The URL can be used to link to this page

Home My WebLink AboutXC2022-1913 - PermitsCity of N Community D 100 Civic Car Permit Count Inspection Re Combination Work Class PERMITS NO CONSTRi Job Address : 2122 BRIS I I Description: COMM (12) Owner: SCHIFFMAN T Address: 9229 W SUNS( HOLLYWOOD, Phone : Applicant: NINA BRENTHF Address: 2101 CARRILLC 90924-0032 Phone: (909)240-0325 Owner/Builder : Address Phone: Code Edition : 21. Type of Construction : occupancy Groups: U Bldg Height : Building Setbacks Flood Zone : X Use Zone: SF PROCESSED BY: SPECIAL CONDITIONS: wport Beach IIIIIIIIIIIIIIIIIII IIIIII III IIIIIIIII IIIII COMB Permit : XC2O22-1913 elopment Department- Building Division plan Check No: PC2022-2102 r Drive, Newport Beach, CA 92660 Issued Date : 0812912022 jestsPhon one: (944-3288 jests Phone: (949) 644-3255 Inspection Area : 3 a.gov/inspections fvoe - ELEC 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS - ST Legal Desc : N TR 706 BLK LOT 141 AND NON ILLUMINATED SIGNS "STARBUCKS" _UMINATED )D I TR TODD Contractor; NINA BRENTHAM 2101 CARRILLO PRIVADO ONTARIO, CA BLVD STE501B WEST Address : A 90069 90924-0032 Phone: (909)240-0325 Con State Lic : 764128 vl Lic Expire: 06/30/2023 PRIVADO ONTARIO, CA Bus Lic: BT30079581 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Santa Ana Heights Specific an As eRf' Architect Address Phone State Lic Engineer: YOSMAIK KAiwuo Address : 424 E MAITLAND ST #A .;NTAR1 91761 Phone: (626)374-5881 -- Designer: LUIS SORIA -- Address : 2101 CARRILLO ONTARIO, CA 91761 Phone: (909)996-9598 u NO Construction Valuation : $16,000.1g0 No Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 IthI hereby affirm under penally 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 item(s) (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 e 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 Professions Code) or that he or she is exempt from ilcensureand 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), Ell, 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 Sala (Section 7044, Business and Pre not Professions Code: The Contractors' sale. State License. Law does not apply to an timer of property who,. through employees' or personal effort, buittis or improves the property, provided that the Improvements 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 Improved for the purpose of sale). Q I, as owner of the property, am exclusively contracting with licensed Contractors to construct (fie project (Section 7044. Business and. Professions Code: The Contractor' 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). am exempt from lCensure under the Contractors' Slate License Law for the following reason: By my signature below I acknowledge that, except form esde'"--"---------- ----- - ne to Sell a structure that I have built as an owner-bul[dar if it has not been constructed In it ]entirely by licensed lfor contractors. least o understand ar pior that a completion opy of the applicable eats cover d by this of the Business and legal] Professions Code, is available upon request when this application Is submitted or at the following Web site: bttp:• actors. I nt a t a COml. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under penalty of perjuA that a n licensed under provisloru�'.�{ hapter 9 commencing with Section 7000) � 'ty�i f the Business and Prof sio�Ga'�e�yypenes is in full force and effect License Class a.� `�" License No %�r yH.Y Date G j Contractor Sgnatu ,WORKERS' 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 (E100,000t, IN ADDITION TO THE :DST OF COMPENSA, WI., DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyl affirm u, nrt.r penalty of perjury one of the following declarations: J I h-ve and w"I m^intain 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 TR mance of 'no work for which this permit Is issued. Policy No. pp -we 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. Myworkers' fi,A.nce carr.`sr and nolicy, IT in are: r i`r I u��W "i �' � -� Policy Number W � 3K- , J 3IY21 Expiration Date ,Ta or Agent certify that, in the performance . Ii 1 should become subieeno t nature or Apr Ilan 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 rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Provisions_ Date _ Z. (Z reby affirm unuer penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider s Name Lender's Address my signature below, I certty 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 county ordinances and stale lawsrelating to building construction. I autho`Ize representatives of this city or county to_�Wlr the�bove-identified property for inspection purposes. , ACTION I DATE By DECLARATION OF COMPLIANCE WITH CODE OF REGULATIONS PART 61 OF TITLE 40 ANO AQMD RULE 1403 PERMIT EXPIRID f 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEPA P€RMiT EXTEQMD PERMIT FINAL10 �LASBESTOS NOTIEiCATION 15 NOT APPLICABLE TO CERTIFICATE 1 O / PROPOSED DEMOLITION OCCUPANCYI FOR OFFICE USE ONLY Civil Code). All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.