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HomeMy WebLinkAboutX2022-1391 - Permits��EWPORT City of Newport Beach D Community Development Department- Building Division q 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq[/rppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Addition III X�I� III0�II���IIIIIII�IIII�I I�I�IIIII� II COMB Permit : X2022-1391 Plan Check No : 1287-2022 Issued Date : 02/03/2023 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: 21 OCEAN HEIGHTS DR Description: SFR ADD 56 SF Owner: KINOSHITA IRENE L TR Address : 21 OCEAN HEIGHTS DR NEWPORT COAST. CA 92657 Phone Applicant: STAND ARCHITECTS, INC Address: 24571 SOUTHHAMPTON CT LAGUNA HILLS, CA 92653 Phone: (949)677-9304 Owner/Builder : Address : Phone Legal Desc : N TR 15400 BLK LOT 41 TR NO 15400 LOT 41 FOR OF LOT Contractor: VALLE CONSTRUCTION SERVICES Address : 31282 VIA SONORA '- SAN JUAN CAPISTRANO, CA 92675 Phone: (949)510-8205 Con State Lie : 761674 Lie Expire : 04/30/2023 Bus Lie: BT30080617 Bus Lie Expire : 02/29/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: Architect: STAND ARCHITECTS, INC Address: 24571 SOUTH HAMPTC44 CT'LAGUNA HILLS, CA 92653 Phone: (949)677-9304 State Lie Engineer: RICHARDS GEORGE LEWIS , Address : 2211 MICHELSON DRIVE SUITE 450 , IRVINE, CA 92612 Phone: (949)752-0601 Designer: Address Phone : Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : SPECIAL CONDITIONS: !! 7'� r-�,-;s m '^R $25,000.00 56 0 56 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Cade: Any city or pounly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor io permit to file 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 '. 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars (S500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nprovements 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 builtor nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not p ly 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 from ricensure under the Contractors' State License Law for the following reason: iy 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 legally ell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors.) understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted orat the following Web site;http:liwww.leginfo.ca.goidcalow.html. ilgnature of Property Owneror Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under aerially of perjury that I am licensed under provisions Chap erg coinr�encing with Section 00 ) of Divi, ion 3 of the Business and Ptotssslo y license is in full force nd effect. Lice,ise Cla:;s License. No �I Date Contractor Sign at/urn CORKERS' COMPENSATION D .. LARATION '..RNING:.'AILURE .0 SLCUdE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000j, IN ADORION TO THE OST OF COMPENSA] ION', DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I ,eruhy affirm under penalty of perjury one of the following declarations: 1 I hale and w3( inain:ain 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 the Prfomivnce of the worK for which this permit is issued. Policy No. 31 Lavd and Mi. 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' compensatior Iorri, c a carrier and policy number are: Policy Number of .,gent Dale certify that, in the performance of the work f hich 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 agree f I should brco,ne sou�bject/t!/�orke ompensabon provisions of Section 3700 of the Labor Code', I shall forthwith comply with those provisions. --t—"`'-f-- nature of ApplicanDat CLARATION REG SING CONSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued QSection 3097, Civil 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 have provided is correcttfwd"'prp.rtyqc!i I agree to comply with all applicable city and county ordinances and s relano building. construction. I authorize representatives of this city or county, to enter t o Idinspection purposes, nature of Prooertv Owner or Authorized Anent Print Prooeriv Owner's PERIVILT EXTENDED PEFbHT FINAL CERTIFICATE OF OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 NOTIFICATION TO NOTIFICATION 15 NOT APPLICABLE TO FOR OFFICE USE ONLY