HomeMy WebLinkAboutXR2022-3193 - Permits (3)SEW PDRr City of Newport Bt;ach COMB Permit: XR2022-3193
n� Community Development Department -,Building Division X R 2 0 2 2 3 1 9 3
/ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3064
Permit Counter Phone: (949) 718-1888 Issued Date : 05/3112023
urn newportbeachca.gov/civic Inspection Area : 3
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: 2335 MESA DR Legal Desc : N TR 6407 BLK LOT 43
Description: SFR INTERIOR ALTERATION APPROX 291 SF INCL GAR FLOOR SLAB, NEW BEAMS, NEW BATH/CLOSET
Owner:
ALEXANDER ESCALERA
DISCRETIONARY TRUST
Address :
500 NEWPORT CENTER DR STE850
NEWPORT BEACH, CA 92660
Phone:
(949)981-8295
Applicant :
Avalon Architectural, Inc.
Address :
18006 SKY PARK CIR #100
IRVINE CA 921614, CA
Phone:
(949)640-0606
Owner/Builder :
Address :
2021 Contractor: MARTIN VINCENT BOYD
Address : 4879 E LA PALMA AVE, 206
ANAHEIM, CA 92807
Phone: (714)701-0380
Con State Lic :
789090
Lic Expire :
12/3112024
Bus Lic:
BT30081523
Bus Lic Expire
: 05/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1610699
W. C. Expire: 2/1/2024
Architect : Avalon Architectural, Inc.
Address : 18006 SKY PARK CIR #100 IRVINE CA
921614, CA
Phone: (949)640-0606
State Lic
Engineer: ORTIZ ROBERTO
Address: 1744 W KATELLA AVE
ORANGE, CA 92867
Phone : (714) 997-1145
Designer
Address
Phone:
Phone:
Code Edition : 2019 Fire Sprinklers :
NO
Construction Valuation :
$200,000.00
Type of Construction : V-B Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-3 No of Units :
1
Alteration sq. ft. Bldg:
491 ,
Bldg Height: No of Stories :
1
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone: X
Use Zone : SP-7 - Santa Ana Heights Specific Plan
•,
,
PROCESSED BY..
SPECIAL CONDITIONS: HAULER:WASTE MANAGEMENT
CMSD PERMIT: SD23-0108
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(s) Indicated below by the checkmark(s) I have placed next to the applicableitem(e' -
(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 Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Cade) or that he or she is exempt from licensure and the basis for the alleged exemption. Any. violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort; builds or improves the property, provided that the
improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not builtor
improved for the purpose of sale)..
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
rawly to an owner of property who builds or Improve$ thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
�1 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 legally
sell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that copy of theapplicable law, Saction 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http,.I/www.toginfo.cagovicalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000j f Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date 513)_ Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
COST OF COMPENSATION, DAMAGES AS PROWOEO FOR IN SECTION 370E OF THE LABOR COOP. INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
DOLLARS t6100,000I, IN ADDITION
I 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 it
oo7once of the work for which this permit Is issued. Policy No.
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' eompensatio
trance earner and policly ^number a G o L1
,ter. .S }g� -� ACJ' Policy Number � � � b� I t Expiration Date Z � � — Z"0 Z 1
no of Agent Phone #
certify 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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
of
Date_ S- 1- Z
hereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code).
tinder's Name Lender's Address
y my signature below. I certify to each of the following:
i am the properP, owner or authorized to act on the property owner's behalf.
I have read this annllCdtion and the Information I have provided is correct.
I ag'Pe to comoiy With all applicable city and county ordinances and state laws relating to building construction.
I autho, lze rep,esanta.ives of this city or county to enter the abo�ve- antlfied property for inspection purposes. /�//p�� !J
iOnalure of ProDenv Owner or Authorized Anent --� / --. Print Property Owners Or Authorized Agent's Name. YV'L`_��J-:�Z �-
ACTION 1 DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PEAM.? EXPIRED 0I SUBMITTED ASBESTOS NOTIFICATIONTO
PERIdO LANCELLED OEPA
PER,bN? EX rENDED M 3
PERMl7 FINAL iJ /pI� p5HESTOS N0T1FiCATION IS NOOjf APPUCA
CE509CA-,E OF -1 PROPOSED DEMOLITIgp1<
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