HomeMy WebLinkAboutX2022-1580 - PermitsCity of New 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
COMB Permit : X2022-1580
Plan Check No : 1432-2022
Issued Date : 12/01/2022
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 DR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1819 BERYL LN Legal Desc : N TR.1806 BLK LOT 40 S °' ,v, a i..•
Description: NEW SFR WATT GARAGE 2,779/455 SF
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
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie 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 Lie
Engineer: GOMEZGEORGE
Address : 1500 AVOLENCIA DR
FULLERTON, CA 92835
Phone: (562)659-3403
Designer:
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation :
$800,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
2,779
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage :
455
TOTAL sq. ft. :
3,234
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: Is'
SPECIAL CONDITIONS: CMSD: SD22-0328
I hereby affirm 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)
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 that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter D (commencing with Section 7000) of Division 3 of the Business and
'rofesswns 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
mprovements 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 proving that it was not built or
roved for the purpose of sale).
roved
owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The ContractorsState 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 1 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 cover d by this. permit, I Cannot legail,
sell a structure that I have built as an ownor-buil - f it has not been constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, SYdean
4 of the Business and
Professions Code., is available upon request when s appy atfo 's submitted or at the following Web site:http:/hvww.loginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent, _ — CC Z / 6 Z Z
LICENSED CONTRACTOR'S DECLARATf N
I hereby affirm under penally of pery'ury that I am Icensed under provisions of Chapter 9' (commencing with Section 7000)of Division 3 of the Business and Professions my licenseis In full force
and effect. License Class License. No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
YARNING: 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 ($100,000). IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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
Ierformance 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' compensatia
Tsurance carrier and policy number are:
:arrler Policy Number Expiration Date
dame of Agent I Phone #
-11 certify that, in the a" rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work rs' mpensallon laws of California, and agre
hat, it I should becom bject t the w ere' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
gnature Df.Applicant _ Dat % Z/�
)ECLARATtON REG OlCO STRUCTION 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 30 , Ci it Code).
.endor's Name Lender's Address
3y 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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cod I rdinances and state laws relating to building construction.
I authorize reprosentatives of this city or courtly to rater a ab L- entifi�..p�operty for inspection purposes. Z a Z
3fgnature of Property Owner or Authonzed Agent / Print Property Owner's or Authorized A ent's Name �? Data / Z0
ACTION DATE BY DECtARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTI FICATION TO
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A`f 10N IS !T APPLICABLE 70
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DCCUPANCYISSUED { SIGNATURE
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