HomeMy WebLinkAboutX2021-0818 - Permits (3)agWPORT City of Newport Beach II III I II I III I III IIII IIII III IIIII II COMB Permit : X2021 -081 8
O� v, d Community Development Department- Building Division X 2 0 2 1 0 8 1 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0755-2021
~ n Permit Counter Phone: (949) 718-1888 Issued Date : 04/12/2021
O S newportbeachca.gov/civic Final Date:
C9[/F(J0.N�P Combination Type - SFP Permit Status: Reissued
Work Class - Alteration 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:
760 VIA LIDO SOLD
Legal Desc
: N TR 907 BLK LOT 283
Description:
SFR REMOVE TWO GARAGE DOORS AND REPLACE W/ ONE DOOR
Owner:
ROSS STEVEN J / ROSS GAIL L
Contractor:
RJ TANNER CONSTRUCTION
Address :
760 VIA LIDO SOLD
Address :
893 OAK STREET
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92627
Phone:
Applicant: RJ TANNER CONSTRUCTION
Address : 893 OAK STREET
COSTA MESA, CA 92627
Phone: (949)235-4856
Owner/Builder :
Address :
Phone: (949) 235-4856
Con State Lic :
744104
Lic Expire :
12/31/2025
Bus Lic:
BT98043220
Bus Lic Expire :
06/30/2024
Workers' Compensation Insurance
Carrier: PREFERRED+PROFESSIONAL+INSURANCE
+COMPANY
Policy No: ON0897404
W. C. Expire : 6/1/2024
Architect :
RANIERI RANDY
Address :
5868 MESQUITE SPRINGS RD
TWENTYNINE PALMS, CA 92277
Phone:
(714)296-5502
State Lic
Engineer:
CHOI DAVID
Address :
1327 LOMA AVE '
LONG BEACH, CA 90804
Phone:
(562)961-5600 1
Designer
Address
Phone: Phone
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 0, Front: 1.5, Front: 4, Side: 4
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
f hereby affirm under penalty of perjury that I Am exempt from the Contractors' Stale 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, alter, 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 of the Business and
Professions Code) or that he or she is exempt from lice❑sure 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 ($500).
❑ 1, as ownerof the property, or my employees with wages as their sole compensation, will do L) all of of L) portions of the work, and the structure is not intended oroffered 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 I. as "nor 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 propertywho builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Ell am exempt from licensure under the Contractors' State License Lew for the following reason.
By my signature belov: II acknowledge that, except for my personal residence in which I must have resldod for at leas( one year prior to completion of the Improvements covered by this permit, I cannot legally
soil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 oftho Business and
Professions Code., is available upon request when this application is submitted or at the following Web site:http:/)Www.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 7 00 1 sIT 3 of the Business and Pr as in y licen u I force
and effect. License Class License No Data ntractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS , D DOLLARS (S100,000). IN ADDITION TO THE
COST OF COMPENSATI7", eAMAGEa AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm undrr panelty of perjury one of the following declarations:
I Nave 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
ormance of the work fur which this permit is issued. Policy No.
ha,•e 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` compensa
Trance carrier and po,icy number are:
Policy Number
of Agent _
Date
3Lr:Hy that. in the performance of 144
hlch this pampt is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of liforh a, and afire
!. it I ehou3d become subject 1 thaon provi • Doe Df Section 3700 of the L of Code, I shall forthwith comply with those provisions.
nature of Applicari Date CL.ARATION REGARDIN GOG A n 3c, affirm under p_nalty f perjue Is truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Idei 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 state laws relating to building construction.
I authorize representatives of this city or county /q�antt r t)�E id Ihed property for inspection purposes. ,n
nature of Property Owner or Authorized Agent 7�/��i/��—Pon! Property Owner's or Authorized Agent's Nan}./Dat °
ACTION ( DATE BY !DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
li REGULATIONS PART 61 OF TfTLE 40 AND AQMD RULE G
1403
PERWEXPIRED I I I U I SUBMITTED ASRFST05 NOTIFICATION TO
PERMIT FINAL �s S UASBESTOS NO I[FICAI'[ON 15 NUTAPPLICABLE TO
CERTIFICATE OF �� D �L PROPOSED DEMOLITION
OCCUPANCY ISSUED i SIGNATURE'
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