HomeMy WebLinkAboutXR2022-2805 - Permitso �wvo�T. City of Newport Beach
e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Addition/Alteration
COMB Ferrrit : XR2022-2805
X R 2 0 2 2 2 8 0 5�� II
Plan Check No : PC2022-2665
Issued Date : 11/28/2022
Inspection Area+: 3
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 : 116 KINGS PL Legal Desc : N TR 1219 BILK E LOT 2 TR 1219 LOT 2 BILK E ALL -EX ST-
Description : SFR ADD 65 SF TO CREATE NEW ENTRY ADDITION WITH CLEARSTORY TOWER/FRONT FACADE & ROOF ADDITION
Owner: PAUL JULIAN
Address : 116 KINGS PL
NEWPORT BEACH, CA 92663
Phone: (949)645-5854
Applicant: TONY VALENTINE CONST INC
Address : 567 SAN NICOLAS DR
NEWPORT BEACH, CA 92660
Phone: (949)723-6449
Owner]Builder :
Address :
Contractor: TONY VALENTINE CONST INC
Address : 567 SAN NICOLAS DR
NEWPORT BEACH, CA 92660
Phone:
(949)723-6449
Con State Lie
: 467553
Lie Expire :
04/30/2024
Bus Lie:
BT30071132
Bus Lie Expire : 02/28/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1794693
W. C. Expire: 7/1/2023
Architect :
Martin Bard
Address :
470 Old Newport Blvd Newport Beach, CA
92663
Phone:
(949)645-5854
State Lie
Engineer: DEIHIMI AMIR HOSSEIN
Address : 23172 PLAZA POINTE DR STE 145
LAGUNA HILLS, CA 92653
Phone : (949) 954-7244
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$50,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
65
Occupancy Groups :
U,R-3
No of Units:
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
65
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
,ram
s
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION _
! hereby affirm under penally of perjury` thdi I am e.:empl from the Ccntractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 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
permit to file a signed statement that no or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of [)!vision 3 of the Business and
fessions Code) or that he or she is se ampt from ficcrsure 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
more than five hundred dollars
1, as owner of the property, or my cmpin,lees with x'ages as their vole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Le does pot apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements 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).
1, 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
ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensors under the Contractors' State License Law for the following reason:
'ry 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 tl
oil a structure that I have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors. I understand that a copy of the
'rofessions Code, isavailable upon request when this application is submitted cr at the following Web site:httpJi"w.leginfo.ca..govlcalaw.html,
'Ignature of Property Ownerar Authorized Agent ...... .._.....
�_._____�
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivlsi n 3of the Business
nd effect. License Class License No DateDC (( Zg tom- Contractor
VORKERS' COMPENSATION DECLARATION
and
law, Section 7044 of
Date
and
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1E UNLAWFUL, AND SHALL SUB4ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS sloo.oac), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TQS OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1-h1
0
v0 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 thf
erfo Lance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
as of Agent
certify that, inthe performed�pra of the work for which this
, if I should become subjecfjto the worKfaf< compEvIfatlo
of
3ignaiure Ot Property owner or
ACTION D/
PERMIT EXPIRED
PERMfTCANCELdED
PEAMiT EXTENDED /®
PEMIF FINAL
CERTIFICATE OF f
OCCUPANCVISSUED
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
as option 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGARDING CONSTRUCTION LENDING AGENCY Data, �Z4�7tL
=.reby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued QSection 3097
iders Name Ler is Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided Is correct.
I agree to comply with all applicable city and county orfllriancas and st laws ling to building construction.
1 authorize representatives of this city or county to errtha abovr.�dered o erCy for inspection purposes. C - vtll L%Aji:i
il
PROPOSFO
OF COMPLIANCE WITH CODE OF FIDE
PART 51 OF TITLE 40 AND AQNID RUtF
TO
FOR OFFICE USE ONLY
Civil Code).
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