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HomeMy WebLinkAboutXR2022-2623 - Permits04'. City of Newport Beach 15, Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CoCombination Type - SFP ELEC MECH PLUM Work Class - Alteration X R 2 0 2 2 2 6 2 3(I COMB Permit : XR2022-2623 Plan Check No : 1119-2021 Issued Date : 05/12/2023 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 : 1533 ANTIGUA WAY Legal Desc : N TR 4981 BLK LOT 9 Description : SFR - INTERIOR ALT 1369 SF. REDUCE SIZE OF PATIO OVERHANG Owner: PAULJONES Address : 1533 ANTIGUA WAY NEWPORT BEACH, CA 92660 Phone: (214) 403-8313 Applicant: OSCAR ALMENDAREZ Address : 31234 W NINE DR LAGUNA NIGUEL, CA 92677 Phone: (951)990-4834 Owner/Builder : Address : Phone: Contractor: CORNERSTONE CONSTUCTION Address : 934 CALLE NEGACIO, C SAN CLEMENTE, CA 92673 Phone: (949)369-1979 Con State Lie : 1033864 Lie Expire : 12/31/2023 Bus Lie : BT30061583 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy No: 1ATCA160006213 W. C. Expire : 11/22/2023 Architect Address Phone: State Lie Engineer: VENTOCILLA JOSE Address : 24636 CRESTA CT LAGUNA HILLS, CA 92653 Phone : (949) 910-0942 Designer: OSCAR ALMENDAREZ Address : 31234 W NINE DR LAGUNA NIGUEL, CA 92677 Phone: (951) 990-4834 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $109,520.00 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 : 1,369' . • , ' Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 • . :.... TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ' PROCESSED BY: SPECIAL CONDITIONS: H,4, 4f ��*� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Iam 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 applicant for the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' Slate 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 liconsure 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 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 Intendedor 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 im roved 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). 0 l am exempt from licensors 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 iogail; sell a structure that I have built as an owner-buildor 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:htip:ltwwwJeginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION / I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se"on 70 is n the Business and Profess' s d license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE. IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P£NALTI SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �rI hereby affirm under penalty of perjury one of the following declarations: IIL,,,] 1 have and will maintain a certlli 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 th p formance of the work for which this permit is issued. Policy No. I ve and will maintain workers' compensation insurance,. as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi urance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the PfDoNG/ON e th rwhich this permit is issued, I shad not employ any person in any manner so as to become subject to the workers' compens on laws o alifornia, and agre that, if I should beco compensation provisions of Section 3700 of the Labor Code, I Stull forthwith comply with those provisions. Signature of Applicant,_ _ _ Date DECLARATION I RUCTION LEN AGENCY 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). Lenders Name Lenders Address By my signature bnl,�,v, I certify to each of the following: I am the properly cwner or authorized to acton the property ow is behalf. 1 hevn read th s apollcalion and the information 1 have r vid i rrect. /'o,t I agree to compy Ain all applicable city and co o n nd ate IaWs relating to building construction. �; 'Vu+' WI I authorize representatives of this city or coup y to a -identified property for inspection purposes. Si naiuca of Pro art Y Owner or Authorized, ant Print Property Owner's or Authorized Agent's Name _ Date /C ACTION DATE BY ( DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 Pd,vh 1 ET'PIREU LJ I SUBPAITTED ASBESTOS NOTIFICATION TO $fRCAII CA.NCEt.LEP ©EPA PERMlTEXTENDED A D PERMIT AIEF 3 /j P BI�PI ESTUS NOT'�' L CERTIFICATE OF I PROPOSED DEWk21ijD�y OCCUPANCY ISSUED SIGNATURE: �L 0 0 v o_ I 3 r I d z rn w z LO U 04 0, W U N m W M my HoQ� co O WSZ0 f° ai U W *4 9 X U y A cz a o . 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