HomeMy WebLinkAboutXR2024-0516 - PermitslEwpoRT City of Newport Beach jjI11111111111111111111111111111111111111111111111111111 jjCOMB Permit:XR2024-0516
I Community Development Department- Building Division
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U100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0568-2021 S Permit Counter Phone: (949) 718-1888
a newportbeachca.gov/civic Final Issued Date : 03/29/2024
C9<�F00.N�P Date:
Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 8
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 HOLDS IN ALL AREAS
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Job Address: 302 KINGS RD Legal Desc : N TR 1219 BLK H LOT 12
Description: SFR- POOL SAFETY/DROWNING PREVENTION **CITY STD**
Owner : STAR PROPERTY LB INVESTMENT LLC
Address : 14930 ALONDRA BLVD
LA MIRADA, CA 90638
Phone :
(562) 225-6425
Applicant:
ISABELLA JACKSON
Address :
502 30TH STREET, A
NEWPORT BEACH, CA 92663
Phone :
(714) 393-0204
Owner/Builder :
Address :
Phone
Contractor: GONTERMAN CONSTRUCTION
Address : 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone : (949) 697-0746
Con State Lic :
858073
Lic Expire :
04/30/2025
Bus Lic:
BT30048414
Bus Lic Expire :
09/30/2024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9259518
W. C. Expire : 8/22/2024
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: REV2024-0391
Architect:
ERIC AUST
Address:
62 BALBOA COVES NEWPORT BEACH,
CA 92663
Phone :
(949) 637-5220
State Lic :
CO29374
Engineer: ALLEN THOMAS CHRISTOPHER
Address: 2 VENTURE #400
IRVINE, CA 92618
Phone: (949) 477-4001
Designer:
Address :
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
0 Alteration sq. ft. Bldg :
0 Add/New sq. ft. Garage:
TOTAL sq. ft. :
$500.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
iSection 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
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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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).
111, 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).
❑ I 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 legalll
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable 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:(lwww.leginfo.ca.gov/calaw.html,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
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
:RS' COMPENSATION DECLARATION
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 (5100,0001. IN ADDITION TO THE
:OMPENSATION. 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:
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
xmance 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
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date
IECLARATION REGARDING 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).
enders Name Lender's Address
y my signature below, I certify to each of the following:
I am the property Owner or authorized to act on the property owners behalf-
[ 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 to enter the above -identified property for inspection purposes.
lionature of PrODertv Owner or Authorized ADent Print Property Owner's or Authorized AGent's Name
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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