HomeMy WebLinkAboutX2021-1282 - Permits"EWPORT
City of Newport Beach
B
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportheachca.gov/civic
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Combination Type - SFP ELEC
Work Class - Alteration
iiiiiiiiiii II COMB Permit : X2021 -1 282
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 BILK LOT 9
Description: SFR R/R DOORS, WINDOWS, GARAGE DOORS. R/R GUARDRAILS, RE -DECK. R/R LIGHTING, TRIM.
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 Lic :
1033864
Lic Expire :
12/31/2023
Bus Lic :
BT30061583
Bus Lic 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 Lic:
Engineer: VENTOCILLAJOSE
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 :
$75,000.00
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 :
700
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: I 5
SPECIAL CONDITIONS: �uu14? C RA
OWNER -BUILDER DECLARATION
I hereby aflirrn under penalty of perjury that t am exempt from the Contractors' State License Law for the reasons) 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 fife a signed statement thathe 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 leensure 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 U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cade: 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 with,n one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose or sale).
Ell, as owner of the properly„ 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).
❑ t am exempt from licensure under the Contractors Slate License Law for the following
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 legally
sell a structurS that ! have built as an owner -builder if ifhas 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 applioatfon is submitted or at the following Web she:http:lfwww.leg nfo.c .gov/Calaw.himl.
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 70 f I the Business and Prof se a 'arse 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 ORIMIN/LL PENALTI AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), rN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. SECTION 3708 OF THE LABOR CODE, INTEREST', Me ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent t0 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for (bi
5formance 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' compensatior
isurance carrier and policy number are:
,crier Policy Number Expiration Date
Jame of Agent I Phone # _
31 certify that, in the perfor e th or which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' cornpens. Ion Is0ofifornia, and agree
iaL if I should Deco l t / onsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
)ECLAre of Applicant ,,,C O Date
IECLARATION REOA IN CO RUCTION 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 C de).
.enders Name Lenders Address
ly my signature bPlnw, I certify to each of the following:
I am the propery owner or authorized to act on the propertyowner's behalf.
I have read this application and the information I h r 1 d is correct.
I agree to co.np J whin all applicable city, an _ nt r ces afoa relating to building Construction.
I au.horize representatives of this city or county r ove-I roperty for Inspection purposes. y,i a,
ACi 19N' _ DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
_ 1403
P: I:TEXPIRED LJ 1 SUBMITTED ASBESTOS NOTIFICATION TO
F<,ii✓L r CANCELLED DEPA
GERMIT EXTfNDEU 3 AgMD _ _
PfHMiT FINAL 3�Z ASPOBESf OSNOTIFI. t 0 PLICABLE TO
CENT 10,�ATE OF PROSED DEMOLI //^ /
OCCUPANCY ISSUED I SIGNATURE: r V
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