HomeMy WebLinkAboutXR2022-3125 - Permits�EWPpR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U22-3125
C� @ Community Development Department- Building Division X R 2 0 2 2 3 1 2 5
F �y 1 DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1432-2022
rw _ Permit Counter Phone: (949) 644-3288 Issued Date : 12/01/2022
a, Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
°9c�FosN`P newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
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
per y/e. rn
Job Address : 1819 BERYL LN Legal Desc : N TR 1806 BILK LOT 40
Description : DEMO SFR 1667 SF (4 BEDROOMS)
Owner:
CANTE FAMILY TRUST
Address :
1819 BERYL LN
NEWPORT BEACH, CA 92660
Phone:
(310)433-3519
Applicant:
RHOADS TIMOTHY TRAVIS
Address :
17848 SKY PARK CIR STE D
IRVINE, CA 92614
Phone:
(808)280-5961
owner/Builder: CANTE FAMILY TRUST
Address : 1819 BERYL LN
NEWPORT BEACH, CA 92660
Phone: (310)433-3519
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire
Architect: RHOADS TIMOTHY TRAVIS
Address: 17848 SKY PARK CIR STE D IRVINE, CA
92614
Phone:
(808)280-5961
State Lic :
Engineer :
GOMEZ GEORGE
Address :
1500 AVOLENCIA DR
FULLERTON, CA 92835
Phone:
(562)659-3403
Designer
Address
Phone:
Fire Sprinklers : NO
Construction Valuation : $25,000.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
No of Units : 1
Alteration sq. ft. Bldg :
No of Stories : 1
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: HAULER: CR&R
OWNER -BUILDER DECLARATION
I hereby aFfli•.nn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
3ection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for
is 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
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Arty violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500)..
3 I, as owner of the property, or my employees with wages as their sole compensation, will do ( ) all of of (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements are not intended or offered for sale. It, 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
roved for the purpose of sale).
s 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
poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
,y my signature below I acknowledge that, except form 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 legaln
ell a structure that I have built as an owmor-butld if it h as nothoon constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Sectio, 70 4 of the B iness and
'rofessions Code„ is available upon request when I appl subm' EA or at the following Web site:http:liwvnv.leginfo.ce.govlcalaw.html.
.ignature of Property Owner or Authorized Agent Date Z z c' Z
.ICENSEDCONTRACTOR'SDECLARATIOJQ
hereby affirm under penalty of perjury that I am licensed birder previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co . an my license is In full force
nd effect. License Class License No Date Contractor Signature
VORKERS' 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 (6100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintaina certificate of consent to seiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
)erformance of the work for which this permit is issued. Policy No.
-1I 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
Insurance carrier and policy number are:
:artier Policy Number Expiration Date
Name of Agent Phone a
I certify that, inthe performance Of the work for which this permit is issued. I shell riot employ any person in any manner so as t0 become subject to the workers' compensation laws Of California, and ogres
hat, if I should beco s of act to the Rem' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
31gnature of Applicant /��� T—� DatARC
Z�� 1Z ` Z Z
)ECLARATION RFG DIN NSTRUCTIONLENDING AGENCY hereby affirm under, nalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued,(Section 3097,de).
_enders Name Lender's Address
3y my signature below, ( certify to each of the following:
I am The property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided Is correct.
I agree to comply with all applicable city and c A nl ordinances and state Paws relating to building construction. /
I authorize representatives of this city Or county f e er ab tifled property for inspection purposes. �� 'l 3ignature of PropertyOwner or Authorized A ant Pnm Property Owner's or Authorized Agent's Nam.r� ' � �-�z'! 2 G' Q oat /L
ACTION DATE. BY DEhARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE
1403
PERMIIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED _ _ O.MD
PERMIT FINAL z ('� Z3 ASBEST S TIFICA71001 TAPPLICABLE 10
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