HomeMy WebLinkAboutXR2024-5400 - Permits"EWPoR, City of Newport Beach 11�1 11111111111111111111111111111111111111111111 111jj COMB Permit : XR2024-5400
0 @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
Permit Counter Phone: (949) 718-1888 - -- .- Issued Date : 06/05/2024
C ' new ortbeachca. ov/civic �` ""' �' --
P 9 Final Date:
c9<icoaP�"' Combination Type -MFP _ �' y,e.=:.: % Permit Status: Issued
Work Class - ADDITION/ALTERATION MAIN - Inspection 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 : 1066 CAMPANILE
Legal Desc : N TR 15584 BLK LOT 5
Description: MFR ALT R/R DRYWALL AND INSULATION 112 SF
Owner: NEWPORT BLUFFS LLC
Contractor: ONE STEP AHEAD CONSTRUCTION INC
Architect
Address : PO BOX 2450
Address : 2139 NATIONAL AVE
Address
NEWPORT BEACH, CA 92658
COSTA MESA, CA 92627
Phone: (714)720-2521
Phone: (949)449-4598
Phone:
Con State Lic : 1095730
State Lic
Lic Expire : 08/31/2024
Applicant: ONE STEP AHEAD CONSTRUCTION INC
Bus Lic: BT30083876
Engineer
Address : 2139 NATIONAL AVE
Bus Lic Expire: 03/31/2025
Address
COSTA MESA, CA 92627
Phone: (949) 449-4598
Workers' Compensation Insurance
Phone:
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Owner/Builder :
Policy No: CWC01176001
Designer: ONE STEP AHEAD CONSTRUCTION INC
Address :
W. C. Expire : 9/22/2024
Address: 2139 NATIONAL AVE
COSTA MESA, CA 92627
Phone:
Phone: (949) 449-4598
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $2,468.00
Type of Construction : V-B
Fire Hazard Zone: NO
Added/NewfTl sq. ft. Bldg: 0
Occupancy Groups : R-2,U
No of Units : 30
Alteration sq. ft. Bldg : 112
Bldg Height:
No of Stories : 3
Add/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone: X
Use Zone : PC - Bonita Canyon
40
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
1e 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. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of 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 (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
iusiness 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. 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
nproved 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
Poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professioes Code, and my license is in full force
nd effect. License Class License No Date C— 5 — Z 9 Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IG 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, Me ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
II 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 IN
eRormance 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:
Policy Number
Date
is of Agent Phone #
certify that, in the performance 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 workers' compensation laws of California, and
if I should become subiect toSh workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date b — J Z
CLARATION REGARDING CON5TRUC I ION LtNU1NG AGCNCT
reby 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).
Ides s Name Lenders Address
my signature below, I certify to each of the following:
I am the proi, ,11 owner or authorized to act on the property owner's behalf.
I have read Vi application and the information I have provided is correct.
I Dgree to r^q,ply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city Or county to enter the -identified property for inspection purposes.
neture of Pronerty Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name !7 7 ba
TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
Pc .MIT EXPIGED I I SUBMITTED
PEHMIT CANCELLED I EPA
PERMITFINA, Aq ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
LE,?4F1CATEOF A/ PROPOSED DEMOL
C:CUPANCy155UhD ,I`V'Y SIGNATURE: A(�'