HomeMy WebLinkAboutXR2025-0298 - Permits2F,E ow City of Newport Beach I111�111111111111111111111111111111111111111111111111111111� jjCOMB Permit : XR2025-0298
Community Development Department - Building Division X R 2 0 2 5 0 2 9 8
Cr n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : XR2025-0298
Permit Counter Phone: (949) 718-1888 Issued Date : 02/0412025
�u 2 newportbeachca.gov/civic Final Date:
Combination Type - SFP ELEC Permit Status: Issued
Work Class - ADDITION/ALTERATION Inspection Area: 9
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
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Job Address : 3720 BLUE KEY Legal Dese : N TR 6152 BLK LOT 36
Description: SFR ENLARGE OPENING AT KITCHEN BEARING WALL, RELOCATE ELECTRICAL SWITCHES & OUTLETS
Owner: SABRA ACKERMAN
Contractor: ALPHA STRUCTURAL INC
Architect
Address : 3720 BLUE KEY
Address: 8334 FOOTHILL BLVD
Address
NEWPORT BEACH, CA 92625
SUNLAND, CA 91040
Phone: (619)818-5464
Phone: (323)258-5482
Phone
Con State Lie : 663409
State Lic
Lic Expire : 01/31/2027
Applicant: ALPHA STRUCTURAL INC
Bus Lic: BT30078001
Engineer : ALAM ANWAR
Address: 8334 FOOTHILL BLVD
Bus Lic Expire : 02/2B/2025
Address : 372 FLORAL VIEW
SUNLAND, CA 91040
IRVINE, CA 9261E
Phone: (323) 258-5482
Workers' Compensation Insurance
Phone: (949) 466-2B55
Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS
Owner/Builder :
Policy No: INT46030338
Designer
Address:
W. C. Expire : 3/25/2025
Address:
Phone:
Phone:
Code Edition: 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-3
Fire Alarms : NO
Alteration sq. ft. Bldg:
0
Bldg Height:
No of Units; 1
Add/New sq. ft. Garage:
0
No of Stories : 2
TOTAL sq. ft.
0
No of Basement: 0
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: _ ` 1 '
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt [ram the Contractors' Stale 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
:he permit to rile 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
'lot more than five hundred dollars ($500). 'i•
I, as owner of the property, or my employees with wages as their sole compensation, will do (, all of or (_) portions of the 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
ep ly 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:
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 the permit, I cannot legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web sge:http:llvnvw.leginfo.ee.gov/calaw.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 o{{ Chapter 9 (commencing wish Sectio 00) of Division 3 of the Business and Prof s s C myj�icense is in full farce
and effect. License Class .i'e License No 1h �, Dale Z—' �Z� Contractor Signature !
WORKERS' COMPENSATION DECLARATION /
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS IS100.0001f IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTONNEY'S FEES
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workerscompensation
ornance of the work for which this permit is issued. Policy No.
issued by the Director of Industrial Relations as provided for by Section 3700 of 6e. Labor Carle, for the
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.
carrier and policy number are:
Policy Number
Date
lame of Agent Phone ff
]I certity thatIn
the pertor an 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 workers' compensation li
ial. if I should becom u ecl the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
fignature of Applicant Dale I Z -
IECLARATION REG IN NSTR ON LENDING AGENCY
hereby affirm 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, "'1 Code).
enders Name Lenders Address
ly 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. �j a vvLV e' v Va (C i
I have read this application and the information I have pTvided is correct.
I agree to comply with all applicable city and county or I antes and state laws relating to building construction.
1 authorize representatives of this city or county tq/ente `the aboyc't�tell�fied property for inspection purposes.
ACTION DATE By ' DECFARATION O=MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY If 'I
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403 1 111 I II
PERMIT EXPIRED
UI SUBMITTED AEEZLTOS NOTIFICATION TO
PERMIT CANCELLED
—�I--rC40.AD
LJ ASBESTOS VIDT TIDN ISN APPLICABLE TO
PROPOSED E OL N
SIGNATURE. .�
PERMITEX7ENDED
PERMITFINAi'.
CERTIFICATE OF (ice 7-7 Z
OCCUPANCYf55UED i
and
Z vi _