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Home My WebLink AboutX2022-0990 - Permits�EwaoRT City of Newport Beach 4 A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 '',.. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New llN11111111II1111111111111111111111111111111111111111ll� JillCOMB Permit : X2022-0990 Plan Check No : 0918-2022 Issued Date : 01/1812023 Inspection Area : 6 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 : 1205 KEEL DR Description: NEW SFR & GARAGE 3906/799 SF Owner: KEEL CUSTOM HOME LLC Address : 530 TECHNOLOGY DR STE 100 IRVINE, CA 92618 Phone: (949)395.5055 Applicant: KEEL CUSTOM HOME LLC Address: 530 TECHNOLOGY DR STE 100 IRVINE, CA 92618 Phone: (949)395-5055 Owner/Builder : KEEL CUSTOM HOME LLC Address: 530 TECHNOLOGY DR STE 100 IRVINE, CA 92618 Phone : (949) 395-5055 Legal Desc : N TR 6634 BLK LOT 92 Contractor Address: Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: �fr-,P1, �t Architect: LUJOHNNY Address : 411 E HUNTINGTON DR #308 ARCADIA, CA 91006 Phone: (949)294-2666 State Lic: Engineer: TRUING PHILLIP Address: 411E HUNTINGTON DR ST 308 ARCADIA, CA 91006 Phone: (626)658-7974 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg Occupancy Groups: U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft.: Building Setbacks: Front: 7, 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: C° $1,500,000.00 3,906 799 4,705 OWNER -BUILDER DECLARATION I hereby affirm under penallyof perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Bents) ieclton 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demollsh, or repair any structure, prior to its issuance, also requires the applicant for is permit to file 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 licansure 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 of more than rive hundred dollars ($500). 11, 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 nor Intended or offered for safe (Section 7044, usiness 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 nprovements are not Intended or offered for sale. Ir, 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 hunt 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' Stele License Law does not pply 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 Iicensure under the ContractorsState License Law for the following reason: .y my signature below I acknowledge that, except for my perso re to c In hich I must have resided for at least one year prior to completion of the improvements Covered by this permit, 1 cannot legally ell a Structure that I have built as an owner -build tr if has not on o st t i its entirety by licensed Contractors. I understand that a copy of the applicable low, Section 0 4 of the Business and 'rofessions Code, is available upon request when applic on is u i rat the following Web site:hltp:flwww.leginfo.ce.govlcalaw.html, dgnalure of Property Owner or Authorized Agent I Date .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Ch er 9 (commencing with Section TOED) or Division 3 of the Business and Professions Code, and my ]!tense is In full force nd effect, License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rABHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS W00,e0eL IN ADDITION TO THE OST OF COMPENSATION, DAMAOMAIL 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 well maintain a cer(rficale 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 edormance of the work for which this peril 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 Date me of Agent -rnone R Certify that, in the performance of 1 hic Is permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' com nation laws of California, and I. if I should become u'tect to theork s lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f nature of Applicant Date lq FO 3 CLARATION REGA ING CONSTRUCTION L IN A CY areby affirm under p rely, of perjury that there Is a c structlon lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ]der s Name Lenders 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 hareoinasi I ofrec I agree to comply with all applicable city and County o 11 j laws relating to building ConsWction. 1` I authorize representatives of this city ar co lD a e 1 tl ed p rty for inspection purposes. \ (� 1 . I'; ��/) t +� ]nature of Prooertv Owner of Authorized AoeM M. Print Property Owner's or Authorized Agent's Nam ` / 1 t'kfM 1 c�"yC'� Dat DATE BY DECLARATIONOF CDWL'ANCEVIITHCODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAkT 6: OF TIT 40 AND NOMD RULE 14N PERMITEXPIRED LI I SUBMITTED ASBES)'OS NOTIFICATION T9 _ PERMIT CANCELLED , EOA PERMIT EXTENDED DAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUEO �Z,(19. SES 5 OT11"CAPONYS NOT APPLICABLE TO PROP SED lOLIjIONY P[ ,/r SIGNATURE /� (/ - City of Newport Beach Permit: X2022-0990 w >+ 100 Civic Center Drive IIXIIIIIIIIIIIIIIIIIIII�III II Plan Check: 0918-2022 Newport Beach, CA 92660 C,GI Fp AN`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: KEEL CUSTOM HOME LLC Code Year Edition: 2019 Address: 1205 KEEL DR, NEWPORT BEACH, CA 92625 Number of Stories: 1 Tenant: Construction Type: V-B Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Occupancy: U,R-3 Description of Work: NEW SFR & GARAGE 3906/799 SF Total Occupant Load: Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %erLae ZLill, Date: 3/18/2025