HomeMy WebLinkAboutX2022-0753 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Alteration
X 2 0 2 2 0 7 5 3COMB Permit : X2022-0753
Plan Check No : 0661-2022
Issued Date :
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 AREA ND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
NO OONSTRUC-FION N
L.
Job Address : 215 POINSETTIA AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 142 LOT 11 RESUB OF CORONA DEL MAR LOT 11
142(AND SWLY
Description : SFR - NEW 3RD FL DECK 675 SF. ADD 273 TO GARAGbN THE WEEKEND
Owner: RICHARD O BURNS
Address : 215 POINSETTIA AVE
CORONA DEL MAR, CA 92625
Phone: (949)677-3180
Applicant:
RICHARD 0 BURNS
Address:
215 POINSETTIA AVE
CORONA DEL MAR, CA 92625
Phone:
(949)677-3180
Owner/Builder:
RICHARD 0 BURNS
Address:
215 POINSETTIA AVE
CORONA DEL MAR, CA 92625
Phone :
(949) 677-3180
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
2019
V-B
U
Front: 20, Side: 4, Side: 4, Rear: 5
X
R-1 - Single -Unit Residential
PROCESSED BY: U
SPECIAL CONDITIONS:
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier:
Policy No:
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect :
SCHLEY KEVIN ARTHUR
Address :
25225 MACKENZIE LAGUNA HILLS,
92653
Phone :
(949) 770-8586
State Lie:
Engineer: ROSS SCOTT WILLIAM
Address : 1800 E 16TH STREET #B
SANTA ANA, CA 92701
Phone: (714)835-2800
Designer:
Address :
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg:
2 Added/New sq. ft. Garage:
TOTAL sq. ft. :
$100,000.00
0
0
0
BLK
OWNER -BUILDER DECLARATION
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 checkmark(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 lieensure 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).
71 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' Stale, 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-Builderwill 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 Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
o 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 lieensure-under the Contractors' State License Law for the following reason: __ _
B y signature below I acknowledge that, except forWporidence, in which I must have resided forat feastone year prior le completionofthe improvements covered bythis permit, I cannotlegaihse a structure that I have built as an ownervbuildar tF I O Died in its ontireby by licensed contractors. ) understand that a copy of the. applicable law, Section 7044 of the Business and
Professions-0ode, is available upon request whe�qyjjhiubl v'tted Drat the, following Web site:http:Lkww.leginfo.ca.govlcalaw.html.Signature of Property Owner or Authorized Agerst�_ Of
��
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
IVORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.,000), IN AODmON TO THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 970E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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 in,
lerformance of the work for which this permit is issued. Policy No.
:1I have 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' compensatior
nsurance carder and policy number are:
5h,
er Policy Number Expiration Date
eof Agent Phone #
enify that, in the perform De of�rwhich 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 agree
If I should become subject o the pensation provlslons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .
3ignafure of Applicant Da
>ECLARATfON REGA L CON UCTf LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
-enders Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's Denali.
I have read this application and the informallo mvided is correct.
I agree to comply with all applicable city and c 1ty or n and state laws relating to building construction.
I authorize representatives of this city or county to ova -identified property for inspection purposes. (`�,��
3i nature of Propertyy Owner or Authorized Age . �c�ri.,�� Print Property Owner's or Authorized Agent s Nam iC-( '"l.y .te ! ��
ACTION QATE. SY DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
p REGULATIONS PART fit OFTITLE 40 AND AQgvlD RULE
114d3
PERMIT EXPIRED l iSUBMITTEDA5BESTOS NOTIFICATION TO
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