HomeMy WebLinkAboutXR2022-2810 - PermitsfWeo�T,,. City of Newport Beach IIIIIIIIIIIIIIIIIIII�IIIIIIIII II COMB Permit : XR2U22-281 0
,oF 4�," Community Development Department- Building Division x R 2 0 2 2 2 8 1 0
` `. "tyS, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
r LL f r1 Permit Counter Phone: (949) 644-3288 Issued Date : 09/2612022
.0 ;,4 r Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
`O^Zu onN;r-`7 newportbeachca.gov/inspections
Combination Type - SFP 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 H(� DAYS IN ALL AREAS
Job Address : 225 POPPY AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 143 LOT 17
Description: SFR REMODEL GUEST BATHROOM AND KITCHEN 200 SF *STANDARD PLAN*
Owner:
Address
Phone:
Applicant
Address
Phone:
LAWRENCE SULLIVAN AND RITA SULLIVAN Contractor
JOINT LIV
22395 PINEGLEN
MISSION VIEJO, CA 92692
I (23
D`
STN BUILDERS INC
13681 NEWPORT AVENUE #8
TUSTIN, CA 92780
(714)713-1097
Owner/Builder,"'
Address
Phone;
Code Edition 201
Type of Construction : V-B
Occupancy Groups: R-3
Bldg Height
Building SetbacksFront:...,sine
: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY AREA
STN BUILDERS INC
Address: 13681 NEWPORT AVENUE #8
TUSTIN, CA 92780
Phone :
(714) 713-1097
Con State Lic
: 817262
Lic Expire :
02/28/2023
Bus Lic :
BT30056339
Bus Lic Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9111360
W. C. Expire : 9/4/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
'1
No of Stories :
2
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer: STN BUILDERS INC
Address : 13681 NEWPORT AVENUE #8
TUSTIN, CA 92780
Phone: (714)713-1097
Construction Valuation : $25,000.00
Added/New/Ti sq. ft. Bldg :
Alteration sq: ft. Bldg : 200
Adclo/ sq. ft. Garage: 0
TOTALfS A. Bldg : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tar 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 cityor countytirat requires a permit to construc€, 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 pursuantto the provisions of the Gontractors` State License Law (Chapter 9 (commencing with Section 701 Division 3 Blithe Business and
Professions Code) or that he or she is Exempt from licensors and the basis for the alleged exemption. Any vtetation of Section 7031.5 by any applicant for a permit Subjects the appli€'ant to a civil penalty of
not more than five hundred dollars ($500).
0 1, 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bun€ds 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
improved for the purpose of sale).
El 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
tappty to an owner of property who builds or improves: thereon, and who contracts for the projects with a Hcensed Contractor pursuant to the Contractors' State License Law).
6I am exempt from licensors 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 W least one year prior to completion of the improvements covered by this permit, -i Cannot legall
sell a structure that I have built as an awnor-builder if ithas not: been constructed in its entirety 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:hV!Iiwww:leginto.ca.gov/calaw.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 0 O) of DI isia �1 of he Business and Prryf sions Cq , arjlicense is �Uil force
and effect. License Class License No Date ()/ Z /2 contractor Sfonature / ./ �-vr ��<�
t —
WORKERS' COMPENSATION DECLARATION i
NARKING: FAFLURE TO SECURE WORKERW COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PER ALTIES AND CIVIL FINE$ UP TO ONE NUNDRED T — USAND DOLLARS (1100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE. INTEREST, Me ATTORNEY's FEES.
hereby affirm under penally 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 th
)e ormance of the work for which this permit la issued. Policy No,
nave 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' compensation
Curs carrier and policy number are:
warrier Policy Number Expiration Date
Kama of Agent Phone N
:1 certify that, in the e annanda 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' m nsatfon laws of California, and agra
hat, if I should benom bject tD t/hes'worke i' compen lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
>ignatura of Applicant (� L—vL._- Date 0
DECLARATION REGA CGNSTRUCTIION LENDING AGENCY T®
hereby affirm under p alty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, II do).
_enders Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on th roperty owner's behalf.
1 have read this application and the Informal! n 1 ve provided is correct.
I agrea to comply with all applicable city and Lit ordinances and state laws relating to building construction.
I authorize representatives of this city or count enter so entitled entitled p any for inspection purposes.
i nature of Property Owner or Authorized Agent ��� •�`��—� Print Pro art Ownar's or Authorized A ent's Nam U 5�) � IN
SG" `ulp a C� Z C
ACTION DATE BY bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
/ REG ULATIONS. PART 51 OF TITCE 40 AND AQMO RU LF
PERMIT FINAL
CERT7FICA17E OF
OCCUPANCY ISSUED
ISNOTAPPLICA13LE TO