HomeMy WebLinkAboutXR2022-3238 - Permits�EWPo�T City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ��
0� �- @ Community Development Department- Building Division X R 2 0 2 2 3 2 3 8
>' r{ . 100 Civic Center Drive, Newport Beach, CA 92660
-' Permit Counter Phone: 949 644-3288
( )
aU r Inspection Requests Phone: (949) 644-3255
°q<ig�se newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2O22-3238
Plan Check No : PC2022-3095
Issued Date : 02/08/2023
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: 601 LIDO PARK DR, 3B
Legal Desc : N TR 7695 BLK LOT 1 UN 1A TR 7695 LOT 1 UNIT 1A G-1-6 OF PRO JECT LOCATED
Description: MFR REMODEL MASTER BATHROOM REMODEL
173 SF
Owner: PATRICK MAHONEY
Contractor : CARROLL BRIAN
Architect : METODIEV TRIFON
Address : 191 S COBBLESTONE LN
Address : 364 VISTA BAYA
Address : 155 ROCHESTER COSTA MESA, CA
ANAHEIM, CA 92807
NEWPORT BEACH, CA 92660
92627
Phone] (714)920-0445 - __--
Phone :--(714)-404=4999 _ ----
-- Phone: (949)293-2176
Con State Lic : 348696
State Lic
Lic Expire : 12/3112023
Applicant : RON GARCIA
Bus Lic : BT98042804
Engineer
Address : 155 ROCHESTER DR
Bus Lic Expire : 08/31/2023
Address, :.
COSTA MESA, CA 92627
Phone: (949) 612-7257
Workers' Compensation Insurance
Phone:
Carrier:
Owner/Builder :
Policy No : EXEMPT
Designer
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $15,000.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : R-2
No of Units : 50
Alteration sq. ft. Bldg : 173
Bldg Height:
No of Stories : 10
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 20
Flood Zone : X
Use Zone: RM - Multiple Residential
PROCESSED BY
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjurythat I am exempt from the Contractors' State License Law Tor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.8, 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
io permit to file a signed statement that he or she is licensed pursuant to the provisions of the Oontmctors' Stato Licensc Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
�rofassions Code) or Ut E he or she is exempt from licensers 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
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
,usiness 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
u piovemene are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Suildar will have the burden of proving that It was not built or
nproved for the purpose of sale).
3 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
poly to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
am exempt from licensors under the Contractors' Stale License Law for the following reason:
,y 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
oil 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 copy of the applicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web silty.hltpJiwww.ieginfo.ca.gov/ceiaw.html.
signature of Property Owner or Authorized Agent _ Date
.ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Pro ssio Il�d my license is n full force
nd effect. License Class License No Date � fl f /'i07-S Contractor Signature
VORKERS' COMPENSATION DECLARATION / 7 1 1
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIgAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION: DAMAGES AS PROVIDED FORIN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm underpenalty of perjury one of the following declarations:
3 1 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 tt
orformance of the work for which this permit is issued. Policy No,
11 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
Isurance carder and policy number are:
outer Policy Number Expiration Date
Iilime of Agent Phone #
certify the[, in the performance of the work for ' - this permit is Issued. I shall not employ any person in any manner so as to become subjectto the workers' cc - ensahon laws of California. and agre,
1st, I should barn s bject io th rkers' c pe satlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignalure of Apphcanj
.__.....-_ 7iLc��. Date
ECLARATION I DI ONSTRUGTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivi Code).
onder's Name _ Lender's Address
y my signature below, I certify to each of tl'le fallowing:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the informajon4 have provided is car
I agree to comply with all applicable city and o my or rites an st - laws ral ` to building construction.
I authorize representatives of this. city or coo to tlta ahoy -Id it so p. perty inspection purposes. (/�J 1 y ,�
ionature of Prooerty Owner or Authorized Aaent Print Property Owner's or Authorized Agent's NameVie r l t n I, Y0, ir / Data;
PERMIT EXPIRED
PERMI7C4NCEUED
PERMITEXTENDED
PERMJTFINAL
C€RTHYCAT£OF
OCCUPANCYr55UED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATION5 PART 61 OF TITLE 40 AND AC1MD RULE
APPLICABLE TO
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