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HomeMy WebLinkAboutXR2023-3046 - Permits�gWPOF7, City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-3046 o� p Community Development Department- Building Division X R 2 0 2 3 3 0 4 6 :y 1GD Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2641 n Permit Counter Phone: (949) 718-1888 - ._ _._. Issued Date : 10/30/2023 .3. newportbeachca.gov/civic --"'! Final Date: °9cicn a�`r Combination Type - SFP ELEC MECH PLUM - --- - n .. p Permit Status: Issued Work Class - 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 : 2312 FAIRHILL DR Legal Deed: N TR 2516 BLK LOT 6 Description: SFR - INTERIOR & EXTERIOR REMODEL TO INCLUDE (N) WINDOWS/DOORS, SIDING, & DRAINAGE 1750 SF *123-2234- Owner : HAYES DAVID J TR Address : 2312 FAIRHILL DR NEWPORT BEACH, CA 92660 Phone : (949) 400-7460 Applicant: VANDER - BUILT CONSTRUCTION Address : 26750 EASTVALE RD PALOS VERDES PENINSULA, CA 90274 Phone : (714) 269-0495 Owner/Builder Address : Phone : Contractor: VANDER-BUILT CONSTRUCTION Address : 26750 EASTVALE RD PALOS VERDES PENINSULA, CA 90274 Phone: (714) 269-0495 Con State Lic : 777008 Lic Expire: 04130/2024 Bus Lic : BT30082418 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Architect Address: Phone : State Lic Engineer: SHERAFATI ARDALAN Address: 17901 VON KARMAN AVE #600 IRVINE, CA 92614 Phone : (949) 522-5001 Designer: VANDER-BUILT CONSTRUCTION Address : 26750 EASTVALE RD PALOS VERDES PENINSULA, CA 90274 Phone: (714) 269-0495 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $167,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : TOTAL sq. ft. 0 ' Building Setbacks: Front: 20, Side: 5, Side: 5, Rear: 20 - - Flood Zone : X , Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) BY: PROCESSED SPECIAL CONDITIONS: HAULER: CR&R OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that l 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 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 appiicarn for he permit to Tile a signed statement that he or she is licensed pursuant to the provisions of the Contraclors'State. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business Viand 'rofessions Code) or that he or she is exempt from ficensure 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 lot more than five hundred dollars ($500). 1 I, as owner of the property., or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usmn s and. Professions Code: The Contractors' Stale 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 mprovecl. for the purpose of sale). 1 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' Slate License. Law). 1 am exempt from Ilcensure under the Contractors' Stale License Law for the following reason: _ ._„-- 3y my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, Lcannot iegail; :ell 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 theapplicable law. Section 7044 of the Business and professions Code, is available upon request when this application is submitted or at the following Web site;http:lrwww,leginfo,c .gov)calaw.html.. 9lpnalu11e of Property Owner or Authorized Agent,,_ Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D vision 3 of the Business an e, von Cc e a d y license is in hull farce bid effect. License Class License No Dafc Z% Contractor Signature t NORKERS' COMPEN'SATIION DECLARATION ��'��I, YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSAECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ih lerformanceof the work for which this permit is. issued- Policy No. have andwill 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 carrier and policy number are: i�,of Agent certify that, in .the performance of if I should become subject to the of Applicant Policy Number Date 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 rkers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply With those provisions. .__._..._.,_...----._.. Date .© 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 .ender's Name Lender's Address 3y my signature below, I certify to each of the (following: I am the lemperty yawner or authorized to acton the property owner's behalf. I have read this application and the information I have provided Is correct. I agree to comniv with all applicable city and county Ordinances and state laws relating to building construction. I uumorizc reores.:ntatives of this city or cegnt nter ao e Identified property for inspection purposes. q Signature Of Property Owner or Authorized Agent � Print Prooerty Owner's or Authorized Aaent's Name - \ 1 — ALTiON PE'P,VTFINAL 'E9 `I`ICAT£ OF OrCUPANCY 6SUED DATE By I DECLARATION OF CONlPLIANCE WiTli CODEOF FEOEI REGULATIONS PART al OF TITLE 40 AND AQMD RULE Tj 1403 I SUBMITTED ASBESTOS NOTIFICATION TO WASBE51DS NOTIFICATION is NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Civil Code).. -A Dale LL) �1