HomeMy WebLinkAboutXR2024-5134 - Permits�EWP R City of Newport Beach 1�1���p���1111111111111111111111111111111111p111111111� COMB Permit . XR2O24-5134
C4 A Community Development Department - Building Division
qt > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 issued Date : 05/08/2024
newportbeachca.gov/civic Final Date:
0'n°ciroaNw Combination Type - SFP Permit Status: Plan Check Approved
Work Class -ADDITION/ALTERATION MAIN Inspection Area :6
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 : 1315 OUTRIGGER DR Legal Desc : N TR 6634 BLK LOT 39
Description: SFR REROOF, T/O EXTG TILE, (2) LYRS 30# FELT, SYNTHETIC UNDERLAYMENT AS NEEDED, INSTL EAGLE TILE 6.4 PSF
Owner: ROBERT PATTERSON
Address : 1315 OUTRIGGER DR
CORONA DEL MAR, CA 92625
Phone: (714)743-6141
Applicant: ONE STOP DEVELOPMENT INC
Address: 5377 HERITAGE OAK DR
TRABUCO CANYON, CA 92679
Phone: (949)254-2636
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Contractor: ONE STOP DEVELOPMENT INC
Address : 5377 HERITAGE OAK DR
TRABUCO CANYON, CA 92679
Phone:
(949)254-2636
Con State Lic
: 1085006
Lic Expire:
12/31/2025
Bus Lic :
BT30077977
Bus Lic Expire : 02/28/2025
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9314699
W. C. Expire: 3/18/2025
Architect
Address
Phone :
State Lic
Engineer: YASSINDIAAALDIN
Address: 2939 CAMINO DEL TOMASINI
HACIENDA HEIGHTS, CA 91745
Phone: (562)631-4474
Designer:
Address :
Phone
Fire Sprinklers :
NO
Construction Valuation :
$50,000..W
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
No of Units :
1
Alteration sq. ft. Bldg :
0 '
No of Stories :
1
Add/New sq. ft. Garage :
0
TOTAL sq. ft.:
0
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: J� / Q�
SPECIAL CONDITIONS:
ISPL T
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 cheol marks) I have placed next io the applicable item(s)
Section 7031.5. Business and Professions Code: Arty 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
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 properly, 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-SuUder will have the burden of proving that It was not built or
nproved for the purpose of sale).
1 1, 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 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,
iy 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 i1has 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:fAvww.leginfo.ca.gov/calaw.html.
dgnature of Property Owner or Authorized Agent _ _ Date _
.ICENSED CONTRACTOR'S DECLARATION �1
hereby affirm under penalty of perjury that I am licensed under provisions of ha ter 9 (wrynencing with Section 70 0) 'v' i n 3 of the Business and Profession. ode, a y lice In full force
nd effect. License Class ,Q I-C 39 License No I D�6 Dated Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 J1400,000), IN ADDrION 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 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 the
arformance of the work for which this permit is issued. Policy No.
4iiave 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
rance carrier and pelicy number are:
ier Policy Number Expiration Date
ie of Agent Phone #
certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should becomee subject to 9 worker ' comp n n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -'
IDNre of APPlicnrt _ /�,��
-1 Aonnnu CCr AOI.I rvlYucY[Yl irrr \i I CKMIWc 11n CLIrV llL��"^" %-
hereby afirm 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).
Finder's Name Lender's Address
iy my signature below, I Certify to each of the following:
I am line property owner or authorized to act on the property owner's behalf.
I hate read this application and the information I have provided is correct.
I agree to compiy av,th all applicable city and county ordln nces and state taws relating to building construction.
I authorize remes.l,tativas of this city or county to entie above=idea' j erty for inspection purposes.
Ar*l?)N
PLRMIT E:;PIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY15SUED
DATE. DV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED 0
SIGNATURE:
NO7APR&ABLE 1'0
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