HomeMy WebLinkAboutXR2022-3331 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII jjCOMB Permit : XR2022-3331
Plan Check No : 2645-2021
Issued Date : 12/22/2022
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 1530 ANITA LN
Description: SFR R(R (6' HIGH BY 23' LONG) CMU WALL
3A FTG).(X2021-3044)
Owner:
BIRE II LLC
Contractor :
Montesantos Builders Inc.
::. Architect
Address :
7642 W IRVING PARK RD
Address:
17 Tiburon Day Drive,
Address:
NORRIDGE, IL 60706
Corona Del Mar, CA 92625
Phone:
Phone::
(949)239-2022
- Phone:
Con State Lic
: 1077463
State Lie
'- Lie Expire:
06/30/2023
Applicant:
Montesantos Builders Inc.
Bus Lie :
BT30076141
Engineer:
Address :
17 Tiburon Bay Drive,
Bus Lie Expire: 08/31/2023
.. Address:
Corona Del Mar, CA 92625
Phone:
(949)239-2022
Workers` Compensation Insurance
Phone:
' Carrier::'.
Owner/Builder:
- Policy No-
EXEMPT -NO.EMPLOYEES'. ,
Designer:
Address :
W. C. Expire :
Address
Phone:
-
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
I Fire Hazard Zone '
NO
Occupancy Groups:
U
No of Units :
1
Bldg Height :
No of Stories :
` 0
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone :
R-1-6000 - Single -Unit Residential (6000 indicates minimum lotarea)
PROCESSED BY:
-85
SPECIAL CONDITIONS:
Montesantos Builders Inc.
17 Tiburon Bay Drive,
Corona Del Mar, CA 92625
(949)239-2022
Construction Valuation:
Added/New/TI sq. ft. Bldg:
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$5,000.00
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i hereby affirmunder 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)
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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of line Contractors' State License Law (Chapter 9 (commencing with $action 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 viclatk>n 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).
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of t is work, and the structure isnot intendedproffered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I mptoyees' 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 comp ation, the Owner -Builder will have the burden of proving thatit was not built or
nproved for the purpose of sale).
J 1, as owner of the properly, am exclusively contractingwith licensed Contractors to construct the project (Section 70,44, Business and Professions Code: The Contractors` State 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' State License Law).
3 1 am exempt from licensure under the Contractors' Slate License Law For the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastone ar prior to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un erstand that a copy of the applicable law, Section 7044 of the Business and
'rafessions Code, is available upon request when this application is submitted or at the following Web site:hitolwww.iegin o.ca.govicalaw.htmt.
ifgnatum of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION 1 �
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o ivisfon 3 of the Business and Profess ior�.Cac - my license is in full force
,nd effect. License Class License No Detej� l Contractor Signature iJ��j1._//
COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN
FIST 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 I have and will maintain a cerfificate of consent to self -insure for workers compensation, issued by the Director
erformance of the work for which this permit is issued. Policy No.
31 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
Laurance tarsier and policy number are:
varier Policy Number
of Agent
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN.. ADDITION
Industrial Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
certify that, in the performance of the work for which this permit is Issued, I shall not employ any person in any manner $o as to become subject to the workers' compensation laws of California, and agree
, if I should become su t hr ewer rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwitcomply with those provisions.
latureof Appiicant Date�)">-171� L�
I hereby affirm under penaitybrpedury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code)
• ILander's Nam& • Lenders Address
By my signature be DW, I certify to each of the followiag:
• •Ram the p:ope¢}rowner or authorized to act on the property owner's behalf,
-I (have reaikitts Ippfication and the information t have provided is correct.
"I�•' bagree to oQmply with all applicable City and Do niy dinancas and state laws relating to budding construction.
• `I authoriz% representatives of this city or coon o en he above -identified property for inspection purposes.
14011Agddly$EIIfy*ePtti9
REGULATIONS PART fit OF TITLE 40ANO AOMD RULE
9PRMITFINAL • • SBESTOS NOTIFICATION 5NOT APPLICABLE TO
CERTtFICATf OF • 1-31'13 PftflPO5F9 DEIVHItI'[IO
OCCUPANCY ISSU£D SIGNATUREt\\ �/ �V\�