HomeMy WebLinkAboutXR2022-2402 - Permits�EWPp�T City of Newport Beach II III I I I II I II I II I I II I I II
04 a•. Community Development Department- Building Division COMB Permit : XR2U22-24U2
100 Civic Center Drive, Newport Beach, CA 92660. Plan Check No : PC2022-2246
t+► = Permit Counter Phone: (949) 644-3288 Issued Date : 0912612022
w. Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
Cb</pn pN�P' newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
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 : 370 VISTA BAYA
Description: SFR REMODEL 2000 SF
Owner: RICHARD MEEKER
Address : 370 VISTA BAYA
NEWPORT BEACH, CA 92660
Phone:
Applicant:
HARRY MARK CONSTRUCTION
Address :
3949 ALADDIN
HUNTINGTON BEACH, CA 92649
Phone:
(949)322-6727
Owner/Builder
Address :
Phone :
Legal Desc : N TR 2609 BILK LOT 6
Contractor: HARRY MARK CONSTRUCTION
Address 3949 ALADDIN
HUNTINGTON BEACH, CA 92649
Phone: (949)322-6727
Con State Lie :
815146
Lie Expire :
04/30/2024
Bus Lie:
BT30048921
Bus Lie Expire :
10/31/2022
Workers' Compensation Insurance
Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY
Policy No: 87553
W. C. Expire : 1/10/2023
�- /1i
Architect
Address
Phone:
State Lie
Engineer: CROSS KIRK "
Address : 3198-D AIRPORT LOOP EAR-,
COSTA MESA, CA 92626"
Phone: (714)556-5475
Designer : LYNETTE MONROE
Address : 18218 MCDUMETT E, E,
IRVINE, CA 92614 "
Phone: (949)548-4448
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$149,900.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units :
1
Alteration sq. ft. Bldg :
2,000
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone :
X
Use Zone :
R-1-7200 - Single -Unit Residential (7g0kindicates
minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS: **CMSD & MCWD*
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(e) I have placed next to the applicahr` 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 apn_ 1.nt for
the permit to file a signed statement that lie 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 1loensuro and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore 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 employees' or 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).
❑ 1, 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
apply 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).
0 I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legal
sell a structure that I have built as an ownor-buildor if it has not been constructed in'Is entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this appli o ubmitt or thefoiloWing Web sita ht mfo.ca.gov/calaw.html. 4 JJJ
Signature of Property Owner or Authorized Agent _. —.T Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of wry that I am licensed under provisions @t,�Ch�gter 9 commencing With Section 7 Divisi n 3 of the Business and Profe , a license is In full force
and effect. Lice ns Class d� License No jSy S /0 i Dat '� tractor Signature
NrORKERS' Co mPENSATION DECLARATION
WARNINC: FAILURE To 6.L NE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CArMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND O LLA s ts100,000). To THI
COVi OF COMPENSA7014, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unr"er p^--Malty of perjury one of the following declarations:
n I have and wd,1 mai„tain a certilicale, 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 tl
Wformance of thn .n rk for which this permit is issued. Policy No.
hmre 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'
ranee carrier ar.d policy number are:
arner_, _ _
Pimp of Agent
Policy Number
Date
—:I 6ai lify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agre
iat, If I should became I orkers' cc pensa ion provisions of 5ection 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignalure of Applicant Date
tECLARAT[ON REG RDING CONST Tib.N LENDING AGENCY hereby affirm under penalty of perjury that there is a construction 18 d�pgaft for the parformence of the work for which this permit is issued (Section 3097, Civil Code).
Enders Name Lender's Address
ly my signature below, I certify to each of the fOIIOWing:
I am 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.
I agree to comply with all applicable cigy and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t is y for inspection purposes.
t}onature of Prooertv Owner or Authorized Aae)t Print PYdcertv Owner's or Authorized AcenPs Name fare
DATE Bv! DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART at OF TITLE AO AND AQNID RULE.
PERM17EXPIRED
PFRNUT CANCEl1ED
....._..._..... _..__..._._._
PERMIT EX7&VDED
PERiN77"FINAL ( ttiv 3LJ IlPR9P
OCCUPANCY5UED SIGNATURE; SO5E0 NOT
011IT4TI AUN IS NUI' APPLICABLE TO
CERTIFICATE f9\�t�, I j 1 /l