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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: