The URL can be used to link to this page

Home My WebLink AboutXR2022-2467 - Permitse �WPo�T City of Newport Beach o Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 U z Permit Counter Phone: (949) 644-3288 o.a Inspection Requests i'hone: (949) 644-3255 newportbeach,a.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration COMB Permit : XR2O22-2467 iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II Plan Check No: PC2022-2310 Issued Date : 01/04/2023 Inspection Area : 3 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: 2036 GALAXY DR Legal Desc : N TR 4224 BILK LOT Description: SFR: ADD (N) 343 SF DETACHED ADU Owner: SALENE DAVID TR THE SALENE TR Contractor : Architect Address: 2036 GALAXY DR Address: Address NEWPORT BEACH, CA 92660 . . Phone : (714) 745-6546 Phone : Phone Con State Lie : State Lie Lie Expire Applicant: SALENE DAVID TR THE SALENE TR Bus Lie : Engineer : SARKIS PETER Address : 2036 GALAXY DR Bus Lie Expire : Address : 17981 SKY PARK #0 NEWPORT BEACH, CA 92660 IRVINE, CA 92614 , Phone : (714) 745-6546 Workers' Compensation Insurance Phone: (949) 748-7170 • .. . Carrier : Owner/Builder : SALENE DAVID TR THE SALENE TR Policy No : Designer : STUDIO 941 848 BLUEBIRD CANYON Address : 2036 GALAXY DR W. C. Expire: Address : LAGUNA BEACH, CA 92951, • . . NEWPORT BEACH, CA 92660 Phone : (714) 745-6546 Phone: (949) 290-3515 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $61,740.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 343 Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 343 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: � _ SPECIAL CONDITIONS: 1 "Se-L: `J , OWNER -BUILDER DECLARATION t 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 Reni (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, one, to its issuance, also requires the applicant for the permit to We 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 exemptfrom leensure and the basis for the alleged exemption. Any vidlation of Section 7031,5 by any applicant for a permit cubjacts the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the improvements are not Intended or o£tered for sale. If, however, file 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 thepurpose of sale). 9I, 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 1 am exempt from ticensure under the Contractors' State License Law for the following reason: _ By my signature below E acknowledge that, except for my personal residence in which I must haae resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legali, sell a structure that I have built as an owner -builder if it has not been constructed in its entirely b. licensed contractors. ) understand that a copy of the applicable taw, Section 7044 of the Business and Professions Cods is available upon request whe v e Web si http:ltwww.teginfo.ca,gov/celaw:html. Signature of Property Owner or Authorized Agent\ Date/J LICENSED CONTRACTOR'S DECLARATIDD) a T` I hereby affirm under Denalty of perjury that I ant licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Lice.'Ise Class License No Date Contractor Signature, VJORKERS' COMPENSATION DECLARATION AARNING: FAtLURE TO 4cat RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709OF THE LABOR LODE, INTEREST, AND ATTORNEY'S FEES. rerahv affirm under penalty of perjury one of in following declarations: have and aih mairtain 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 7r'rance of the Work for which this permit is issued, Policy No. , ba a 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' compensa rat.:e carder and policy number are: Policy Number IE of Agent Date cenif, , (1rat, it 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 , it I should to rwome Subject to the workers' Compensation provisions of Section 3700of the Labor Code. I shall forthwith comply with those provisions. nature of Applicant,_,„„w_______ RU__ Date CLARATION REGARDING CONSTCTION LENDING AGENCY ^' areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ISection3097, Civil Code). if er's Name Lender's Address my signature below, I certify to each of tile. Following: I am the property owner or authorized to act on the property owner's behalf. I have read this applicationand the information I have provided is correct. I agree to comply with all applicable city and county ordinances and st „ relating to building construction. I authorize representatives of this city or coun - en led pro a or inspection purposes. �/ (�\] nature of ProueitV Owner or Authorized Anent. ti Print PmnRrry nwnar'z or Anihnri>Rd Anent't Ntini�""`I/ k I , n i%{! ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AgMQ RULE 1403 PERMIT EXPIRED LJ 15UAMITT ED ASRESTOS NOT] FICATION TO RMIFCANCEtEED EPA PE PfRngtT FXTENOEP Y AS3lEgSM]$25J4C1i TI�� PERrLflT ftNA1 r� 7 CERTIFICATE Gf �.y�.2—T PROPOS OCCUPANCY ISSUER