with those provisions.
ilgnature of Apppcant /�. _�„„� Date
)ECWRATiON REG DI CO' TR C ION LENDING AGENCY
hereby afflnu anJer penalty of perjury at here is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
-ender's Nara Lender's Address
3:, my signature below, I cariify to eacn the following:
I am the nronPny owner or authorized to act on the property qnah�l,E.I have read this application and the Information I have provi I agree to comply with all applicable city and county outine caws relating to building construction.I authoize repr-sentatives of this city or count. to enter t e d property for Inspection purposes. !� '
'sgnature Of Pro art Owner or Authorized A an[ Print Property Owner's or Authorized Agent a Name O. go,,EL Date
ACTION DATE By ' DECLARAT ON F OiVIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS b RT Fl OF TITLF 40 AND AOMD RULF.
ExPHED
Pr9MIT
PCRMIT FIfJA!
CERTIFICATE OF
OCCUPANCY ISSUED
be In place priortto approval to fill pool/spa & shall remain top ace & bemaintained f shall
requiredB P pool/spa
for the
NOfIFICATI PLICASLE TO life of the pool.