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HomeMy WebLinkAboutXR2023-0891 - Permits„�r�EWPO�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0891 'n, 1@ Community Development Department- Building Division X R 2 0 2 3 0 8 9 1 �” r ry' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3170 t- 'a. r. n Permit Counter Phone: (949) 718-1888 Issued Date : 08/28/2023 'tku�._ newportbeachca.gov/civic Final Date: uoa - 01 Combination Type - SFP ELEC MECH PLUM Permit status: Issued Work Class - Addition/Alteration 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: 1915 SANTIAGO DR Legal Desc : N TR 4709 BLK LOT 6 Description: SFR -ADD OFFICE 195 SF; INTERIOR ALT. 1260 SF; ALT GARAGE 662 SF (1922 SF); RE -FRAME ROOF; ATT PATIO COVER 272 SF Owner Address Phone: KANE CHRISTOPHER MICHAEL TR KANE Contractor: LEWIS CARL CO FAM I LY TR 1915 SANTIAGO DR NEWPORT BEACH, CA 92660 (949)246-4817 Applicant: RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FULLERTON, CA 92831 Phone: (714)482-8296 Owner/Builder Address : Address : 738 N JANSS ST ANAHEIM, CA 92805 Phone: (714)774-3844 Con State Lic : 487135 Lic Expire : 02/29/2024 Bus Lic : BT30022339 Bus Lic Expire : 03/3112024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD505748902 W. C. Expire : 10/1/2023 Phone: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks Flood Zone : X Use Zone : PROCESSED BY SPECIAL CONDITIONS: Architect: RYAN OLDHAM Address : 680 LANGSDORF DR, 202E FULLERTON, CA 92831 Phone : (714) 482-8296 State Lic: Engineer: DAVIDLAYNE Address: 27369 VIA INDUSTRIA TEMECULA, CA 92590 Phone: (951)600-0032 Designer: Address Phone: Construction Valuation : $500,000.00 Added/New/Ti sq. ft. Bldg : 195 Alteration sq. ft. Bldg: 1,922 Added/New sq. ft. Garage : 0 TOTAL so. ft.,:, 195 OWNER—BUILDEROWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt ITurn the Contractors' State License Law for there ason (s) indicated below by the checkmark(s) I have placed next to the applicable Items) (Section 7031.5, Business and Professions Code: AnY city or county That requires a ported to construct, altar. improve, demolish, or repair any structure, prior to It$'SSUonce, also requires the applcant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ilceirsure and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with Wages as their sole compensation, will do L) all of or U 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 properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cede: 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 t0 the Contractors' State License Law). 11 1 am exempt horn 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 Iegali 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 o€ tho Business and Professions Code, is avelabte, upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalaw.titml. Signature of Property Owner or Authorized Agent ....... Date LICENSED CONTRACTOR'S DECLARATION-------------_�.___-_._._•..�__._.___. .._..�_____...._._w..___.._._. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of ivi on 3 of the Business and Pr ssI an cerise is in full force and effect. License Class License No Daie. Contractor Signatu NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,D001, IN ADDITION TO THE :OST 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: -1 1 have and will maintain a certificate of consent 1D self Insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 61e oirnance of the work for which this permit Is issued. Policy I ave 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' compensation surance carrier and policy number are: :arner Policy Number Expiration Date lams of Agent Phone M ]I certify that, in the performance of the rk 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 ago rat, if I should becdm sub rkrs ecomp m Lon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignalure of AUPlica c'' "�� _ e� Oat_ --d=-� IECLARATiON R CONSTRUCTION LENDING AGENCY __...._._.�_.._. — hereby 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). enrtFx's Name Lenders Address By my signature halo,, I certify to each of the following: I am file property Owner or authorized to act on the properly 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 laws relating to building construction. I authorize representatives of this city or county I sate- in abo identified propeit for inspection purposes. Signature of PropertyOwner or Authorized Agent, % nl Pro art Owner's or Authorized Agent's Name •L ata ACTION DATE. j ENV if D11CLARATICIN OF COMPLIANCE I roil CODE OK FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 'a03 PFRMfT EXPIRED I L7 I SUBMITTED ASBESTOS NOTIFICATION TO + ._ __...__ . _ ._. .___ IMF - PERMIT CANCELLED A PERMIT EXTENDED '1QMD ......._ _ ._..._.._. .._... .__/... i_..... ._ .. PERMIT FINAL I! /ZIJ' __.._..... . __............._ _..... ASt7E5Tit75 jJU11FIS tI ISICANUI APPLICABLE I'O CERTIFICATE Of E PRO OSED "j/[j`MOLI OCCUPANCY f5Sf1E0 ( '. SILJNATTiRc