HomeMy WebLinkAboutXR2022-2878 - PermitsCity of Newport Beach
o��'*PORT
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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
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n ewpo rtbeach ca.g ov/inspections
Combination Type - SFP
Work Class - New
COMB Permit: XR2022-2878
X����R����������������������������������������������� II
Plan Check N�/o� �:���� D �L W
Issued Date : 0=442Q21, /
Inspection Area : 3 po (/ LIV
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 : 302 KINGS RD
Description:
NEW SFR W/ATT'
Owner:
STAR PROPERTY LI
Address :
14930 ALONDRA BL
LA MIRADA, CA 906:
Phone:
(562)225-6425
Applicant:
OTIS INDUSTRIES INC
Address :
1932 MONTAIR AVE
LONG BEACH, CA 9081
Phone:
(562)225-6425
Owner/Builder :
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2019
V-B
U,R-4
�0t0'
Front: 20, Side: 4, e:� e
X
R-1 - Single -Unit Re 'd'e'ila s
SPECIAL CONDITIONS:
N TR�12.199 3`K+It67 12 n qYO/p OC
3ECK 78 SF, COVERED DECK 179 NCHANGE OF CONTRACTOR'
Contractor :
OTIS INDUSTRIES INC-
t0 \(�1ilO rcb tec R
C RUST
Address:
1932 MONTAIR AVE - -'
Address :
62 BALBOA COVES NB, CA 92663
LONG BEACH, CA 90815
Phone:
(562) 2256425 o
Phone:
(949)637-5220
Con State Lic
: 1061997 �., - ?"''
State Lic
Lic Expire
01/31/2024 nS
-- -Bus Lic:
BT30079967 �,
Engineer :
ALLEN THOMAS CHRISTOPHER
Bus Lic Expire : 10/31/2023
Address:
2 VENTURE #400
I V "92618
UaWarftrs' Compensation Insurance
Carrier: NO EMPLOYEES e
Policy No : EXEMPT
W. C. Expir javl
((�� tartedl
ANo
Srinklers: NO
e Hazard Zone : NO
of : 1
of Stories : 3
9 Pr4ile 001
CDa
(C}0 WOCI+t+esi��
Phone
AISese0dff9q. ft. Bldg:
Added/New sq. ft. Garage
TOTAL sq. ft. Bldg:
00
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
'ction 7031.5, Business and Professions Code: Any city or county the( requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
fessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
irovements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Coder The Contractors' State License Law dues not
)ly to an owner Of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to. tha.gpglractors' State License Law),
J I am exempt from licensure under the Contractors' State License
iy my signature below I Pick. r sI Eno Inwhich I must have resided for at least one year prier to completion of the Improvements covered by this permit, 1 Cannot legs
all a structure that I have ui t as an owror-bwlder if it ftp7s�a-pof be,.a ons 'is entirety by licensed contra gtprs�, 08liblVit a copy of the applicable law, Section 7044 of the usiness and
'rofessloes Code., is avail Is upon request when this a}i..pk5atV is Iit he follow ins.Yd.hj;J e:httpJfg1 fo.ca.govlcalaw.htrri
Ilgnature of Property Own r or A i�t atil aent _ _ _ ___ ' Date
.ICENSED CONTRAC R'S DECLARATION � �L,.� ov i0^ 0' U I
hereby affirm under penal of perjury that I am licensed under pWislorW,F,ogf C pt r ncmq Vill
Section 7000).of is'o of the Business and Professions d lice a is In full force
nd effect. License Class License No _ Do 2 ! Contractor Signatur
VORKERS' COM PENS)
rARNING: FAILURE TO SECURE 1
OST OF COMPENSATION, OAMA
hereby affirm under penaty,
I I have and will meintah
erformance of the work for
:1I have and will maintain
isurance, carrier and policy
of Agent
�tify that, in the perform ci
I should become subje to
ire of Applicant _.__ _
lreby affirm under penalty o�pe
epr's Name
my signature below, I certify o
I am the property owher OP ul
i have read this application n
I agree to comply with all a- I
I authorize representatives
nature of Prooertv Owner or At
ACTION I DATE:
PERMIT EXPIRED
PFR,bRT CANCELLED
PER+bfITEXTENDED
PERNf7T FINAL _
CERTIFICATE OF
OCCUPANCY ISSUED
,4rL TIO(� ✓LO W I lul IT. -----
PE TION C9tiE'OkK #NLAwFUL ANp 51HPLL S T AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE NUNORE OUSAND DOLLARS 1S100,800), IN ADDITION TO THE
IN SE CTIj� ias OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
one of the following declarations
nsen XklTQd
r wo kri co DOE D 1 Nd th hector of Industrial Relations as provided for by Section 3700 of the Labor Coda, for th
sermi issu,yyampe lion i ry Seo(ie4�370 or ode, for the performance of the work for which this permit is 'issued. My workers' compensatiol
Policy Number
employ
I of the
6j8bhtf'I1
e 'workers, d' mpensation laws of California, and 2gre
Provisions.
.
Date
015` there is a construction lending agency for the performance of the work for which this permit Is issued (Section
Lender's Address
tha following:
srfzed to act on the property owner's behalf. ����• Ina iaS�"Kai
the information 1 have provided is
�6fe n un ordinances a
e ov d operty for inspection purposes.
ionzed Agent Print Property Owner's or Authorized Agent's Name
BY V OF . AT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
.GULATIONS PART 51 OF TITLE 40 AND AQNID RULE
11403
ASBESTOS NOTIFICATION TO
❑ASBESTOS NUTIFICAr10N IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: _
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