HomeMy WebLinkAboutXR2022-2077 - PermitsaE�waoRr
City of Newport Beach
Community Development Department Building Division
OAP ii1111ili1i10111111112P �i31iO 171AID
COMB Permit : XR2022-2077
-
5I
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2022-1882
Permit Counter Phone: (949) 718-1888
Issued Date : 0610312024
o..
�5L/FOAN�P
newportbeachmgov/civic
Final Date:
Combination Type - SFP ELEC MECH PLUM
Permit Status: Issued
Work Class - Alteration
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 OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL A,PEAS
Job Address : 1700 CANDLESTICK LN Legal Desc N TR:3763 BILK LOT 29..
Description: SFR REMODEL KITCHEN, (2) BATHROOMS, MSTR BDRM AND DINING RM (1095 SF) -?�gX
Owner:
WANLASSJEANNE HAZLETT
Address :
1700 CANDLESTICK LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
WANLASS JEANNE HAZLETT
Address :
1700 CANDLESTICK LN
NEWPORT BEACH, CA 92660
Phone :
OwnerBuilder :
Address :
Phone :
Contractor:
5 STAR'BUILDER
Address :
-17539"MITCHELL DR
MITCHELL DR, CA 92530
Phone: -
(949)67M763
Con State Lie : 717951
Lie Expire:
11/30/2024
BusLic:
-BT30083702-;: -
Bus Lie Expire: 02/28/2025
Workers' Compensation Insurance
` Carrier:
Policy,No EXEMPT
W. C. Expire: -
Code Edition: 2019 .. ..
Fire Sprinklers:,
.'NO
Type of Construction : V-B
Fire Hazard Zone
NO
Occupancy Groups: U,R-3
No of Units.:
1
Bldg Height:
No of Stories :.
1
Building Setbacks : Front 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone: R-1-6000 - Si gle-Unit Residential (6000 indicates minimum'lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
DH PtiLpp4" F
C
Architect . d '
Address : °
Phone:
State Lie
Engineer:
.Address:
,Phone:
Designer:
Address:
Phone:-
GHAZLANIANDY
1021 E CARSON ST; 5
LONG BEACH, CA90807
(562)253-2385
KEELY KAY
2D2 07TH ST, D
NEWPORT BEACH, CA
o°
Construction Valuation :
$260,000.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
1,095
Add/New sq. fL Garage:
0
TOTAL sq. ft.:
0
0000°
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am Exempt from the Contractors' Slate 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, pdor to Its issuance, also requires the applicant for
to 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
'rofesslons Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a,pernit subjects the applicant to a civil penalty of
at more than five hundred dollars (S500).
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,
Wsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal eflorL builds or improves the properly, provided (hat the
nprovemems a,a 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 Lhn ps:pose of sale).
7 I, as ownercrQ%e property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ipply to an oriner c' property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 ,.m exemp: from Ifcensure under the Contractors' Stale License Law for the (allowing reason: _
iy my signalum bi:'aw 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 p per ' , I cannot legal1
qlI a,slructura that I nave built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy o the applicable law, Section 70 of IT - usiness and
'rofdssions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/colaw.html.
::grature of rropaty Owner or Authorized Agent D e _
Ire LASED CON7"RACTOR'S DECLARATION
hR^eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 of Divlsian 3 of th iness and Professions it tic se is in full force
Ind effect. Lioensu Class License No t (!J ',:> Z� nlra or Signalur
W)PKERS' L OMPENSATION DECLARATION �-
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TD-CRIMI AL PENALTIES AND CIVI INES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,000), IN ADDITION To THI
:OST OF COMPENSA ni% DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE- INTEREST, Via ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 If
,erformance 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'
ranee carrier and policy number are:
that, in the perfoJy+mnance of the'w'�'q9rk for which
c bpcome stlbiect to the workc+Ms' compem
of
eby affirm udder penalty OtRe� there is a can:
lees Name
iy signature below, I certify to each of the following:
I am the property owner or authorized to act on the pn
I have read this application and the information I have
I agree to comply with all applicable city and c,�nty or
I au(horze representatives of this ci`7,5 co�uelry to ant
iature of Property Owner or Authorized Agent
ION DATE a DE
PERMIT EXPIRED
PERMIT EMENDED
PERVIIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Date
/ Phone fit
t is is . I I not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre
is I s of Ilion 3700 of the Labor Code, I shall forthwith comply with those provisions.
Da % ^ 2 Z
Cy \ / lC
lending agency performance of the work for which this permit Is issued (Section 30 Civil C
__---benders Address
ter's behalf.
is correct.
and ws relatin to building construction.
Iv 44f ed grope for inspection purposes.
OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFICEUSE
PART 61 OF TITj E 40 AND ACLMD RULE
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