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Home My WebLink AboutXR2022-2450 - Permits�:P�;7 City of Newport Beach IIIIIIIIIIIIIIIIII�IIIIIIIIII�II�I��II��II�I��I II COMB Permit : XR2022-2450 D`�, @ Community Development Department- Building Division X R 2 0 2 2 2 4 5 0 f> ;. y 100 Clvic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2291 Permit Counter Phone: (949) 71 B-1888 Issued Date: 1010312023 yo' h z rev `P newportbeachca.gov/civic Final Date: .;�'Zre� Combination Type - SFP ELEC MECH PLUM Permit Status: Applied Work Class - New Inspection Area : 2 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: 123 CRYSTAL AVE Legal Desc : A TR BALBOA ISLAND SEC 5 ELK 2 LOT 14 Description: NEW SFR W/ ATTACHED GARAGE 2389 SF & 404 SF Owner: 123 CRYSTAL GROUP LLC Address : 2901 W MACARTHUR BLVD SANTA ANA, CA 92704 Phone Applicant: CHRISTOPHER MCCARTHY Address: 2901 W MACARTHUR BLVD SANTA ANA, CA 92704 Phone : (646) 220-3731 Owner/Builder Address : Contractor: KEYSTONE DCS INC Address : 2961 W MACARTHUR BLVD #210 SANTA ANA, CA 92704 Phone: (949)702-5867 Con State Lic : 1013293 Lie Expire : 04/30/2024 Bus Lie: BT30076080 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9157538 W. C. Expire : 4/21/2024 Architect Address Phone: State Lie Engineer: TIMOTHY NGUYEN Address : 17272 NEWHOPE ST FOUNTAIN VALLEY, CA 32708 Phone: (714)883-6001 Designer: Address: Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units: 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: LIQUEFACTION, HI H DENSITY $600,000.00 2.389 404 2,793 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable items) 3eclion 7031.5. Business and Professions Code: Any city or county that requires a permit to conslrucl, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for to permit to file a signed slatemont 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 licensors 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 (3500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' Stale License Law dnes not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the nprovements are not intended or offered for sale. IT, however, the building of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 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 poly 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). I I am exempt from licensore under [fie 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 canimt legally all a structure that I have built as an owner-buildor if it has not been construcmd in Its entirety 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 siIwhUp://www.legjnfo.ca.9ovvca law. html. .ignatum or Property Owner or Authorized Agent ._..__._....._.._ .. __._—_ _ _..___ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm urve, n=Pally of perjury that I am licensed under provisions of Chapter 9 (commencing with Secion 7 ) of Division 3 of Ih Is' ass and Professions Code, and my license iss In rce nd effect- License Cla.s License No ID njT% Contr for Signature 1I, I!iif�i� ,,OR CERS' COMPENSATION DECLARATION 'APNINGFAILURE TU dtCVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,0001, IN ADDITION TO THE IST of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST, AND ATTORNEY'$ FEE& hereby affirm under perafty of perjury one of the following declarations: 7 I have and will maielain a cerlilicale of consent to sell -insure for workers' compensalinn. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN "rmanee of the '.:ur% for which this permit is issund Policy No. and will'm immin 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' carrier and pDlicy number are: Policy Number of Agent Dale ,,f .;:fy that, n. llte pe.formance 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 works ' compensation laws of California, and agre, 1, if I should Scone subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature Applicant.__ _ _ _...._.rG�-�..—.�r!--� CLA AT N REGARDING C NSTR CTIGN LENbING AGENCY Ireby affir I 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). Ider's Name _ Landers 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 stale laws relating to building construction. / I authorize representatives of thils.Fily or c:oufrty to enter the above-idenllfief( property for inspection purposes. /\ r•� Owner's or Authorized Advors Name ACTION DATE_RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONUf REGULATIONS PART 61 OFTITI.F 40 AND AOMD RULE 1403 PF8M11' EXfvRI'D I sl1RMITTFD ASRFSTOS NOTI FICATIOPl TO PFWVffT EXFFNDFD PERMIT FINAL CCRr19CATE OF I �3U/2, r�+T OAOMD LIASBESTO5 NCH IHCAI ION IS N01 APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: