HomeMy WebLinkAboutX2022-0698 - PermitsD��EwPokr City of Newport Beach
Community Development Department - Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
u ¢. Permit Counter Phone: (949) 644-3288
w Inspection Requests Phone: (949) 644-3255
°gciFosN`P. newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
iiiiiiiiiii II COMB Permit : X2022-0698
Plan Check No : 0615-2022
Issued Date : 0312212022
Inspection Area : 4
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 PEPPERTREE
Description : SFR KITCHEN & (7)
Owner: DAVID PARK
Address : 23 PEPPERTREE
NEWPORT BEACH, CA
Phone:
Applicant:
ZacharyStangle
Address :
2901 W Coast Highway,
Newport Beach, CA 926
Phone :
(949) 270-2761
Owner/Builder
:
Address :
Phone :
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
egal De NJR
AAA 1 NG 1 BLK LOT 11 t{ ,,,,,-,1
THRMOD N�� AI AILING 100n sF 3/169053 R/R W1NBt6vktslPR LIKE (PER ORIGIN APPV'D PLANS)
Cotor : VETERAN B DERS-G.Ro qP INC.❑ 8096c9ire®:100% refund
A ress : 2901 WEST COAST HIGHWAY Address
NEWPORT BEACH, CA 92663
ine : (949) 270-2761 ' ::�; t0 W{l�jt :
on 1L -State Lic : 1049064 State Lic
Lic Expire: 01/31/2025 E
Bus Lic : BT30065721 Engineer
to 2 , Bus Lic Expire : 01/31/2024 Address
'Ll workers' Compensation Insurance Phone:
Carrier: ACE+AMERICAN+INSURANCE+COMPANY
Policy No: C70001664 Designer: DUFFEK DESIGN & EVELOPMENT'
canx n ❑ DEscEAAU''rd plan
Phone:
(work started) (no work started)
Fire Sprinklers : NO Construction Valuation
Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
Note. No
No of Stories : 2 Added/ w g9,. ft 0
ileA� iI�a. 0
Building Setbacks : Front: 15, Side:.S
Flood Zone: X
Use Zone : PC - Bonita Canyon
PROCESSED BY: Ga
SPECIAL CONDITIONS:
INSPiL_CT0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t 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 item(s)
otion 7031.5, Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
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
fassions Code) or that he or she is exempt from Acensure and the basis for the alleged exemption. Any violation of Section 7031, b an a p1icant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars WO . ""_- - —'°"�' ". 1 1
J I, as owner of the property, or my e
Business and Professions Code The.(
nprovements are not Intended or offer
nproved for the purpose of Sale)-
3 I, as owner of the property, am exc
ply to an owner of property who buiic
I am exempt from licensors under I
;y my signature below I acknowledge I
all a structure that I have built as an o
'rofessions Code, is available upon rei
,ignahlre of Property Owner or Author!
.ICENSED CONTRACTOR'S DEC
hereby affirm under penalty of perjury
nd effect. License Class
VORKERS' COMPENSATION DE
'ARNINGt FAILURE TO SECURE WORXERS' Cr
OST OF COMPENSATION, DAMAGES AS PROV
hereby affirm under penalty of perjury
have an if maintain a teditnct
erfo a or tMt wi-k for which this
Five and will maintain workers' or
ere�� carrier and policy number an
"a of Agent
certify that, In'f 3 performance of
, if I should become subject to the
iaia. e of Appicant
doyees with wages as th e t}' i U all of or t_) portions of the work, and
,��the ,structure is not intended or offered for sale (Section 7044,
tractor ' i.icense Law o s t/l�er of property who, through emdl fiyarC3wFLr�E$ffort, builds or improves the property, provided that the
for sae. Wuvu,, 11idb I Ing`3rimpluvvem n Is so wI m one year o completion Is, th6(� /ner-Buillddeelrwilll have
/the bburden Of proving that it was not built or
ivel /ith li ant re t onslU c'Fbn-i, 044, Bu9iflbs§h0d$'r��s3iahs Gb'r1d�TFterc"Oh�tbrs State License Law does not
Irv
Im oyes t n, a who cant} f or t� s t Ith a 6cdlfi >3yylFGo clot pursuant to the Contractors' State License Law).
31
Con s' e Lie e f to na '�-
ex i _ " ersona e In w su ave ad y4044411sair"o?WWM .t'on of theinpiovu,nentSICOVered by this permit, I cannot toga
ar-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and
,at when this application is submitted or at the following INeb sde:http Gww1✓11e�lnfo.ca,govlcalaw.html.
t Ag t" ... . _.___._...___ Date ----
NRA ION
it i a Iicelr�ed under pro"is D i.: of Chapter 9 (m rnencrnq with Section 00 V sion 3 of the Business and Professi o a IF my license is In full force
License No Date i G „23 Contractor Signature , _
ENSATION COVERAGE IS UNLAWFUL. AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNORED THOUSAPNO IN
) FOR IN SEC N 3T06 OF THE LASORR ti Does, INTEREST, AND ATTORNEY-S FEES, P1P��
Q?tc
o/of
to r t n 6roer l , Issued by � c! li ie_g itfnggggrr��
9 prpe brlaction
mt issued. Pollf4y IN �T p(�
sensation insuranL%, a3 ul e y Win 3700 of the. Labor Code, for the(per%rmaonce o tawtrk fe�which this permit is I;
o4am Policy plumber
for which this p&Rnit is issued. I shall not
Date
($100,000), IN ADDITION TO
of the Labor code, for
My workers'
laws of California, and
herPhy affirm under penalty of perjury that thipa-tsa construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
I,ndrr's ,Jame _ _ Lender's Address.
y my signature bul�w, I certify to each of the following:
i am .he property owner or authorized to act on the property owner's behalf.
I have read tl.i„ application and the information I have provided is correct. �'�+ _
I agree to comply with all applicable city and County ordi d state laws relating to building. construction. IF
I authorize representatives of this city or county to enter the ab-idflrtijfded property for inspectlon purposes,
Signature of Property Owner or Authorzed Agent K,,e Print Property Owner's or Authorized A
ACTION I DATE I By I DECLAR ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
L-1I SURMITTED ASBESTOS NOTIFICATION TO
-ERMITCANCELdED
Z3
EPA
PERMITEXTENDED
— p
PERMITFINAL
CERhFiiCAI E OF
OCCUPANCYISSUED
U ASBESTOS N071 F1CA'fION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: