The URL can be used to link to this page

Home My WebLink AboutX2022-0764 - PermitsagWaoRr City of Newport Beach II IIIIIIIII IIII III IIIIIIII IIIIIIII IIIII IIIIIII COMB Permit : X2022-0764 Community Development Department- Building Division X 2 9 2 2 6 7 6 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0679-2022 >h ? Permit Counter Phone: (949) 644-3288 Issued Date : 12/22/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 q/.rFpaN� newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New 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 Y _i Job Address : 113 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 11 LOT 9' Description: NEW SFR W/ ATTACHED GARAGE 2006/385 SF & ATTACHED JUNIOR ACCESSORY DWELLING UNIT 327 SF j� ( Owner: 113 TOPAZ GROUP LLC Contractor: KEYSTONE D C S INC Architect @.� Address: 2901 W MACARTHUR BLVD S Address : 9140 TRASK AVE Address SANTA ANA, CA 92704 GARDEN GROVE, CA 92844 Phone: (714)791-3771 Phone: (714)791-3771 Phone: .` Con State Lic : 1013293 State Lie Lie Expire : 04/30/2024 Applicant: KEYSTONE D C S INC Bus Lie: BT30076080 Engineer: Keystone DCS Address: 9140 TRASK AVE Bus Lie Expire : 07/31/2023 Address : 2901 W MACARTHUR BLVD STE 207 GARDEN GROVE, CA 92844 SANTA ANA, CA 92704 Phone: (714) 791-3771 Workers' Compensation Insurance Phone: (714) 883-6001 Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9157538 Designer Address : W. C. Expire: 4/21/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $600,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 2,333 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 385 TOTAL sq. ft. 2,718 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: 5 BED TO 2 BED DEMOED MORE THAN BUILDING 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 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 file a signed statement that lie 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 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 rive hundred dollars ($500). 1,.as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portionsofthe work, and the structure is not intended or offered -for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 13 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a ply to an owner of property who builds or improvesthoreon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot lagall sell a structure that I have built as an owner-buiidar if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.ieginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionkPMeLTZ1E=S3A$NiDCTVIL Divin'3 of the Business and PrXTH e Code, and my licenV is In full force and effect. License Class License No Dat2'L Contractor Signatur- WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CROWN FINES UP TO ONE HUMORSAND DOLLARS(S/00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31TO OF THE LABOR COOS, INTEREST, Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declaratlonsi CJ I have and will maintain a Cori fl€Sate of consent to self insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Coda, for IN er ormance o1 the work for which this permit is issued. Pollcy 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' compensatio 1 so a carder and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the peIf once 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 worke ' c mpensalion laws of California, and agre That, if I should becom ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Applicant-�-�' Date 2 c DECLARATION REQ DI CONST UCTIO LENDING AGENCY I hereby affirm under penalty of pen e rythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Ci. 1 Code). Lender's Name Lenders Address By 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 h. a provided incorrect. I agree to comply with all applicablecity and C d ordinances and state laws relating to building construction. I authorize representatives of this city or county K enter the above -identified properTy for inspection purposes. Si nature of Property 0wner or Authorized A p art Print Property Owner's or Authorized Agent's Name N_C"C GI=� I\ "L' ACTION DATE. By DELL AAA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 _ PERMITEXPIRED I __I�usvl[TTEDA3E-70S NOTIFICATION TO )PERMITCANCELLED �_hl_D — PERMIT EXTENDEDPERIWITFINAL ��bTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OLITION OCCUPANCYISSUED