HomeMy WebLinkAboutF2022-0549 - PermitsCity of Newport Beach IIIIIIIIIIIIIIuIIIIIIIIIIIIIIIIIIIIIIIulllulllllllllllll Community Development Department- Building Division COMB Permit: F2022-0549
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y �r, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2628
D Permit Counter Phone: (949) 718-1888 Issued Date: 06/09/2023
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`''uFop"`P Combination Type - SFP 1 °+ ^ ,^^ r-� sP•,,-� .-,,..
Work Class - Other
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 : 8 SIDNEY BAY DR
Legal Desc : N TR 15445 BLK LOT 21
Description : SFR FUEL MODIFICATION (X2022-2778)
Owner: DANIEL ROBINSON
Contractor: FLUEGGE CONSTRUCTION INC
Architect:
Address : B SIDNEY BAY DR
Address : 27762 ANTONIO PKWY L-1 #422
Address
NEWPORT COAST, CA 92657
LADERA RANCH, CA 92694
Phone:
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Phone: (949)276-7311
Con State Lic : 844285
Phone:
State Lic:
Lic Expire : 08/31/2024
Applicant: ERIC TRABERT
Bus Lic: BT30080202
Engineer: MANSHADI FARHAD
Address : 9521 IRVINE CENTER DR
Bus Lic Expire : 12/31/2023
Address : 1800 E 16TH ST UNIT B
IRVINE, CA 92618
SANTA ANA, CA 92701
Phone: (949) 861-2244
Workers' Compensation Insurance
Phone: (714) 835-2800
Carrier: EXEMPT- NO EMPLOYEES
Owner/Builder :
Policy No: EXEMPT
Designer: ERIC TRABERT
W. C. Expire:
Address : 9521 IRVINE CENTER DR
Address :
IRVINE, CA 92618
Phone: (949)861-2244
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $500,000.00
Type of Construction : V-B
Fire Hazard Zone : YES
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage :
TOTAL sq. ft. : 0
Building Setbacks :
• • _ '
Flood Zone: X
Use Zone: PC - Newport Coast
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PROCESSED BY:
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate license Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he 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
'rofessions Code) or that he or she is exempt from iicensure 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
tot mare than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do j_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
lusiness 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
mprovements 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
m 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' State License Law does not
Ty 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),
i am exempt from Ifcensure under the Contractors' Stale License Law for the following reason:
ly 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, 1 cannot legall,
loll 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 of the Business and
lrofessions Code, Isavailable upon request when this application is submitted oratthe following Web siteihttp9/www.teginfo.ca.gov/calaw.html,
signature of Property Owner or Authorized Agent
.Dale
_ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I amlicensed under provisions of Chapter 9 (Commencing with Section 7 3 of the Business andPra lons Code, and my license is in full force
Ind effect. License Class License No Date ) Z3 Contractor Signatu
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FNES UP TOONE HOUBANO DOLLARS (Stss,$ss), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE; INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for th
�edormance of the wok 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' componsatio
trance carrier and policy rrumber are:
,ler Policy Number Expiration Date
to of Agent Phone If
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certify that, in the performs Df 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 ogre
, If I should become sub)ect /nie workers' oompemation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. L,
nature of Applicant l/ / Date'' I- z-7
11 ADATInN aDn ADrNMn OT011nm^M I. CrJOWn Ancunv
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, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the prop x t; Jwner or authorized to act on theproperty owner's behalf.
I have read thrr rlplication and the information I.have providedis correct.
I amee to comFl, vith all applicable. city end county ordinances and state laws relating to building construction. /�
I autoorize rapre4ematives of this city or county )6jenter the above -identified property for Inspection purposes. nil n
ACTION I DATE
F^r.r:T EXPIRED
F-,i;f b F CANCELLED
CiAl&,CA AE
Cnh Lr,LA rE OF
OCCCFA.KY ISSUE,)
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY