HomeMy WebLinkAboutXR2022-2790 - PermitsEWPok
City of Newport Beach
Community Development Department - Building Division
>?, y
100 Civic Center Drive, Newport Beach, CA 92660
v ie-..�,.=
Permit Counter Phoney (949) 644-3288
-
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Alteration
COMB Permit: XR2022-2790
X R 0������������������������������������� II
Plan Check No : PC2022-2649
Issued Date : 11/17/2022
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 : 410 TUSTIN AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 3
Description: SFR 400 SF ADU. ENCL OPENING, CREATE SOUND WALL
Owner: GARY MASON
Address: 410 MONARCH BAY DR
DANA POINT, CA
Phone :
(949) 295-4569
Applicant:
GARY MASON
Address :
410 MONARCH BAY DR
DANA POINT, CA
Phone :
(949) 295-4569
Owner/Builder : GARY MASON
Address: 410 MONARCH BAY DR
DANA POINT, CA
Phone : (949) 295-4569
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer:
HAIGHTCHRISTOPHER
Address :
1401 DOVE ST#240
NEWPORT BEACH, CA 92663
Phone :
(949) 623-9957
Designer:
CCIDC
Address
Phone : (714) 200-6789
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$5,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
AddedlNew/Tl sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
40n
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: 0_5
SPECIAL CONDITIONS:
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 items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 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
n t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 to 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 covered by this permit, I cannot legall,
sell 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 f the usiness and
Professions Code, is available upon request when this appljfatinlais�IlLeiBed At the following Web site:http:ftwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent / J�%� Date
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class _ License No Date Contractor Signature
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OF 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 declarations:
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 370G of the Labor Code, for
formance 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
Date
certify 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 al
t, if I should become subject to t'hh y/W/��s' c p fisalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant �i:%iy/ Date �/J ►. _ ___
CLARATION REG :O CTION NDING AGENCY
ereby 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).
Iders Name _ Lenders Address _
my signature beh:v, I c^_-tify to each of the following:
Pm the property owner or authorized to act on the property owner's behalf.
have road this crpSCz'ion and the information I have provided is correct.
I apreu to comply with all applicable city and county ordinances and state lawy relating to building construction,
aut:i�dze representatives of this city or countyto�rrl'�r�p� ro inspection purposes. /�
nature of Prooert" rlwnar or Authorized Agent Print PrODertV Owner's or Authorized Aaenfs Name C'9Ftl�'�
[ION I DATE I By - DnULATTONS PART M LARAION M TITLE 4ITAND DE OF RULERAL FOR OFFICE USE ONLY
PEKt.1iT 5'TIRED LJ I SUBMI71
PEI,MIT CAflCELLED 13EPA
PQeh4i F EX,ENDED
PERM'AFINAL 4 q^ ASBESTOS
CERTIFICATEOF i✓ rr7�..n� PROPOSED DI
OCCUPANCY ISSUED %n' 3A SIGNATURE:
Date
Ln
H
rn
co
00
m
N
rn
Uo
W
a
U A,
W
�
m
�
z5
0 0)
CL�
O
Z
QI
A
-o
ao
W
A
m
W a
U o
A
a:
O
0.1
3
m
F
> 25$c
'•y
i.
�z
5
ICI
U
Uo
U
U
C)
C
w o`_ Y m = y .L.+ U O C L N
Z p Em y00 g �� T o cm Lca 9 =o
O o N w°° m m o a) o '3 o a)> E o m m m n c o 'E E
a) LLy o � a N 3 3 - d Y c 3 3 0 o m-O E O
1- 'O c: mm > E`o 0L o m E o ° m m v c m L V
Q j p- = O) apiamp ' m 4)
9 E r�3
wti`e33
C°- c=o co m
LL m o man co o -Oc y om oc m
m - 3 C m'-m
to 4)� a)co
-a C) `E m o aW > IIo..o
a) m 'c va a) �np c Epaaooo a)
Z E gc c
- Emm °
maoLLO o°O�" m
r E a m
>,Ew °
O LL zLO > O.M 0) 00 c mN O
.o6 m o o m T O , a) T000 : -0 -p m `E o u
y 7 V O N > a) m N N m 0.0 m 0.L - m 'O O rn yin L
O W m � G _m A 0) O G L cL O a) L N C d O an d m C -O a) U m m 0° U Cr
p c -0 y- -j O N L m
LL Z n L C m R -0 m L Y -0 � L ) C N� N Y C 3.NO
Q p !� O >, m O w C N m tmn a) ID m Y N y O 3
O S E E -0 u a V > m E c U c_ o 0 0= ac n> m m 3 o mL E° T>
O O 3 m T LL C O m> N n m U T U' J 0 C
T O) O 0 O C O m _ 0 -O m U N .V - C in .m) to m a J >' C -O m m
Z� c m> `moo 0, Er(Da)o_E a� Ecc m mmm �-0E Emc aT
Q W W -0- S O- > � 0 �- 0 a c- 0 C m C 0 L m- N C 0 N m= '0 O .O m
d m..c; C {p a O .O N= m a) a) Y V= o L a) O-'O .0
Z� OaYa Ciom O 3 magic° �" mE 3 rnymo �n�Y cgvaE mca?
�U a�¢y o�w Q ° accvT gm mco m mcS 0cm 'y�m`o yE
WN a N `mo >o� H `)>3�mY �c -mo a)°z 4m°m o>om m3
'J= O c �°- -"o c05o E _ °m vi `�0>, °-=cam m 0, wrn`0
H 0- C
J'LQ OVF aLcmEamwym°'a '�m3mcadcEN my�a3 :�?Uya) VC9 Sw ��nmQ_a-p)mym C�' cOE • .od TomO G °OCm—�� Q QL w OC pp o T E ro w-O YLO
w°3°m3a)m °c03 °
c
`Nmm E EEym moamE
a) 0 0Z E TE o
vm E TL m o_ E�L m 0 !r V p
a) ac 0 a)O c m (aC°)
aO o o-mm 0
rn n.o a-Z aEm z:w o -E E :c am
N3Y 00 c °>
_ o f o" -� c w
yYj ac a `m m o m Q ��? p w m° c o c ��a o m c aaa)) N� y u U
O C G m C L c T' O O m �p m C N
', •. m E T T 3 m m= m :� ' L CO p .o m U` 'O L !� > m 3 -O >' m m m
J > 01 U C E a) 'm C m T -O O C N c c m `
7 3°oEO�yyx W am) �nE�ca�c Ca N-� m yLE m°3m 'a c
n 0 a 3- w rn. t Z E` o p> 3 a E m m E EE m c- EO E m s cc
>`:+ O fn O O � m m C w O r N O '6 Y a) G 'O m= m N .0. N U a) m U
Y. a) U T n N m= C N O Z a .� m a C a) -0„ C �. -0 m j` m 'O � 3 �> C T n U C O
_ C 3 j p m a 3 N 3'p N C' M m 3' N in
Z onaEoE-oamc -m� awo Q -�� 'ac -O0 30' a -m �0 3�c
N O m T cm >� 'y '- ii U) m@ T m n c W O) U m N C0 41 w m N U
C amY as '> m W c °c E CM >,
m e A
oY _ o co C m Qc cm E45& �-' w3maoa O oomo cc m�v'm3m
J
N
O
N
O (D OZ
3
o
m D
O
C �
d O
O
CD m
o
z_
(D
S V
N
a a
-OO CDD
(D
`G N
O °
>0
y
y" O
y' O
w
C O
(D
d
O
CD
c
a
0
a -
CD
N
CD
Ca
�'o'm
a
5m x
O� Z
n
a j N O
°-
3
p'
(o N
a
? O
Z (D
(D 0 7 n
N
(D
N O O.
W
_CDw
y
O
.°..
O O N.
1
o� m
o
y
0
vn
n3Pt
Dir
�m
0 CD
CD
y 0
S
w
a iD
O
n O
x
Q
.(�D IO
O, C N
N
d
n, O
(O
o sv
a
D
a
m G m
N
m(p
G O (D
D
N
a
w w
D
n
O
`c 00
7
ni
O O
3
Oa
TT -COD..
(D
Z°
((QD
O (Gp
Q N o
O
aCD
°d(DCD
T
o m
o o�
p0 sa.
G
w w (D
n 7
D
M
O
:3
O Q
Z
(D
'° o
_
o v
o o
1 1
O w w
O n 3
W a. (�
O 'm (0
Q
O ui
0 n 0
mCD
N
y
D
�� W
y N
(� 'O =,'O
p N
1 7 X
9
° -O
S4 =
w cr 0
v N CD
O
CD(D
N a
C
Z
O °
O °
C O
O n
O
w m
CD
dd�
o
3m�'
v
a°
c° .°e m
CD
l< �
m
-a ?
o,w3
A
°m
boo
y W
n W-
~'_'c
N (D
mDCD
-�
�a
O (D w
Z
o `G
p a
-0 a
Z
a
0 m
m
N
.-.
Q�G CD
°
w w
A
W
So m
o m
Vl
Ca
(SD
a
m
: a
CD
0 o
o w
x
�
n
ZD'n
co
T.
-(
l 0
3
y <
_�
O Q O
j (D
O N
° o
o
CD a
=1 0
3 0
c
a Z*0
0
O-q 0 � r
��«
3
3m>>ocm)
O '
O
n
f0 3 w
C O
n d
O w N
° m °"
d
toil
N
�G tOn
O
C n C. S
O y O O°
O O
SL (D C
O
N
p p 3 N °"
..
m
C
7 p= o
w `h (C
y
.O-. O �y C .0..
CD N O
S O
°m
o,
0.��3wN
O O
m°
3
n''< °
0
t3
a CD (p
S i
O
°G
0 CD
00
O
mO n d
w
(D w (cjl (D (O
— " c
7
N
s3 O 7,?.
10 m
m
N d �• - CD (D
CDN
2 O yj
3 y N O O'
Q d `G
Q .��. (Dr
OQ y d^
p O
7 ow n N
W N a
Q. caS Fl,
O C a0 " (D
y *G U)
N d y
O
a N
w m zr N
N N 7' 3
m m w (D O_
_
1
w
0 3 0
n ° O ° 0
° 0 a c
°
x o 3 m
(�D N C „N„
N y' (O 3 c 'O N D
3 w
O to N
C .O-. OW CD
60
O
m0•�o_ w
0 N o S
_<
(D ° rn
ui o 6
0-
N i (/l C w
C) w Oc
am-
7 (D
0 N
w a
7 z 3 6 -
n C S.G (D n
n d c
C W y a
N y `< n CD w 0
N O =. (a
N C= n N 0
�(O3
cc3a`G°0
O
N a
w
(D rr
(D�K
O 6 (D d N n
IU O N ON-n
(p
N
w -+ C O 3
N n Q 7 C
Q
w
O
O 'aCD
O o _W = w g 3
O
O
N N 00 0 w 0
(D K
N. CDO 1 0.'.G (D
w (Dw OC 3iiW�
° 3° a�p0—gym
D
O C w D C
m -- w O -
3 N w N (Oil K w ol N= N N
0 0-°' c 0
0 3
O w CD
n „U) S m w
wo -0 O CODw (D 'G
(DC a m w C71 a M O�mO .00
v oN
a
oy =Cm
�m°
o_� 0-� ? m w ao
o O� w O n (D O79 T
dw ad °°w W.6
m �o ww wQ (n
O 3 O. 30. °. 3 in O mM
_ r-0
3 w°
3CD C w W w N y N
3 p -
y w
w '0 m CD
W
O -
o y m n N C 3 3
w m°o
o o 3
M ch _
o. to 0 m 0 m prD w �. m
a CD 0 3 N° O O
O 7 w w N c O
0 a -O y
y QS °-O 0 NN N wN O N 3 CL p N w
CD w
yi w - 7
0
�� 3noCD.
S. 0 — 0. 3
w am o 0 m-
O O a = 3 m v 00
y O O� Q� "O CD
w ° O w
w m 3 w 0�
`GO (a030
cc m m 0 T w < 3
o a = mo_ CD CD