HomeMy WebLinkAboutXR2022-2189 - Permitsa�W POST
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
11111111111111111111111111111111111111111111111111111111111COMB Permit: XR2022-2189
Plan Check No : PC2022-2028
Issued Date : 11/30/2022
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1763 OCEAN BLVD Legal Desc : N TFKC LOT 16
Description : NEW SFR & GARAGE 2796/474 SF O
Owner: CONTESSA II LC Contractor : LONGMAN C♦ON CO INC Architect : JEFF J BENSON
Address : Address: 234 BROADWAY COSTA MESA, CA 92627
Phone : (949) 534-2724
State Lie :
Phone
19262 MESA DR
VILLA PARK, CA 92861
Applicant:
JEFF J BENSON
Address:
234 BROADWAY
COSTA MESA, CA 92627
Phone :
(949) 534-2724
Owner/Builder
:
Address :
Phone
Address :
NEW
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9062476
W. C. Expire : 7/1/2023
NEW O EACH,
CA 92663
Phone :
(949) 7 2-7711
Con State Lie
: 393881
Lie Expire :
08/31/2023
Bus Lie :
BT00001921
Bus Lie Expire : 03/31/2023
Code Edition:
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U,R-3
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 0
Flood Zone :
X
Use Zone :
R-11-- Single -Unit Residential
PROCESSED BY:
J'
SPECIAL CONDITIONS:
Engineer: MANSHADI FARHAD
Address : 1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone : (714) 835-2800
Designer : Address: NSr'T A—
C TOR
Phone:
YES Construction Valuation : $575,000.00
NO Added/New/Ti sq. ft. Bldg: 2,796
1 Alteration sq. ft. Bldg:
3 Added/New sq. ft. Garage: 474
TOTAL sq. ft. : 3,270
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable-Itefn(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, poor to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stain License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
Professions Code) or that he or she is exempt from Ycensure 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 I all of or I 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 praying that it was not built or
Improved for the purpose of sale)-
❑ 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' State License Law).
❑ 1 am exempt from licensure-under the Contractors' State License Law for the following reason:
By my signature below I acknowiadge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I.cannot legal
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 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent ____ A Date
LICENSED CONTRACTOR'S DECLARATION ""�.,,��
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7�p i the Business and Profess i0l� y license is In full force
and effect. License Class License No Date „_ Contractor Signature 14
COMPENSATION DECLARATION
ARNINGa 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 (E100A0i IN ADDITION TO T
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TQS OF THE LABOR CODE, INTEREST, AND ATTORNE:r'S FEES.
hereby affirm underpenalty of perjury one of the following declarations:
have and will maintain a Certificate of consent toself-insurefor workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
rancepf the work for which this permit Is issued. Policy No.
: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'
carrier and policy number are:
Policy Number
of Agent
Dale
certify that, inthe performance of rk for permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compereatio laws of ifomia, and agre
t, if I should become subject orkers' p otter provisiens ofSection 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Doty'
// 30 2.-
CLARATION REGODIR13 CONSTRUCTIO ING AGENCY
±reby affirm under penalty of perjury that there is a construction lending agenoy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s Name Lender's Address
my signature below, I Certify to each of the following:
I am the property owner or authorized to act on the property ovine 's behalf
I have read this application and the information I have provid corre _
I agree to comply with all applicable city and county ord" as an ws relating to building. construction. / j
I authorize representatives of this city or county to a ab d ifled property for inspection purposes. /
nature of Pronenv Owner or Authorized Aeon �iS °nt Proeertv owner's or Authorized AOenfs Name • /� �+ Data ow
ACTION
DATE
BY DECLARATION OF r PLIANCE W17H CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE
1403
FOR OFFICE USE ONLY '
PERMITEXPIRED
t 19,mmi EDA5861I NOTIFICATION TO
PERIATTCANCELEED
PFRM77 FXTENDFD
rr--IILJA... ___— .._..__.
OM6
�
PER
f5•
Z� IS NOT APPLICABLE TO
CERTIFICATE OF
DEMOLITION
OCCUPANCY ISSUED
5 G POSED
"EWP°kr City of Newport Beach II IIII I I III II I III II II III II Permit: XR2022-2189
100 Civic Center Drive Plan Check: PC2022-2028
i Newport Beach, CA 92660
(�<I c0 f-NAP
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: CONTESSA II LC
Address: 1763 OCEAN BLVD, NEWPORT BEACH, CA
Tenant:
Use Zone: R-1 - Single -Unit Residential
Description of Work: NEW SFR & GARAGE 2796/474 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: ; "z Iza-"
Code Year Edition: 2019
Number of Stories: 3
Construction Type: V-B
Occupancy: U,R-3
Total Occupant Load:
Fire Sprinklered: YES
Date: 6/6/2024