HomeMy WebLinkAboutXR2022-2530 - Permits (3)�gW PORT City of Newport Beach I III I I I II I II I III III II II II
COMB Permit:XR2022-2530
Community Development Department- Building Division
ij 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2362
Permit Counter Phone: (949) 644-3288 Issued Date :
U $ Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
°9cirone`r newportbeachca.gov/inspections
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
: 1212 SANTP
Description
: SFR REMO[
Owner:
JORDAN CLIFF
Address :
1212 SANTIAGI
NEWPORT BEF
Phone:
Applicant:
STEVE MYERS
Address :
1663 INDUSTRI
NORCO, CA 92
Phone:
(951)817-0525
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2019
V-B
U,R-3
i DR �L I Desc : N TR 4224 BLK LOT 189
80c:/0 or
S R TR_ 6 TR'ontrator STEVE M, iERS Architect : ANDRESEI DOUGLAS
' � r Addressi 1663 IND `i`RYAL AVE., A Addres AJGE WAY FONTANA, CA
CA 92660 =r, NORC�..GQ "O whom: 92335
k, Phone : (951)817- 525 Phone : (909) 355-6 88
Con State Lic : 501397 State Lid
Lic. Expire : 11/30/2022
Bus Lic : BT30079853 ^ - Engineer
AV >.. ... Bus Lic Expire : 10/31/2023 Address
.. r.' Workers' Compensation Insurance Phone: , r" ? `� �J
Carrier: CALIFORNIA INSURANCE COMPANY
Policy No: 460712290n ®�.7car si Ian
W.ry/13/2023 i dr�Scan
r+ (no work startAq)e :
(work started)
Fire Sprinklers : NO Construct' $300,000.00
Fire Hazard Zone : NO Added/New/T dg
�'?PC3��. �---" 1 InsP. Wl*at1(%s 693
No of Stories : 2 _ Added/New s_q.,t e . 0
21 ___•,,,,,,��-- TOTAL sq. ft. Bldg : 0
Front: 20'SI 5e: 6, Side: 6 _
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby al'flrrn under penalty of perjury that I am exempt from the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
ction 7031-5, Business and Professions Code: Any city or county Thal requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
permit to file a signed statement that lie 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
fessions Code) or that he or she is exempt from lieensure 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).
L, 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 not intended or offered for sale (Section 7044.
liners and Professions Code. The Contmctom' 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 built or
roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
ply 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 Lawj.
J I am exempt from hcensure under the Contractors' State License Law for the following reason
By my signature below I acknowled I n r r ^"+�ar�ryualw�i ase•=iti-+,vh!on i mustir o Gr a. east one year prior to completion of the. improvements covered by this permit, I cannot legally
soil a structure I ua as an owner -builder if Ithp not oen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Cod is available upon request when T71 i'caI bmltied or at the following Wed s tp fmca.gov/caiaw html ^.
Signature of ?TO .dy O �PNthorized Agent . Date
LICENSED CO TRA R` UICUL ON oonnnn�� InCI p
i hereby affirm a er penally of perjury that m licensed and r pmvis o of Chapt nc og vv tfi afa vao �dhD' t r terra and Professions CGdeand my license is In full force
and effect. Lice e Cl i CCITS, No Dat Contractor Sig Our
✓JORKERS' C PE ATIOfm'''}JEC. RATION NARNINGi FAILURE T SECU E WORKE COMP AT cGU_NLAWPJL J.Om`RIp.�^
TO'FF LE Is DAND SHALL UE.IECI AN EMPLUYEIQ 7k4fAL N P GNE NORED THOUSANO LAas IE100,000), IN ADDITION TO THE
COST OF COMPENSA ON D $-,f ,�OVIDED LGTION3 06 OF THE LAEOR CODC INTCNmSr AND AITOIxNEY'S FEES. ,,,,,,999999
hereby affirm Urn pans I a perjury one of the following daclarillnn
I have and wll main 'scale to f-sw lo{ murkvrs yornprns mi1nn I';tiud by the Director of Industrial Relations as prov el for by Section 3700 of the Labor Code, for tit
rmance of th rolk r whit par Is issu IIc o .aq I _ e
S'�ave and will arts v er omp ration i. c s req d'y I -U jQU of_�1{me„{,fibor Code, for the performance of the work for w ch this permit is issued. My workers' compensatior
IsSHnce carrier a d poll re:
r �� � Policy Number Expiration Date
Name of Agent _ _ hone #
DI certify that, in It pe e o work for which this m is ed. shall no amp! a p d5 mr i�' as b ct to ih 'workers' compensation laws of California, and agree
[hot, if I should bee a s� I e th r al n _ f Section 37 of t La or _ IQpC lm4✓il a,:cbmt ovisions /
Siqvi
lure of Apple ri
w�wTl/1\I �L' ♦o. ..n nn�OTDiIn NV IS'AY11,V Iw e�dACwInV "'_._—_.--�_H'.NIO IC-5{.ea'f-e�'�--��.
hereby affirm unde
_ander's Name
3y my signature bel
I am the proper
I have read this
I agree to comp
I authorize peon
signature of Proper
ACTION
PERMIT' EXPIRED
FERMIT CANCELLED
PERM? FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
of perjury
to each
lending agency for the performance of the work for which this permit Is Issued (Section �097, Civil Code).
Lender's Address
and the information I have provided is correct.
or Authorized Agent 4 _ - I'nnt Hropertj
DATE BY ECLARATION.O MPLIANCE WITH CODE OF FEDERAL
1 REGUtA'TIONS � 51 OF TITLE 40 AND AQMD ROLE
NIOTIFI1'.AT ION 10
NOTIFICATION 15 NOT APPLICABLE TO
Insp. initials:
FOR OFFICE USE ONLY
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