HomeMy WebLinkAboutXR2023-1577 - Permits�E.wcoRT City of Newport Beach II III I II I II I IIIIII I I� IIIIIII II III II COMB Permit : XR2023-1577
o`r Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1415
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s Permit Counter Phone: (949) 718-1888
Y Issued Date: 7211212023
newportbeachca.gov/civic
Final Date:
c9/.�FORH�P Combination Type - 5FP ELEC MECH PLUM Permit Status: Issued
Work Class - New 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 : 1233 OUTRIGGER DR Legal Desc : N TR 6634 BLK LOT 42
Description: NEW SFR & GARAGE (EXISTING FOUNDATION) 3181/466 SF
Owner: BT BIT ARAFAN
Address : 53 CAMBRIA DR
NEWPORT BEACH, CA 92625
Phone: (949)386-0799
Applicant:
CRAIG SCHULTZ
Address:
3111 SECOND AVE STE 1
CORONA DEL MAR, CA 92625
Phone:
(949)645-9982
Owner/Builder :
Address:
Phone:
Contractor: MONTESANTOS BUILDERS INC
Address: 220 NEWPORT CENTER DR, 322
NEWPORT BEACH, CA 92660
Phone: (949)239-2022
Con State Lic :
1077463
Lie Expire:
06/30/2025
Bus Lie:
BT30076141
Bus Lie Expire:
08/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Architect: CRAIG SCHULTZ
Address: 3111 SECOND AVE STE 1 CORONA DEL
MAR, CA 92625
Phone:
(949)645-9982
State Lie:
CO22287
Engineer:
ED NAJJARINE
Address :
9070 IRVINE CENTER DR, 115
IRVINE, CA 92618
Phone:
(949)387-9440
Designer:
Address :
Phone:
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$800,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
3,181
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:
466
TOTAL sq. ft.:
3,647
Building Setbacks :
Front: 10, 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
I hereby affirm under penalty of perjury that 1 am exempt from the ContractorsSlate License Law for the feason(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 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
Drofesslons 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
tot more than five hundred dollars ($500).
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,
3usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the properly, provided that the
mprovements 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
mproved for the purpose of sale).
1, as owner of the properly, am exclusively Contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
1 am exempt from licensors under the Contractors' Slate License Law for the following reason:
3y 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, 1 cannot legall,
wit a structure that 1 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
Drofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.govlcalew.html.
Signature of Property Owner or Authorized Agent Date
LICENSED 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 license is In full force
and effect. License Class License No Date Contractor Signature
NORKERS' 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 THOUSAND DOLLARS ISi D0,0D0), IN ADDITION TO THE
;OST 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 th
aerformance of the work for which this permit is Issued. Policy No.
:1I 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' compensatiol
nsurance carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone ff
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
1, if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
>reby 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).
Iders 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 owners 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 relafing to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
mature at Property Owner or Authorized Anent Print Prooenv Owner's or Authorized Aaent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
PERMIT FINAL UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF �Z/ OCCUPANCY ISSUED PROPOSED DEMOLITION
SIGNATURE: