HomeMy WebLinkAboutX2022-1483 - PermitsCity of Newport Beach
Cad>' G
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 94
Inspection Requests Phone: (949) 9) 644 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : X2O22-1483
Plan Check No : 1368-2022
Issued Date : 0910812022
Inspection Area : 4
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 : 305 AVENIDA CERRITOS
Description : MFR REMODEL 1,649 SF
Owner: STEVEN SHORT
Address : 1078 ARBOR GROVE CT
CHESTERFIELD, MO 63005
Phone:
Applicant:
CHRIS KAMPS
Address :
133 TALMADGE
IRVINE, CA 92602
Phone:
(949)275-4166
Owner/Builder
Address :
Legal Desc : N TR 5435 BLK LOT 35 TR 5435 (L.L.84-214024) PAR 35
Contractor: ZIMMERMANN CONSTRUCTION
Address : 34764 EL DORADO RD
LAKE ELSINORE, CA 92530
Phone:
(949)412-3431
Con State Lic
: 897758
Lic Expire :
06/30/2023
Bus Lic :
BT30079649
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: WESCO INSURANCE COMPANY
Policy No : WWC3586245
W. C. Expire: 5/1/2023
Architect
Address
Phone:
State Lic
Engineer: CHRISTENSON PAUL
Address : 663 VALLEY AVE AT#101
SOLANA BEACH, CA 92075
Phone: (858)509-8505
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation : $131,920.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
R-2
No of Units :
1
Alteration sq. ft. Bldg : 1,649
Bldg Height :
No of Stories ;
2
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Confractors' State License Law for the rORson(s) Indicated below by the aheckmark(s) I have placed next to the applicable Rem(s)
'action 7031.5, Business and Professions Code: Any city or county that requires a permit to constmCL, alter, Improve, demolish, Or rapair any structure, poor to its issuance, also requires the applicefit for
Io permit to file a signed statement that Ire 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
rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7091.E by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 L as owner of the property, or my employees with wages as their sole compensation, will do L) oil of or f ) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
usmass and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for sale. If. however, the building or improvement is sold within one year of completion, the Owner -Sunder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not
ply 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 tram licensors under the Contractors' State License Law for the following reason
ly my signature below I acknowledge that, oxcopt for my personal residence in which I most have I raided for at least one year poor to complation of the improvements Covered by this permit, I cannot legaill)
ell a structure that I have butllas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Yofessions Code, is available upon request when this application is submitted or at the following Web site:http:tiwww.leginfo.ca.govlcalaw.htmi_
signature of Properly Owner or Authorized Agent _ Date._
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Divlsian43 of the Business and Proressio 01
. al It'iens. 'S In full forte
nd effect. License Class License No Date z Contractor Signature/
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS s100,000E IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.
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 th
erfnrmance 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
Fence carrier and policy number are:
1e of Agent
certify that, in the performance of for
if I should become s bjeut to rs` cy
nature of Applicant_
Policy Number Expiration Date
i shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agre
etierr3700 of the Labor Code, I shall forthwith comply With those provisions. E
Data''
ECLARATtON REGARDIWCOOMTR7t,
N LENDING AGENCY
hereby affirm under penalty of perjury t t ere is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provide correct.
t agree In compl- with all applicable city and Bounty ardf ces ad a vs del g far building construction.
I authorize rzpresentatives of this city or County to ant ov tifiad or Inspectitn purposes.
I ACTION
DATE
RY 1 DECLARATI(DKOF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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FOR OFFICE USE ONLY
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