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Home My WebLink AboutXR2022-2165 - PermitsaEWPORr City of Newport Beach �II�III�II�I�I��II�II�II��II��I�I�IIIII II per Community Development Department- Building Division X R 2 0 2 2 2 1 6 5 COMB Permit:XR2022-2165 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2004 S Permit Counter Phone: (949) 718-1888 a� newportbeachca.gov/civic Issued Date : 05/15/2023 Combination Type - SFP ELEC MECH PLUM Inspection Area : 3 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 Job Address: 1315 OXFORD LN Description: NEW SFR $ GARAGE 3047/476 SF Owner: COPPOLA CHAD N TR Address : 1315 OXFORD LN NEWPORT BEACH. CA 92660 Phone: Applicant: FERNANDO COBOS Address : 4571 DELANCY DR YORBA LINDA, CA 92886 Phone: (714)932-3397 Owner/Builder : Address : Phone: Legal Desc : N TR 3000 BLK LOT 20 Contractor: A R D CONSTRUCTION Address : 5422 BROOKHILL DR YORBA LINDA, CA 92886 Phone : (714) 396-2385 Con State Lic : 883515 Lic Expire : 08/31/2024 Bus Lic : BT30081554 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire : Code Edition : 2019 Fire Sprinklers : YES 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 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: HAULER: GREENSTONE MATERIALS Architect Address n n^ ^�^� Phone: o' State Lic Engineer: NIKJOOSHAHRAM Address : 6011 E BRIGHTON LANE ANAHEIM, CA 92807 _ Phone: (714)777-7200 0 Designer: FERNANDOCOBOS Address : 4571 DELANCY DR YORBA LINDA, CA 928&S Phone: (714)932-3397 Construction Valuation : $690,000.00 Added/New[T] sq. ft. Bldg : 3,047 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 476 TOTAL sq. ft. : 3,523 4 YY—+ ,r.... I hereby affirm under penalty 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 ftem(s) iecllon 7031,5, Business and Professions Coda: 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 io 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant le a civil penalty of at more than five hundred dollars ($500). 1 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, usiness and Professions Code: The. Contractors' Stete 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 notintended 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 ply 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), I am exempt from licensure under the Contractors' State License Law For the following reason' _._.—. __._---.-------- -. ------------- y 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 legafly all 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:llwww.leginfo.ca.gmicalaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Busyness and Profess ns Code,. an al license is In full force nd effect. Licensa CL.ss License No Date r ' - Contractor Signature( VORKERS' CO(APFNSATION DECLARATION 0.A,J,Na. I AILURE',6 SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE OST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR Come, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 5 1 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 Ih erfo,mar,e of the work for which this permit is Issued. Policy No. 11 have and wil; taAn,ain 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' compensatioi lsurance carrier and Nclicy number are: r Policy Number Date i�off.gent ___ —" Jrtiry that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre I should become 's ibject to the w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant ._ Date CL.ARATION RDGAR NG CONSTRUCTION L NOING AGENCY ,.droby affirm under penalty of perjury that them is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name Lenders Address Ly my signature below, I Certify to each of the following: i are the properly owner or authorized to act on the properly 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 state laws relating to building construction. I authorize representatives of this city or count to enter the a-ide � d property for inspection purposes, iionature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION z; DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION PERMIT CANCELLED PERMIT EXTENDED PERmiriifvAL (N�(b12L(' I.1AS9ESTO5 NOTIFICATION 1$ NOTAPPUC4BLt TO CERTIFICATE OF l 4 (f,Jf•/ PROPOSED EMOUTION OCCUPANCY ISSUED SIGNATUR.