HomeMy WebLinkAboutXR2022-3152 - Permits�EWPOR� City of Newport Beach IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit XR2U22-3152
OF 1 Community Development Department - Building Division X R 2 0-,2 2 3 1 5 2
100 Civic Center Drive, Newport Beach, CA 92660 - Plan Check No: PC2022-3009
Permit Counter Phone: (949) 718-1888 Issued Date : 06/06/2023
a.newportbeachca.gov/civic Inspection Area : 3
cq<rFoa" �P Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
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 : 20222 SPRUCE AVE
Description: SFR -KITCHEN REMODEL 191 SF
Owner: RODGER LOWERY
Address : 20222 SPRUCE AVE
NEWPORT BEACH, CA 92660
Phone
Applicant: JUSTONIAN BUILDERS INC
Address : 22912 KINGSLEY
LAKE FOREST, CA 92630
Phone: (949)439-2273
Owner/Builder
Address :
Legal Desc : N TR 1506 BILK LOT 28
Contractor: JUSTONIAN BUILDERS INC
Address : 22912 KINGSLEY
LAKE FOREST, CA 92630
Phone:
(949)439-2273
Con State Lic
: 1043512
Lic Expire :
08/31/2024
Bus Lic:
BT30067378
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: NORGUARD INSURANCE COMPANY
Policy No: JUWC285588
W. C. Expire : 9/30/2023
Architect
Address
Phone:
State Lic
Engineer: BURKE LEO
Address: 34167 PACIFIC COAST HWY #D
DANA POINT, CA 92629
Phone: (949)226-7130
Designer:
Address
Phone:
Phone:
Code Edition :
2019 Fire Sprinklers :
NO
Construction Valuation :
$20,000.00
Type of Construction
: V-B Fire Hazard Zone :
NO
Added/NewlTI sq. ft. Bldg :
0
Occupancy Groups :
R-3 No of Units :
1
Alteration sq. ft. Bldg :
191
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone :
X
Use Zone :
SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS:
,'i' ,
I hereby affirm under penalty of perjury that j am exempt from the Contractors State License Law far the reasan(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
Section 7031.5, Business and Profeasimrs Code: Any city or county that requires a permit to construct, alb,, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to rite a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesstons 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
of more than five hundred dollars ($500).
I, as owner of lae p.operty, or my employees with wages as their sole compensation, will do L) all of or (_) pardons of the work; and the structure Is not intended or offered for sale (Section 7044,
lusiness and Profcrs'chs 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
rp,nvs'rents are nnf 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
nproved' for the ;ourpose of sale),
.� I as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stele License Law does not
�prp,ly ,o 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).
.. t l am Rxempt from licansure under the Contractors' State License Law for the following reason:
iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior la completion of the Improvements covered by this. permit, I.cannot legally
cl' .t-ucture War 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 of the Business and
"of-Pslons Code, is available upon request when this application is submitted orat the following Web site;http:lAvww.leginfo.ea.gov/colow.html,
aonature of Property Owner or Authorized Agent Date
.:CZNSED COItTPLASTOR'S DECLARATION
hereby affirm unr'e• penalty of perjury that I am licensed under provisions of Chapter 9, (commencing with Section 7000) of ivi ion 3 of the Business and Profess rod my Itcerise is In full force
,no effect. License Class License No Date CO Contractor Signature
VORKERS' COMPFNSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COPE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 the Labor Code, for thf
er rmance 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 permit is issued. My workers'
rance, Carder and policy number are;
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is Issued, I shell not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree
If I should become subject to the wort s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
more of Applicant Date. - ��o 12
v woATtinAI ocnnonruFr•nucrorlrTtnM r cAlruur_ Ar_cury
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, Civil Code).
enders Name Lenders Address
ly 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 county ordinances an state laws relating to building construction.
I authorize representatives of this city or county to enter ov entitled property for inspection purposes.
olanature of PfODenV Owner. or Authorized Agent _ ' Pont Property Owner's or Authorized Aoent's Name
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLED
OEPA
PERMITEXTENDED
MD
PERMIT FINAL
CERTIFICATE OF In
ur
ASBESTOS NOTIFICATION IS NOT ARPLI ' L£ TO
PROPOSED DEMOLITION