HomeMy WebLinkAboutXR2022-2351 - Permits��gWPORT City of Newport Beach
o Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
tea•. x Inspection Requests Phone: (949) 644-3255
°gceFoa" �P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
II III I I I II I II I II II II I I II COMB Permit : XR2022-2351
Plan Check No : 2938-2016
Issued Date
Inspection Area : 2
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 : 410 VIA LIDO NORD
Legal Desc : N TR 907 BLK LOT 478 TR 907 LOT 478 SELY 15 FT AND NWLY 15 F T LOT 479
Description: DELTA 7 REVISION & ADD'L SCOPE: ADD FIREPIT, HEATERS, OUTLETS & KITCHENETT @ ROOF DECK. (X2021-2124)
Owner: 410 VIACON LLC
Contractor: CP MC CLARY CONSTRUCTION INC
Architect
Address : 410 VIA LIDO NORD NEWPORT BEACH, CA
Address : 1013 LINDEN PLACE COSTA MESA, CA
Address
92663
92627
Phone:
Phone : (714) 271-1055
Phone:
Con State Lie : 513053
State Lie
Applicant : WALT BUSHMAN
Lie Expire : 10/31/2023
Address: 2480 SANTA ANA AVE COSTA MESA, CA
Bus Lie: BT00004228
Engineer : XIAO GANG
92627
Phone: (949) 642-3468
Bus Lie Expire : 08/31/2022
Address : 1520 BROOKHOLLOW DR #45 SANTA
ANA, CA 92705
Workers' Compensation Insurance
Phone: (714) 662-0510
Owner/Builder :
Carrier: STATE COMPENSATION INSURANCE FUND
Address :
Policy No : 1300846
Designer : WALT BUSHMAN
Phone:
W. C. Expire : 6/1/2023
Address : 2480 SANTA ANA AVE COSTA MESA, CA
92627
Phone: (949) 642-3468
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $6,506.013'
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/Ti sq. ft. Bldg : 0 ,
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 0, Front: 4
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY: ! NSP a t
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable fterr(s)
(Section 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prier to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licereure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Lary does not apply to an owner of property who, through employees' or personal effort, builds 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).
❑ I, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
L J I am exernpt from Ifeensure under the Contractors' Stale License Law for the fallowing reason
By 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 legall,
sell a structure that I have built as 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 7C44 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site: httpaiwwvLIeginfo. ca.govica law.htri
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o q Df fsio 3 of the Business a. d Professi s Code d license is in full force
and effect. License Class License No Date 1 �) 2 Contractor Sign re
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 1N ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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
tai�prmepco of the work for which this permit is issued. Policy No,
Aandwill 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
eance carrier and policy number are:
,.amer Policy Number Expiration Date
Vane of Agent Phone If
-1I certify that,in the pe0g ance 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 Oalifomia, and agree
.hat. If I come subj A to me Wo ' ampensadon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applluiiq-,_ Dale Va' L ( ZZ
4.L-'�'—�,—
DECLARATIONREGARO,414STI3.L
LENDING AGENCnerevry affirm !ii luer pw.naltyat there is a construction lending agency for the performance of the work for w u; this permit is issued (Section 3097, Civil Code).
_ender's Name - Lenders Address
3y my signature blow, I certify to each of the following.:
I am the proper y owner or authorized to acton the property owner's behalf.
I hrve read t'r€c Ppplication and the information 1 have provided Is correct.
unt rd'Inances and state laws relating to building construction.
I agree to comply with all applicable city and co
I al.�thorize representatives of this city o ounty to e. err above -identified property for Inspection purposes. x
>i nature of Property O+Nner or Authorized Agent Print Proper[ Owner's or Authorized A Ent'9 Name XY _Date
ACTIOP( - DATE BY ARATIO OF CO ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
C KATIO 6t OF TITLE 40 AND AQMD RULE
1403
P6RNr1T k"XPIREi), iEl I SURMITTr.D A56ESTp5 NOTIFICATION TO
PERMIT CANCELLED _ EP<, All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMiTEX7ENDED QMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL E5TO5 NOT 'I FICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OF /I OPOSED DEMOLIT€ON
OCCUPANCY ISSUED �1�ith (Ir.NATlinP-