HomeMy WebLinkAboutXR2022-2321 - PermitsCity of Newport Beach
Community Development Department- Building Division
04"'.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
III I I I II I I III II I II I I COMB Permit : XR2022-2321
Plan
Check
o/N : PC2022-2168
I
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: 2417 BAMBOO S
Description: SFR REMODEL KI -
Owner: Michael Muellerleile
Address : 32 Sunset Cv
Newport Beach, CA
Phone :
Applicant: E B BUILDERS
Address : 226 STANDING BE
CATHEDRAL(
Phone: (442) 300-6673
Owner/Builder
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
TR 4893 BLK LOT 49 1
) (`0\/FRED PATIO 1118 SFI1f applicable:
Cgntractgr:
E.B BUILDERS— , :-1
❑ 80% o 4iW% refund
Address :
226 STANDING BEAR
Address
CATHEDRAL CITY CA 92234
�+�-�
Phone:
(442) 300 6673 -=
to `JVh(DM:Phnna
—
Con State Lic
: 1053520
State Lic:
._Lic
Expire ;
Bus Lic :
05/31/2023 .
BT30079737��'
Engineer :
ABARQUEZ J
L.
Bus Lic Expire
' 09/30/2023
Address :
18 EL CORZ
RANCHO SA
g
c
Workers' Compensation
Insurance
Phone:
(714) 277-989 d
Carrier :
Policy No
WC00000130
Designer:
Phil Nielsen g
Expire :
9/14/2023 "
Address :
6131 Anacapar
Huntington Bea
Phone:
(714)717-1418
A MAR(3ARffA, CA
(rive
h, CA 93647 ,
Fire Sprinklers : NO Construction Val o 149,900.06
I �,,�. Fire Hazard Zone : NO Added/New/Ti s ft.
�t`_of{ynjt� Alteration sq. ft. 1,118
No of Stories : Added/New sq. ft, arage : 0
Building Setbacks : Front: 10 la�,6;-Rear:>6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residenntti/alj/(6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items,
(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
the 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 licensure 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).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 Law does not apply to an owner of property who, through employeesor 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 Contracto fo co trust the project (Section 7044, Businass�atnst.f7totessisns�_CesTu,^- a Law does not
apply to an owner of property who builds or improves. thereon, and who Coryk t¢IS f r p is licensed Contractor pursuant to the Contractors' State License Law), y
❑ am exempt from licensure under lire Contractors' State License Law for l^EL oil vin r son
-.__._ c�. ___...._.
By my signature below I. acknowledge that, except for my personal residence in lire usPhavo-reslded-EraaFJeast-orte-yea�prwr to clrtlip�df t�d{Yot k1 vamants covered by this p tlmd •.y nno[ IEgal
sell a structure that I have built as an owner -builder if it has not been constructs 'n its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 off th Flusrt as and
Professions Code„ is available upon request when this apphr, ion is submitted or at the following.We , site:http flvmr v,leginfo ca:,,8ov/cala�tr OO>v OI' LJ 1 00%a�Et�i Ui-IU 'g
Signature of Property Owner or Authorizsd Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am kdense Fill revisions of Chapter 9 (commencing wdh Section 700 ) of Dnistgn.., of @t r,I g, nd Professions ode, and tic se I�ain full force
and effect License Class Lice -No -- Date r7 r onYiiiaah(33ff SSii h
IRKERS' COMPENSATION DECLARATI N P -1 a—
NING: FAILURE TO aECDRE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUa.IECT AIR EMPLOYER TO -CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS r$100,e ), IN ADDITION TO T
T OF COMPENSATON', 91MAGES AS PROVIDED FOR W S CTION 1706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
,Eb( affirm undrr pannity, of perjury one of the f Iloi declarations. -
have and Will Indtntam a certificate of Dons l to F _gJar workers'-e:ompensation. Issued- by -the DirectorofIndustrial Relations as provided for by Section 3700 of th Labor Code, for
otmar,Ce of the v ork for which this perhirls is ad. Policy No.
Eve and will mainaurr workers' compentatior insurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is issued. My w rkers' compensa
Trance carrier evw polloy number are: ,}
•ihr tiinto ,Y,, ^.«,^,t o�;, cam.rTd�.o. !iI tom: Expiration -Date'
< - r8. p' „ ii 'y a s Phone tt .
11 Agent
ca tJv that, in the performance of the war hick this perm is' �^I•cStt�I ppt epp+(d� any person in any manner so as to become Subject to the workers' compensation laws ot;Califbrnia, and ar,
if I s]ould become -',object to the workersyko ensation provision a so ion ida`oY th'd Labor Code, I shall forthwith compiywith those provisions. - - ,
nature of Applicant �_ _1611041U-.
r Dates
C LARATION'R•E,OA'�iDIN G NS UCENCY
Ireby affirm under penalty of perjury thattruction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil
w or's Name Lender's Address .,
my signature below, I Certify to each of tI am the property owner or authorized t°--
I have read this application and the information I have provided is correct,
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cougl!Lto enter the-apeve-identified property for inspection purposes.
Si nature of Property Owner or Authorized AV -Kt i'Print PropertypOwner's or Authorized Agent's Name Date
ACTION DATE BY iI DECtARATION. OF comPLTANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGLRATIONS PART 61 OFTITLF 40 AND Al RULE
PERMIT
PERMIT CANCELLED ��'Jv I7 r )V ! t SUBMITTED EPII A
PERMIT FINAL r�(I AS�EST05NOTIFICATIONISNOTAPPUCABLE TQ
CERTIFICATE IPOSEDD MQ OIITION A� n�,"
DCCUPANCYISSUED I t SIGNATURE: `_O .�•9/