HomeMy WebLinkAboutXR2022-2397 - Permits���WPoRr City of Newport Beach II III I I I II I II I III II I I II II COMB Permit : XR2O22-2397
@ Community Development Department - Building Division
> r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1120-2022
h Permit Counter Pone: 949 644-3268
( ) Issued Date : e9/06/2022
�. Inspection Requests Phone: (949) 644-3255
cqt/FoaN�P newportbeachca.gov/inspections Inspection Area : 1
Combination Type - SFP PLUM
Work Class - Demolition
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
<�/0 00
Job Address : 1734 PLAZA DEL NORTE Legal Desc : N TR 518 BLK L LOT 9 NS/Rl✓
Description: DEMO SFR & GARAGE 2369 SF. 3 BEDROOMS. SEWER CAP INCLUDED '7 C)/
Owner: MICHAEL STUHLEY Contractor: JAMES DAVID CUSTOM HOMES Archit c
Address : 8 DEL PADRE FOOTHILL RANCH, CA 92610 Address : 15375 BARRANCA PKWY G102 IRVINE, Address : AV / /
CA 92618 "®���
Phone: Phone: (888)847-0823 Phone:
Con State Lie : 801389 State Lie:
Applicant: JAMES DAVID CUSTOM HOMES Lie Expire: 10/31/2023 4°
Address : 15375 BARRANCA PKWY G102 IRVINE, CA Bus Lie : BT30038095 Engineer
92618
Phone : (888) 847-0823
Owner/Builder :
Address
Phone:
Code Edition :
Type of Construction : V-B
Occupancy Groups: R-3
Bldg Height :
Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS: JR DEMO TO I1Ai l DEBRIS
Bus Lie Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WPL506566600
W. C. Expire: 5/1512023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
2
Address
Phone: rl
Designer: S1" f
Address : IN
Phone:
Construction Valuation : $0.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
OWNER -BUILDER DECLARATION
I hereby affm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next io 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State L'conse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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 morethanfive hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or L) 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 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-Builderwill have the burden of proving that It was not built or
Improved for the purpose of sale).
❑ 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 State License Law).
❑ I am exempt from licensure under the Contractors' State License Law for the following reasom
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 legally
sell a structure that I have built as an owner-buildor if it has not been Constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:l/wwv+.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent ^ Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 8 (commencing with Section 7000) of Ivi: ion 3 of the Business and Pr tes ions Code and m in full force
and effect. License Class License No Date y 6 2 Contractor Signaturg /
NORKERS' COMPENSATION DECLARATION
NARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100.000), IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 170e OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby 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 Cade, for ihI
rmatice of the work for which this permit is issued. Policy No.
DI ave 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' componsatior
s ance carrier and policy number are:
Policy Number
of Agent
Dale
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 agree
CIf I should becorne LARATtON RCGA sueNec1CON5T CONSTRUCTION LENDING ti srevisions of Section 3700 0# the Labor Cade. 1 shall forthwith comply with those provisions.
j vyy
nature of Applicant _
DING AGENCY `ll /—
Ireby affirm 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).
tders Name Lender's 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 state laws relating to building construction.
I authorize representatives of this city or county to � an �a oV to arty for inspection purposes. r� ` \ tr�� nature of Prooerly Owner or Authorized Anent i Print PrODOTW OWner'S or Authorized Anent's Name' r Q0c v, 1 c1 Sde� Date
ACTION I DATE BY j NECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE AD A] AQMD ftULF
PERMIT EXPIRED I i I LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
......... ................ _...--- _..._._.
PERMIT EXTENDED
NOT-IFICA'TION
CERTIFICATE er
OCCUPANCY ISSUED
C2
x
0296 65ET 0000 0600 02OL
L296 6SE2 0000 0600 020L