HomeMy WebLinkAboutXR2023-0792 - PermitsaEwPoRr City of Newport Beach
p�' @ Community Development Department- Building Division X R 2 0 2 3 0 7 9 2 COMB Permit : XR2023-0792
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2109
U = Permit Counter Phone: (949) 718-1888 Issued Date : 0312712023
c ew r newportbeachca.gov/civic Final Date: 11/1912024
Combination Type - SFP ELEC MECH PLUM GRAD Permit Status: Final
Work Class - New Inspection Area : 3
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 : 2420 23RD ST Legal Desc : N TR 300 BLK LOT 104 TR 300 LOT 104 SELY 98.5 FT NWLY 463 FT SWLY 300
Description: NEW SFR W/ATT GAR 3636 & 438 SF; NEW ATT ADU ABOVE GARAGE 834 SF
Owner: LAKE NEWPORT LLC
Contractor:
REVERE REAL ESTATE
Architect
Address : 2400 BARRANCA PKWY STE1614
Address:
2400 BARRANCA, 1614
Address
IRVINE, CA 92606
IRVINE, CA 92606
Phone:
Phone:
(949)735-8431
Phone:
Con State Lic
: 1077040
State Lic:
Applicant:
LEAH ALPERIN
Bus Lic: BT30078290
Engineer:
AMIR HOSSEIN
Address :
2311 HALF MOON LAKE
Bus Lic Expire : 03/31/2025
Address :
23172 PLAZA POINTE DR., 145
COSTA MESA, CA 92627
LAGUNA HILLS, CA 92653
Phone:
(310) 403-2474
Workers' Compensation Insurance
Phone:
(949) 954-7244
Carrier: EMPLOYERS COMPENSATION
INSURANCE
CO
Owner/Builder
:
Policy No: EIG535690101
Designer:
DAVID MICHAEL
Address :
W. C. Expire: 9/8/2025
Address :
712 CENTER ST
COSTA MESA, CA 92627
Phone:
Phone :
(949) 342-4097
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
$600,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/NewITl sq. ft. Bldg :
4,470
Occupancy Groups:
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories : 1
Add/New sq. ft. Garage:
438
TOTAL sq. ft.:
4,908
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone:
A; X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER
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 item(s)
iection 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
IS 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 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
of 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 U portions of the work, and the structure Is not intended or offered for sale (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. 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
n roved 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
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).
7 I am exempt from licensure under the Contractors' Slate 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 Iegalll
all a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:hftp://Ww .leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
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 Ilcense is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNe1G: 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:
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 lh+
,edormance 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
Date
is of Agent rnone e
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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
!reby afOrm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097
Ider'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 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.
nature Of Property Owner or Authorized Anent __— Print Property Owners or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPUANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT FINAL �I ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFIIATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
FOR OFFICE USE ONLY
Civil Code).
Date
° City of Newport Beach II I I I I III II I III Permit: XR2023-0792
100 Civic Center Drive Plan Check: PC2022-2109
u i Newport Beach, CA 92660
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: LAKE NEWPORT LLC
Address: 2420 23RD ST, NEWPORT BEACH, CA 92660
Tenant:
Code Year Edition:
2019
Number of Stories:
1
Construction Type:
V-B
Use Zone: R-1-Single-Unit Residential Occupancy: u,R-3
Description of Work: NEW SFR W/ATT GAR-36-36-&-438 SF; NEW ATT ADU ABOVE TotaLOccupant Load:
GARAGE 834 SF
Special Conditions:
Fire Sprinklered: NO
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: /61A"e Date: 1/23/2025