HomeMy WebLinkAboutXR2022-2801 - Permits4 ��WPO�T
City of Newport Beach
@
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9C/FOFN`P
newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition/Alteration
111I��III��111111111111111111111111111111111111111111111111COMB Permit: XR2022-2801
Plan Check No : PC2022-2662
Issued Date : 02/07/2023
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: 511 RIVERSIDE AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 34 LOT 22 FIRST ADD TO NEWPORT H
LOT 22 BLK 34 FOR
Description: SFR ADD 536 SF. REMODEL 150 SF
Owner: DELIA THOMAS TR THE 2007 DELIA FAMILY Contractor: COASTAL CONSTRUCTION SVCS INC Architect
TR
Address :
511 RIVERSIDE AVE
Address : 3050 PULLMAN ST
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92626
Phone:
Phone: (949)637-3674
Con State Lic : 958542
Lic Expire : 03/31/2023
Applicant:
COASTAL CONSTRUCTION SVCS INC
Bus Lic: BT30037317
Address :
3050 PULLMAN ST
Bus Lic Expire : 10/31/2023
COSTA MESA, CA 92626
Phone:
(949) 637-3674
Workers' Compensation Insurance
Carrier :
Owner/Builder
:
Policy No: EXEMPT
Address :
W. C. Expire:
Phone
Address :
Phone:
State Lic:
Engineer
Address
Phone
Designer: WAYNERIZZO ----
Address: 484 PROSPECT ST "
NEWPORT BEACH, CA 92669
Phone : (949) 285-7447
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: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HAULER: ROBERT'S WASTER RECYCLING
$250,600b0
536
150
0
536
I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason€siindicated below by the checkrnark(s) I have placed next to the applicable items)
ation 7031.5, Business and Professions Code: Any city or county that requires a permit to construcL, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
fossions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
iness 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
rovements 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 bullt or
roved for thepurpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does net
ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractor' State License Law).
_J I am exempt from licensure under the Contractors' State License Law for the following reason: _
-y 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 cover(
oil a structure that I have built as an owner -builder if It has not boon constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Section
rofescons Code„ is available upon request when this application is submitted or at the following Web site:http:fiwww leginfo.ca.govlcalaw.html.
.IgnAtLire, of Property Owner or Authorized Agent _ Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000 of ivisyi ri, 3 of the Business and Professions Co se fs In fall force
no effect. License Class License No Date 2,7 !- 4 Contractor Sianature
COMPENSATION DECLARATION
cannot
rss and
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES VP TOONE HUNDRED THOUSAND DOLLARS ($'00;0001T IN ADDITION TO THE
DST or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following dectaratrons:
I I have and will r irtain a cerlifrcate of consent to self -insure for worker' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued. Policy No..
.1d%6 .no will r.+air i.i 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, carrier and poliry number are:
Policy Number
Date
'amg,e Agent Phone #
ycenii 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' compensation laws of California, and agree
tat. if I should become .subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
yrs;uru of Applicant Date,
-701 PPrTION REGARDING CONSTRUCTION LEND. E
hereoy afirm under pen.Iity 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).
ender's Name Lender's Address
y my signalure below,' certify to each of the following:
I am the prop-,�y miner 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 to enter the above-identifled property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITC4NCELIED
PER+v7T EXTENDED
PERMIT FINAL
CERTIFICATE Of
OCCUPANCYiSSUED
DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
NOTIFICATION IS NOTAPPLICABLE TO