HomeMy WebLinkAboutXR2024-5250 - PermitsCity of Newport Beach jjI IiIIII11111111111111111111111111111111 ilIIIIIII jjCOMB Permit : XR2024-5250
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Community Development Department- Building Division x R 2 0 2 4 5 2 5 0
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
N'� S Permit Counter Phone: (949) 718-1888 Issued Date : 06/03/2024
newportbeachca.gov/civic Final Date:
CgtrFOAN�P Combination Type - SFP ELEC PLUM Permit StEtuc: Issued
Work Class - ADDITION/ALTERATION MAIN Inspaction Area: 4
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 : 1962 PORT CARDIFF PL
Legal Desc : N TR 6623 ELK LOT 11
Description: SFR - INSTL (N) BACKUP GENERATOR
Owner: ZORAY NEWPORT LLC
Contractor: LT GENERATORS
Architect
Address : 1962 PORT CARDIFF PL
Address : 14932 DELANO ST
Address
NEWPORT BEACH, CA 92660
VAN NUYS, CA 91411
Phone : (562) 440-7080
Phone : (818) 787-1470
Phone:
Con State Lic : 602073
State Lic
Lic Expire : 09/30/2024
Applicant : CHRIS MALDONADO
Bus Lic: BT30084354
Engineer:
Address : 14932 DELANO ST
Bus Lic Expire : 05/31/2025
Address
VAN NUYS, CA 91411
Phone:
Workers' Compensation Insurance
Phone:
Carrier: EMPLOYEE SERVICE GROUP
Owner/Builder:
Policy No: WC985882604
Designer:
Address :
W. C. Expire : 6/1/2025
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$22,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories : 1
Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fr�w Ili-) Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5. Business and Professions Code. Ai,y city or'enunty Piet require3 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 that he or she is Ilconsed 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 (5500). , ,
❑ 1, as owner of the property, or my employees wish wages as tf eir sole ccnpeai abon will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Mate License Law Noes 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 salt`, If, 1-c n aver, tha builidng 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors t0 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 lagall
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 fallowing Web site;htip:ltwww.leginfo.ca.govlcalaw.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 CE��vision 3 of the Business and Profess i and �J Be Is In full force
and effect. License Class License. No Dat� 6b YC''3/7q Contractor SianatureY
COMPENSATION DECLARATION
'ARNING: 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 IS?00,000j, IN ADDITION TO THE
DST OF COMPENSATION, 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:
] I 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 th,
WIViance of the work for which this permit is issued. Policy No.
Y ave 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
,'ante carriyr and poli''cyAA number are: Cy e� �y ! ,�� �. E DG �J / Z
:arrier 2J't t L L1 04 WL.� - CHUB, PolicyNumber 3 i7 i5 [y Expiration Date
of Agent
certify that, in the performance
, if I should become subject to I
of Applicant
which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
y{% tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
IECLARATION REGARDIN"ONSTRUCWDN LENDING —
hereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cede).
endefs 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 owner's behalf,
1 have read this application and the information I have pro a is correct.
I agree to comply with all applicable city and county or ifianqbs a ofstat taws relating to building construction.
I authorize representatives of this city or county -taro a er th a re -I Wproperty for inspection purposes. „r . A
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY VSSUED
DATE By ]] DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
I REGULATIONS PART 61 OFTITLEAOAND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
10
FOR OFFICE USE ONLY
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