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Home My WebLink AboutXR2022-2175 - Permits,g PoRT City of Newport Beach �F @ Community Development Department- Building Division X R 2 0 2 2 2 1 7 5 COMB Permit:XR2022-2175 > { v"'? y. 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : PC2022-2013 n Permit Counter Phone: (949) 718-1888 Issued Date : 03/3112023 newportbeachca.gov/civic Final Date: 01/17/2025 c9111o14� Combination Type - SFP ELEC MECH PLUM GRAD Permit Status: Final Work Class - New Inspection Area : 1 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: 1401 BAY AVE W Description : NEW SFR/GARAGE. 3982/479 SF Owner: ANDREW MASON Address: 1401 W BAY AVE NEWPORT BEACH, CA 92661 Phone Applicant: JONATHAN KELLY Address : 80 S LAKE AVE, 500 PASADENA, CA 91101 Phone : (626) 396-9599 Owner/Builder : Address : Phone Legal Desc : N TR 626 BILK 10 LOT 13 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Architect : JONATHAN KELLY Address: 80 S LAKE AVE, 500 PASADENA, CA 91101 Phone: (626)396-9599 State Lic: C 34283 Engineer: LIUJOSEPH Address: 825 S GOLDEN WEST AVE #9 ARCADIA, CA 91007 Phone : (626) 823-1937 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $675,360.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 3,982 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 479 TOTAL sq. ft. 4,461 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 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 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 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 five hundred dollars ($500). '❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lBusiness 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' State License Law does not ap 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 this permit, I cannot legal 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 site:http://www.leginfo.ca.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 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No _ Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'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 workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 laws of California, and , If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY 3reby 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, Civil Code). lder's Name Lender's Address 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 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 county to enter the above -identified property for inspection purposes. mature of PmDef v Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RU ESL I FOR OFFICE USE ONLY PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS PERMITEXTENDED LIAQMD PERMIT FINAL /// ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I�-%� / PROPOSED DEMOLITION OCCUPANCYISSUED I ( 1/ / ! SIGNATURE: Date ��WP°Rr City of Newport Beach IIIIIIIIIII 11111111111111111111111111111111111111111p1111jjPermit: XR2022-2175 100 Civic Center Drive x R 2 a 2 z 2 1 7 e Plan Check: PC2022-2013 Newport Beach, CA 92660 c94 FonH�P Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: ANDREW MASON Address: 1401 BAY AVE W, NEWPORT BEACH, CA Tenant: Use Zone: R-2 - Two -Unit Residential Description of Work: NEW SFR/GARAGE. 3982/479 SF Special Conditions: Code Year Edition: 2019 Number of Stories: 2 Construction Type: V-B Occupancy: U,R-3 Total Occupant Load: Fire Sprinklered: No Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %9rL22 //L(LG Date: 3/21/2025