HomeMy WebLinkAboutXR2022-2355 - Permits��EWPORT City of Newport Beach
p Community Development Department- Building Division
el 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U Inspection Requests Phone: (949) 644-3255
°9ticon�"P newportbeachca.gov/inspections
Combination Type - SFP ELEC PLUM
Work Class - Other
IIIIIIIIIIiilllllllllllllllllllllllllllllllllllllllCOMB Permit : XR2022-2355
Plan Check No: PC2022-2198
Issued Date : 01/03/2023
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: 429 RIVERSIDE AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 24 LOT 16
Description: SFR NEW DETACHED GARAGE 527 SF (ATT ADU ABOVE UNDER SEPARATEPERMIT)
Owner: CHRISTOPHER FLETCHER
Contractor: OLIVE TREE CONSTRUCTION INC.
Architect
Address : 500 31 ST ST
Address : 1048 IRVINE AVE, STE #167
Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92660
„
Phone:
Phone: (949)378-8456
Phone: ,,,,
Con State Lic : 523488
State Lic
Lic Expire : 12/31/2023
Applicant : OLIVE TREE CONSTRUCTION INC.
Bus Lic : BT30028903
Engineer : GABRIEL MICHAEL R ,
Address : 1048 IRVINE AVE, STE #167
Bus Lic Expire : 01/31/2023
Address : 483 E 20TH STREET
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92627 , ,
Phone: (949) 378-8456
Workers' Compensation Insurance
Phone: (949) 646-6596 ,
Carrier: INSURANCE COMPANY OF THE WEST
Owner/Builder :
Policy No : WSD506228801
Designer : BILL GUIDERO
Address :
W. C. Expire: 10/1/2023
Address : 425 30TH ST, 23
NEWPORT BEACH, CA�92663•
Phone:
Phone: (949) 675-2626
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $43,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 527
TOTAL sq. ft. 527
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftent(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any struetureT prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuantio 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 licensors 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).
0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
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).
I, as owner of the property, am exclusively contracting with licensed Contractors tD 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State license Law).
I am exempt from licensor¢ under the Contractors' Stale License Law for the following reason_ _
By my signature below t acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this. permit, I.cannot legally
sell a structure that I have built as an owner-buildor if ithas not been constructed in its entirely by licensed contractors. I understand thata copy of theapplicable law, Section 7044 of tho Business and
Professions Code, is available upon request when this appliration is submitted or at the following Web site:http!flwww,teginfo.ca,gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
t hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencng with section 70 0) of Division of the Business and Professions Code, a y license is in full force
and effect. License Class License No Date contractor signature gL'r
WORKERS' COY PFNSATION DECLARATION 7
WARNING: FAILURE Tn aFCURE WOFXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNOREO THOUSAND DOLLARS ($1.00,000), IN ADDITION TO THE
0')" OF C TMPFNSATION, DAMAGE$ Aa PROVIDED FOR IN SECTR}N 3TDS OF THE LABOR CODE, INTERE51r,. AND ATTORNEY'S FEES,
Ihereby rffirm urr!E- p^ralty of perjury one of the fallowing declarations:
0 1 hevw. and will maintain a certificate of consent to soif-Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
p,rforinance of the work for which this permit fa issued. Policy No.
and writ re'rtam 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"
carrier and pnlicy number are,
Policy Number
or Agent
Date
caruf, that, in trio pa,formance 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 Calremila, and
If I should beccme rubjact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of App,�cant
Data /3 . Z 3
neby 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
Noes 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 fawn relating to building construction.
I authorize representatives of this city or county to yi�the above -identified property for inspection purposes. /' <
�eG4_r.r.
Civil Code).
ACTION DATE BY i REGULATI
ONS ON PART b10F 7tg
OF COMPLIANCE WIN
ODE OFFEDERAL FOR OFFICE USE ONLY ✓
AQVID RULE
PERMIT EXPIRED I I SUBMITTED ASBESTOS NOTIFICATION TO
PERITFINAL
I N L I ( � / � LJ ASBESTOS NOTIFICATION IS NOT APPUCABL'F TO
Ii PROPOSED DEMOLITION
OCCUPANCY 15SUED SIGNATURE;