HomeMy WebLinkAboutXR2022-2211 - Permits�`j WPp�T
City of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Other
III I I I III II I III II II II I II COMB Permit : XR2022-221 1
Plan Check No :
Issued Date : 08/23/2022
Inspection Area : 1
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: 1619 W BALBOA BLVD
Description:
MFR ADD'L SCOPE -ADD STONE FINISH
Owner:
KAY RIDGEWAY
Address:
1508 CUMBERLAND IN NEWPORT BEACH,
CA 92660
Phone :
Applicant: SIDING MILLWORK INC
Address: 36105 PANORAMA DR YUCAIPA, CA 92399
Phone: (949)633-9036
Owner/Builder
Address
Phone:
Code Edition: 2019
Type of Construction : V-B
Occupancy Groups: U
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 5, Side: 3, Side: 3, Rear: 0
X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS: REV2022-1491
Legal Desc A TR:NEWPORT BEACH SEC B BLK 16 LOT 20
Contractor:
SIDING MILLWORK INC
Architect :
Address :
36105 PANORAMA DR YUCAIPA, CA
Address
92399 ,
Phone:
(949)633-9036
Phone:
- Con State Lie
: 1034616_ -
State Lie
Lie Expire :
01/31/2024
Bus Lie:
BT30066901
Engineer:
Bus Lie Expire : 04/30/2023
'- Address :
Workers' Compensation Insurance
Carrier:: NORGUARD INSURANCE COMPANY
Policy No SIWC253845
o- W. C. Expire: 12/1312022
Fire Sprinklers : - NO
Fire Hazard Zone : :No
No of Units : 2'
No of Stories
Phone
DENGHAUSEN HOWARD
P.O. BOX 3381 NEWPORT BEACH, CA
92659
(949)735-2580
MORRIS KYLE
1401 DOVE ST #520 NEWPORT BEACH,
CA 92660
(949)502-5323
Designer:
Address
Phone:
Construction Valuation
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
$3,000.00
0
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I hereby affmp 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 items)
(Section 7031.5. Business and Professions Code: Any Gty or county that requires a permit to constnucl, alter, improve, demolish,. or repair any structure, prior to Its issuance, also requires the applicant for
the permit to fllo a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Skala License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Ilcensure 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
not more than five hundred dollars ($500).
El I, as owner of the property, or my employees AIR wages as their sole Compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended oroffered for sale (Section 7044,
Business 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
Improvements 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
irmroved For the purpose of sale).
L.t 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 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' Stale License Law),
Q i am exempt from ticensure under the Contractors' State License Law for the following reason: _ i-
By 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 legal]:
sell 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
Professions Code, is available upon requestwhen this application is submitted or at the following Web sits:http,.Il w,leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Dk is n 3 or the Business and Professio s C _, d my It a II force
and effect. License Class License No DatgCi Contractor Signature 1
WORKERS' COMPENSATION'. DECLARATION �(
✓DARNING: FAILURE TO SECURE MRNERV OOMPENSATION, COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION alas OFTHE LABOR CODE, INTEREST. AND ATTORNEYT FEES,
II hereby affirm under penalty of perjury one of the following declarations:
pe/J,I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
OnTance of the work for which this permit Is issued. Policy No.
have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers`
rance carder and policy number are:
Policy Number Expiration Date
of Agent Phone # _
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subject to the wor co ensation on 3700 of the Labor Code, I shall forthwith Comply with those provisions. D
Isture of Appllcan l �.( Date, r% �y �''2
'LARATION REGARDING CONSTRUCTION LENDING AGENCY(
raby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Cade).
der's ✓•lade Lenders Address
constructon.
n purposes.
•�j ACTION I DATE [ BY E DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
••jI •• ••• k` li REGULATIONS PART 6I. OF TITLE 40ANDAOMD RULE
;PERMIT,6AN�AtF6 - QFP - All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PER_rvflfIatrE"ENOro —}�—� _QM1) be In place priartoapproval tofillpool/spa &shall remain s..nplace&bemaintained for the
•• PERMicilfr At-•* — �/w ASBEED DE NOTIFICATION
� life of the pool.
Z=�-L
CERT1FtCAfc OF' PROPOSED OEMOLtT
OCCUPANCY tS$UEA SIGNATUREr X
PERMIT FEE DETAILS FOR PERMIT XR2022-2211
Fee Name
Fee Amount
Fee Paid Amount
Transaction Date Payment Method
Trans. Paid Amount
Paid By
Building
Building Permit Fee -Valuation
$114.00
$114.00
08/23/2022 CC EPL
- $114.00
SIDING MILLWORK INC
Building Plan Check Fee
:$99.18
$99.18
08/17/2022 CC EPL
$99.18-
SIDING MILLWORK INC
Drawing Fee
$4.00
$4.00
08/23/2022 CC EPL
- $4.00
SIDING MILLWORK INC
Green Building Fee
$1.00
$1.00
08/23/2022 CC EPL
$1.00
-SIDING MILLWORK INC
OTC Plan Check Fee - Planning
$53.00
- $53.00
08/1712022 CC EPL
$53.00
SIDING MILLWORK INC
GRAND TOTAL:
$271.18
$271.18
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