HomeMy WebLinkAboutXR2022-2930 - Permits��EWPoRr City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cq[rF�pN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
IIIII��III��III 111111111111111111111111111111111111111111111COMB Permit: XR2022-2930
Plan Check No : PC2022-2794
Issued Date : 11/07/2022
Inspection Area : 6
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: 23 VENEZIA
Legal Desc
: N TR 15467 BLK LOT 54
Description:
SFR CREATE NEW LOFT AREA 172
SF & LAUNDRY RM 15
SF
Owner:
MUKUNDAN DEVARAJAN
Contractor:
LOFTCRAFTERS INC THE
Address :
23 VENEZIA
Address :
8 HAMMOND #102
NEWPORT COAST, CA 92657
IRVINE, CA 9261E
Phone:
Applicant:
LOFTC RAFTERS INC THE
Address :
8 HAMMOND #102
IRVINE, CA 92618
Phone:
(949)456-1234
Owner/Builder:
Address:
Phone
Phone: (949)456-1234
Con State Lie:
463944
Lie Expire :
08/31/2024
Bus Lie:
BT30020595
Bus Lie Expire
: 09/30/2023
Workers' Compensation Insurance
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy No: C69981355
W. C. Expire: 11/1/2022
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
YES
Occupancy Groups :
R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie:
Engineer: GARRETT LARRY D
Address: 7612 BESTEL AVE
WESTMINSTER, CA 92683
Phone: (714)893-2979
Designer:
Address
Phone:
Construction Valuation : $65,000.00
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg : 0
ram,
I 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 items)
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
is permit to file a signed statement that he or she is licensed pursuant to the previsions 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 7031.5 by any applicant fora permit subjects the applicant to a civil penatty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
luseass 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
nprovemenls 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
nproved for the purpose of sale)-
1 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
ply to an owner of property who builds or Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from hcensure under the Contractors' State License Law for the following reason:
ty 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 iegall,
oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undarstand that a 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 site;http:/Aw w.leginfo.ca.gov/calaw.btml,
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 Division of the Business and Prof ins Cod ,and my Ocen a is I full force
,nd effect. License Class Licenses No Date Contractor Signature AJLU
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (E100,000), IN ADDITION TO THE
DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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, forth
tarformance 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' compensatiol
Nulrarc arrier and policy numberare: n ` G 1
.arrier P', P' ,QnC'a Policy Number ��,,g 1a���s--.7a Expiration Date
lame of Agent Phone #
certify that, in th 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 work ' compensation laws of Calffomia, and agre
t, if 1 should bete a bject W the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date �_�aL�....___..._�
CLARATION Rl G CQNSTRIfGTI O 4 AGENGY
Ireby affirm under ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ci I Code).
Ider s 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 Vave provided is correct.
I agree to comply with all applicable city and coultity ordinances and state taws relating to building construction.
I authorize representatives of this city or coup. ,,Meer the ehllnv�e-Id ntlified prope for inspection purposes. 1�� p [ 1� —7
nature of Propenv Owner or Authorized Aoent 1�T wVlJtjJl.Av 'Fit P-sku Q1 Print Prooenv Owner's or Authorized Aaent's Name C/a I ( .��\� �J(Y1 ``I rlatd �' I 1
ACTION I DATE
1403
PERMiTEXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERT(FfCATE OF /0-r2•29 Di•+-�
OCCUPANCYISSUED
PART fit OF TITLE 40 AND AQNID RULE
NOTAPPLICAOLE TO
FOR OFFICE USE ONLY