HomeMy WebLinkAboutXR2022-2723 - Permits04-wo�,
City of Newport Beach
Community Development Department- Building Division
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 PLUM
Work Class - Demolition
II III I I I II I II I III I II I II COMB Permit : XR2O22-2723
PlanCheck
e620
hck No /P 22022-2569
Inspection Area : 5
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 : 4633 ORRINGTON RD
Description : SFR DEMO SFR 2697 SF (3 BEDROOMS)
Owner: 4633 ORRINGTON ROAD LLC
Address : 4633 ORRINGTON RD
CORONA DEL MAR, CA 92625
Phone:
Applicant: NICHOLSON CONSTRUCTION CO
Address: 1 CORPORATE PLZ #110
NEWPORT BEACH, CA 92660
Phone: (949)756-8393
Owner/Builder :
Address :
Legal Desc : N TR 3357 BILK LOT 65
Contractor: NICHOLSON CONSTRUCTION CO
Address : 1 CORPORATE PLZ #110
NEWPORT BEACH, CA 92660
Phone : (949) 756-8393
Can State Lic : 660295
Lic Expire : 12/31/2022
Bus Lic: BT98032850
Bus Lic Expire : 04/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9074255
W. C. Expire : 10/1/2022
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer
Address
Phone: Phone
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage
TOTAL sq. ft. Bldg:
Building Setbacks :
Front: 6, Front: 30, Side: 6, Side: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY
SPECIAL CONDITIONS:
$22,000.00
0
0
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 ch�eokmark(s) I have placed next to the applicable ftem(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernalish, or repair any structure, prior to its issuance, also requires the applicant for
io 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 7000j of Division 3 of the Business and
rofessions 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 penalty of
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState 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 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
nproved for the purpose of sale)-
1 I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
poly 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).
am exempt from licensure under the Contractors' State License Law for the following reason
iy my signature below I acknowledge that, except for my personal residence in which 1 must have raslded 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 owrior-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfc.ca,govfcalaw.html,
lignature of Prr^x-t; ?.vner or Authorized Agent Date v_
ACENSED CONTRACTOR'S DECLARATION
ha: ebl affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section y 0) of Division 3 of the Business and Prof (,, Code, ( m Icsrise is In full force
rid effect. License 3,ass License No Date o' ( 'contractor Signature
NORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SFCURE wORxERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS tSUID.000). IN ADDITION TO THE
0, T OF COMPENSATION, Dr MAOES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_
hereby affirm order pr^nalty of perjury one of the following declarations:
1 I have and kilt 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 in
er;pi(a8AIF of gte work for which this permit is issued. Policy No.
akd—will mainurr workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers'
carrier al,d pol'ray number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued:; I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre
t, if I should become BI b' of to the workers' Demos on provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
nature of Applicant �„ �� Cat
CLARATION REGAR ING CONEITRUCTIC, LENDING AGENCY \i
areby affirm underpenary of perjury that there is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civ I Code).
ider's Name _ _ Lenders Address
nay signature below, I certify to each of the following:
I are the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct. l-
I agree Io comply with all applicable city and cou ity ordinances and state laws relating to building construction. \��
'
I authorize representatives of this city or cou o e T the above-ide ledd rroperty for inspection purposes. / //��/I hy�a�
nature of Prooedv Owner or Authorized Aaen �7 rn 1!__1_J Print Prooertv Owner's or Authorized Aaent's Name 40 )Okiu ��`'f`� EA (v;Z
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCY LSSUED
DATE. By i DECLARATION OF COMPLIANCE W 17H CODE OF FEDERAL ( FOR OFFICE USE ONLY
I REGULATION5 PART 51 OF TITLE 40 AND AONID RLIhE
JQ
I SUBPAITTFD A5BESTOS
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