HomeMy WebLinkAboutXR2022-2172 - PermitsEWPo City of Newport Beach
p� A Community Development Department- Building Division COMB Permit:XR2022-2172
p+ X R 2 0 2 2 2 1 7 2
> y 100 Civic Center Drive, Newport Beach, CA 92660
u z Permit Counter Phone: (949) 4644
� Inspection Requests Phone: (9949)9) 644Plan Check No : PC2022-2011
3255 Issued Date : 09/19/2022
cg4Fox��P newportbeachca.gov/inspections Inspection Area : 6
Combination Type - SFP ELEC
Work Class - Alteration
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 : 2301 PORT CARLISLE PL
Legal De
Description: SFR ALT 10 SF TO ADD RESIDENTIAL LIFT
Owner: BENHARD INA JOY TR
Contracl
Address : 2301 PORT CARLISLE PL '-
Address
NEWPORT BEACH, CA 92660
Phone: -.-Phone:
Con Stat
Lie Expii
Applicant : JEFFREY CULLEN
Bus Lie
Address : 860 GLENNEYNA ST, B
Bus Lie
LAGUNA BEACH, CA 92651
Phone: (949)235-4536
Workers
Carrier
Owner/Builder:
Policy
Address :
W: C. Ex
Phone:
Code Edition : 2019
Fire Spri
Type of Construction : V-B '...
Fire Haz;
Occupancy Groups : U,R-3
"No.of`Un
Bldg Height:
Nofof:Sb
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
t 7845 BLKLOT 78
K'CULLEN'CONTRACTING
Architect:
05 RANCHO HEIGHTS ROAb
Address
A, CA
1 j 312-1666
Phone
82609 ...
State Lie:
)5/31/2023
3T30079725 :
Engineer:
)9/30/2023
Address
Isation Insurance
Phone:
SPRING PROPERTY AND CASUALTY
NV
SOHA MIRZAHOSSEINKASHANI
PO BOX 51150
IRVINE, CA 92619
(949) 522-1482
;.Construction Valuation :
$30,000.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
10
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l am
(Section 7031.5, Business and Professions Code: A
the permit to: file a signori statement that he or she f
Professions Code) or that he or she is exempt from:
of more than five hundred dollars ($500),:
11 I, as owner of the property, or my employees wil
Business and Professions Code: The Contractors' S
Improvements are not intended or offered for sale. I
unproved for the purpose of sale).
ri I, as owner of the property,.. am exclusively contr
applyto an owner of property who builds or Improve
ri i am exempt from licensure-under the Contrack
alter,
however, the building or improvement is sold within one-year of
to under penalty of perjury that;I am ]icons
License Class
i' COMPENSATION DECLARATION..
to construct the project f Section 7044, Business and: Professions Code: The Contractors' State License Law does not.
the projects With a licensed Contractor pursuant to the Contractors' State License Law),.
by
of Chapter 9 (commencing with Section 7000) OF Division 3 of the Business and Professions Code,and my license is in full force I.
Date Contractor Signature
eRPUNAL PENALTIES AND €IVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS (4400,0001; IN AUDITION TO
reby affirm under penalty'of perjury one of the following declarations:
I 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 thu
Orman€e 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' compensatio
trance carrier and policy number are; .. .
tier.. Policy Number.. Expiration Date
ne of Agent.. Prone,#
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, andagra
it l should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I: shall forthwith comply with those provisions.
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):
_ Lender's Address.
I am the property owner of authorized to act on the: property owner's behalf.
s have read thisapplication and the information I have provided .€s-correct
f agree to Comply with all applicable city and county ordinances and state laws relating to building construchOt
I authorize representatives -of this City or county to enter the above -identified property for Inspection purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE WITII CODE OF FEDERAL
REGULATIONS PART fil OF TITLE AD AND AQMD RULE.
PER�LfITFINAI I LIASSESTOS NOTIFICATION IS NOT APPLICABLE TO
CEATIFtCATEOF /_!%ZZ J7�,1�-- PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: