HomeMy WebLinkAboutX2022-1011 - Permits¢a�WPoR' City of Newport Beach
6 Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
U z Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition/Alteration
iiiiiiiiiCOMB Permit : X2022-1011
Plan Check No : 0933-2022
Issued Date : 01/10/2023
Inspection Area : 1
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: 7310 W OCEAN FRONT Legal Desc : A TR SEASHORE COLONY TR BLK M LOT 6 SEASHORE COLONY TR LOT 6 BLK M SWLY 60 FT
-INC POR
Description: SFR ADD 63 SF. INTERIOR ALTERATION 3208 SF
Owner: MARGARET ENGLISH
Address : 17 TAGGERT
IRVINE, CA 92603
Phone
Applicant: WALZ JOHN ROBERT
Address: 510 LARKSPUR AV
CDM, CA 92625
Phone: (949)836-5977
Owner/Builder :
Address :
Phone
Contractor: MC KAY MIKE CONSTRUCTION INC
Address : 7092 FORD DRIVE
HUNTINGTON BEACH, CA 92647
Phone:
(714)936-5048
Con State Lic
: 733743
Lic Expire :
03/31/2023
Bus Lic:
BT30053585
Bus Lic Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 1481929
W. C. Expire : 4/1/2023
Architect: WALZ JOHN ROBERT
Address: 510 LARKSPUR AV CDM, CA 92625
Phone:
(949)836-5977
State Lic
Engineer :
BURKE THOMAS
Address :
151 KALMUS DR #140
COSTA MESA, CA 92626
Phone:
(949)494-0776
Designer
Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
$250,000.00
Type of Construction :
V-B
Fire Hazard Zoolne� NUC„rpO� ^'Q�5`E
NOISE
Added/New/Ti sq. ft.-Bldg :
63
Occupancy Groups :
R-3
10stdr
Alteration sq.
206
Bldg Height:
s : 3
I S�,dr�1
Added/New sgftft Garage:
0
TOTAL sq. ft. :
63
Building Setbacks:
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
THE WEEKEND
Use Zone:
R-2 - Two -Unit Residential
ON
PROCESSED BY:
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SPECIAL CONDITIONS: Rpim-i5 ro Hau(
OWNER -BUILDER DECLARATION
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) 1 have placednext to the applicable item(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, 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 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 exempt from licensors 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 penally of
at more than five hundred dollars (S500).
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,
lusiness 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 saleif, 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
reproved 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
oply 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),
D I am exempt from llcensureunder the Contractors' State License Law tar the following reason: _ _
ly 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-buildsr if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
'rofassions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html,
t:•ignature of Property Owner or Authorized Agent Y �_ Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Di ision 3 of the Business and NoJilissions Cod and y lice is In full force
Ind effect. License Class License No Date Contractor Signet44
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUe7ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000),. AD MON 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:
3 1 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 the
3I ormance, 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' compensatior
Ts rance carrier and policy number are:
der Policy Number Expiration Date
Jame of Agent Phone If
:11 certify that, in the performance 4workch this p it Is issued, I shall not employ any person In any manner so as to become subject to the workers' compansati iT la: Of California, and ogre
hat, if I should become subject to tnsation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.i gnalure of Applicant p_ Datte7ECLARATtpN REGkICpING CONG GENhereby affirm under penalty of penconstruction en Ing agency for the performance of the work for which this permit is issued (Section 3097, C vll Code).
-endsr's Name Lender's Address
3y my signature below, I parity to each of the following:
I am the property owner or authorized to act on the property owner's bane .
I have read this application and the information I have provi ed' correc
I agree to comply with all applicable. city and county ordina ce no slat laws retail o building construction.
I authorize representatives of this city or county to tart a e-ide Me o rty for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name mt.L Date Lkil
ACTION DATE BY DECLARAYICIROF COMP ANC WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 FT. E40ANDAQMDRULE
1403
PERMIT EXPIRED DI SUBtAIT-ED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT FINAL L( 1, J(� J�ASBE$705 NOTiF4CA19 N Is A TAPPLICA ro
CERTIFICATE OF ( J �PRZkyOSEDDEMOL TION
OCCUPANCYISSUED S:SNAT'JRE: