HomeMy WebLinkAboutX2022-1477 - Permits�EwpoRr� City of Newpoft Beach II III I III II I III I II
D4 @ Community Development Department- Building Division
y �y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
CbC/pn pN�r newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
COMBheck No t : X-2022 477
Plan Check No : 1363-2022
Issued Date : 0811012022
Inspection Area : 1
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: 222 CEDAR ST
Legal Desc : N TR 772 BLK 3 LOT 25
t A. l r., �
;j
Description: MFR INTERIOR ALTERATION 2376 SF. NEW ROOF DECK 385 SF *122-0331*
.ate j-�:::(-%
Owner: DOS JEFES PROPERTIES LLC
Contractor :
Architect `'v
'\d
Address : 222 CEDAR ST NEWPORT BEACH, CA 92663
Address :
Address :
Phone: (714)883-7873
Phone:
Phone:
Con State Lic :
State Lic
Applicant : ROD JEHEBER
Lic Expire:
Address : 410 32ND ST NEWPORT BEACH, CA
Bus Lic :
Engineer : REZAEI ALI
Phone: (949) 723-4393
Bus Lic Expire :
Address : 18021 SKYPARK CIR #E2 IRVINE
92614
Workers' Compensation Insurance
Phone: (949) 466-9394
Owner/Builder : DOS JEFES PROPERTIES LLC
Carrier:
Address: 222 CEDAR ST NEWPORT BEACH, CA 92663
Policy No :
Designer : ROD JEHEBER
Phone: (714) 883-7873
W. C. Expire :
Address : 410 32ND ST NEWPORT BEACH, CA
Phone: (949)723-4393
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $200,000.00
Type of Construction : V-B
Fire Hazard Zone : No -
Added/Newfrl sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 2
Alteration sq. ft. Bldg : 2,379
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: AUTH AGENT: ADAM LEU (O/B FORM ATTACHED)
CA
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicabl item(s)
(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 lioensure 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 arenot 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
imppoved for the purpose of sale).
eas owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
1ni,ppiy 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' Slate 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 legalh
sell a structure that I have built as an owner-buildVhtosn co tructad in its entirety by licensed contractors. I understand thata copy of the applicable law, section 7 ofthe usinessand
Professions Code is available upon request whes bmittad or at the following INe6 site:fiitpalwww.leginfo.ca.gov/Dalawhtml.Signature of Property Owner or Authorized AgDaLICENSED CONTRACTOR'S DECLI hereby affirm under penalty of perjury that am vislons of solar 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an m( licenseis in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
lARNING: PAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000).114 ADDITION TO THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury oneof the following declarations:
3 1 have and will 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 th
performance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
lance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #_
certify that, in the VT
e ork r which this permit Is Issued, I s'B" nat employ any person in any manner so as. to become subject to the workers' compensahon laws of Callfomia, and ogre
tat, It I should becomrkcompensatonprovisionsofSecton 3700oftheLaborCode,IshallforthWilhctlmply with those provisionstgnalure of Applicant CatECLARA?fON REGUCTION LENOIN ENCYhereby affirm under hat the re is a construction lending agency for the performance of the work for which this to
is issued (Section 3097, Iv Code).
enders Name _ lender's Address __
y my signature below, I certify to each of the following:
I or.) the property owner or authorized to acton the property owner's behalf.
1 have read tn;s ap,llcati;on and the information i have provided is correct.
I rgree to comply with all applicable city atd county ordinances rid staC Ivs relating to building construction.
authorize re resentaUves of this cityor crr'�'`nI Itto enter the ve-i property
fled re ert for inspection purposes.
nna+ura of Pmnpriv CnNne( or Authoriaed Anpn ., P Pet PronarN Owner's nr AiOhnri�ed Anenl's Nama /'1-� G'� ir✓t
ACT'CN
DATE
BY ✓ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
Nil IIPART 51 OF TITLE 40 AND AQMI) RULE
1403
FOR OFFICE USE ONLY
I
PF RMIT EXPIHFD
U I SUBMITTED A.SRESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERmf, CANCEQcD
EPA
ERvfTEx enD D
'F.F.S'IT F{NAL
CERTIFICATE OF
OCCUPANCY ISSUED
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