HomeMy WebLinkAboutXR2022-2883 - Permits�EWPORT City of Newport Beach
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COMB Permit : XR2O22-2883
o� @ Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2022-2308
Permit Counter Phone: 949 644-3288
( )
Issued Date
Inspection Requests Phone: (949) 644-3255
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Inspection Area : 1
newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
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 : 1708 OCEANFRONT W, 1/2
Legal Desc : ATR NEWPORT BEACH SEC B BLK 17 LOT 4
Description: MFR -INTERIOR ALTERATION 32 SF TO CONVERT CLOSET TO LAUNDRY RM
+ t�' �+
Owner: MOY MARIANNE J TR
Contractor: SUPERIOR ELECTRIC
p o p, C
MECHANICAL & A c®ec . STRUC T IO' y NOISE
PLUMBING INC
Address : 620 NEWPORT CENTER DR, # 110
Address : 8613 S Helms N
Address
NEWPORT BEACH, CA 92660
RANCHO CUCAMONGA,
CA 91730
Phone:
Phone : (909) 357-9400
Phone ON THE WEEKEND
WEEKEND
Con State Lic : 911185
State Lic : L "
Lic Expire : 02/29/2024
Applicant: SUPERIOR ELECTRIC MECHANICAL &
Bus Lic: BT30079693
Engineer
PLUMBING INC
Address : 8613 S Helms N
Bus Lic Expire : 09/30/2023
Address
RANCHO CUCAMONGA, CA 91730
Phone: (909) 357-9400
Workers' Compensation Insurance
Phone:
Carrier: INS CO OF THE WEST
Owner/Builder :
Policy No : WSD504726203
Designer: RENE A CANEDO
Address :
W. C. Expire : 4/1/2023
Address: 8613 HELMS AV
RANCHO CUCAMONGA, CA 91730
Phone:
Phone: (909) 357-9400
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $5,750.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Tl sq. ft. Bldg :
Occupancy Groups : R-3
No of Units : 2
Alteration sq. ft. Bldg : 32
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg: 0
Building Setbacks: Front: 7, Side: 3, Side: 3, Rear: 0
Flood Zone: X
Use Zone R-2 Two Residential
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: - -Unit
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SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
1 hereby affirm 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 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
the permit to fife 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
Professions 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 fora 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 with wages as their sole compensation, will do L) all of or i_) portions of the work, and the structure is not intended or offered 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 properly, 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 R was not built or
improved for the purpose of sale).
❑ I, 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' State License Law),
❑ I am exempt from acensure under the Contractors' State License Law for the following reason
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 request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) Divi ion 3 of the Business and a SID Co an my cense is I full force
and effect. License Class License No Date Detractor Signatu
WORKERS' 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 HUNDRE THOUSAND OLLARS 1 00,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3109 OF THE LABOR COOE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following declarations:
?I^-� I nave 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 1t
1xV`mance of the work for which this permit Is issued. Policy Nm
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'
carrier and policy number are:
is of Agent
certify that, In the pl
, If I should become
)store of Applicant _
Policy Number
Date
o€ the for I thi 11 mit is issu , I shall not employ any person in any manner $o a$ to become subject to the workers' compensation laws of Califomia, and agre
to a works pen tl provisions action 3700 of the Labor Code, I shall forthwith comply with those provisions. �7
Date
,ON$TRl1CT1N LEN`DKCFAENCY I
rreby affirm under penalty of perjury that th a is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civ I Code).
rder's Name _. Lenders Address
my signature below, I certify to each of the follow'
I am the property owner or authorized to act on I
I have read this application and the information 1
I agree to comply with all applicable city and COL
I authorize representatives of this city or county
ACTION
PERMIT EXPIRED
DATE i BY
PERMIT EXTENDED
PERMIT FIPIA[ J'
CERTIRCATE OF
OCCUPANCYISSUEO
owner's behalf.
etl is Ad
riList I s re g building construction.
a. ie 7oparty o inspection purposes.
Print Property Owner's. or Authorized Ag
IO1CF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
ON. PART 61 OF TITLE 40 AND ACIMD RULE
ASBESTOS NOT] FICATION
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