HomeMy WebLinkAboutXR2023-0304 - Permits4��W PoRr City of Newport Beach
C @ Community Development Department - Building Division
F s 100 Civic Center Drive, Newport Beach, CA 92660
r1 Permit Counter Phone: (949) 644-3288
U tea,. S Inspection Requests Phone: (949) 644-3255
ppH�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
11IIIIII111111111111111111111111111111111111111111111111I 11 COMB Permit: XR2023-0304
Plan Check No: PC2022-2041
Issued Date : 02/02/2023
Inspection Area :4
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: 1811 NEWPORT HILLS DR E Legal Desc : N TR 7031 BILK LOT 54
Description: DELTA 2 FOR (E) STAIR DEMO AND REBUILD -REMODEL AREA INCREASED FROM 955 SF TO 1110 SF (ADDITIONAL SCOPE)
Owner: GRANT & WHITNEY SHIFFLETT
Address : 1811 NEWPORT HILLS DR E
NEWPORT BEACH, CA 92660
Phone :
(310) 595-6904
Applicant:
OSCAR ALMENDAREZ
Address :
31234 W NINE DR
LAGUNA NIGUEL, CA 92677
Phone:
(951)990-4834
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Contractor :
Chane Zarif
Address:
25561 Adriana
Mission Viejo, CA 92691
Phone:
(949)742-9966
Con State Lic
: 836849
Lic Expire :
06/30/2024
Bus Lic:
BT300066346
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9161554
W. C. Expire: 6/25/2023
Architect
Address
Phone:
State Lic
Engineer: VENTOCILLAJOSE
Address : 24636 CRESTA CT
LAGUNA HILLS, CA 92668,
Phone: (949)910-0942
Designer: OSCAR ALMENDAREZ
Address : 31234 W NINE DR
LAGUNA NIGUEL, CA 92673
Phone: (951)990-4834 '
2019 Fire Sprinklers :
NO
Construction Valuation :
$30,00400
V-B Fire Hazard Zone :
NO
Added/Newts sq. ft. Bldg:
0
U,R-3 No of Units :
1
Alteration sq. ft. Bldg :
155
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC -//Harbor View Hills
PROCESSED BY: G
SPECIAL CONDITIONS: 3a�•o"` %�✓ tl `.L l
thereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for there ason (s) indicated below by the checkmark(s) I have placed next to the Spot cable iteri
3eolion 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
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Gontractors' State License Late (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exemptfrom reeinsure 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
of more than five hundred dollars ($500).
I I, 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,
Iusiness 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
nprovements 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 builtor
nproved for the purpose of sale),
1 1, 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
poly 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),
3 1 am exempt from licensure under the Contractors' State License Law for the fallowing 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, I cannot legally
ell a structure that I have built as an owmar-builder if it has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 or the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwvAv.leginfo.ca.govlcalaw.html,
tignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of vision 3of the Business and Professions Cor;, ani})my license is In full force
nd effect. License Class License No Oat 2 Z iN Contractor Signature
Cfi :i,
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO StLbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S10D,000f, IN ADDITION TO THE
DST OF COMPENSATI� V, n^Mi AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hOr35,' 9f1irm under pe�Plty of perjury one of the following declarations:
I 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 3700 of the Labor Code, for thi
eifor.nsn. a of the wxk 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'
rance Carder and po,iey number are:
Policy Number
of Agent
Date
'r.rl`7 that, in the perromri o 1 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 agre
it I should beaorri sobj to t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
aura of Applir.ant Dat /Z�Z3
'1 1 C AT1/lAI CCf A IAIf1 hAI TOI IPTIf1.AI f CkfYtIAIY] A2GAl!`V I
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).
enders Name Lender's Address
q 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 ordm cos a state Paws relating to building construction.
I authorize representatives of this city or county to enter le aliov 'identified property for inspection purposes.
ACTION FEDEROF
I DATE I BY DECLARATION Or COMPLIANCE WITH CI REGULATIONS PART 51 OF ITLE 40 A DODE E AOMD RULE AL , FOR OFFICE USE ONLY
PERMIT EXPIRED
i I-1- I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
t•—LtEPA --�---
PERMiT EXTENDED
u6i
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
j(j/'
'BE5T05 Ng71F1C IONI NOTAPPLICABLE 70
OSF.O PROPt7EMOlITt
SIGNATORE. \11vv�"LL