HomeMy WebLinkAboutU2024-0012 - Permits�FWPORT City of Newport Beach ll1111111111111111111p111111111p11111111►►p1111111111111111 JillCOMB
Community Development Department- Building Division 0 2 0 2 4 0 0 1 2
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
° newportbeachca.gov/civic
cq<,FoaN1r. Combination Type - ELEC
Work Class - Addition/Alteration m,
s: ...: �'a3�'ai
Permit : U2024-001 2
Plan Check No:
Issued Date : 05/0712024
Final Date:
Permit status: Issued
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 : 2225 PRIVATE RD
Legal Desc : N TR 2513 BILK LOT 4
Description: SFR R/R ATT ENCLOSED PATIO 319 SF (IAPMO
ER 115)
Owner: JANET CENCEL
Contractor: PATIO WAREHOUSE INC
Architect :
Address : 2225 PRIVATE RD
Address: . 211 W KATELLA STE H
Address
NEWPORT BEACH, CA 92660
ORANGE, CA 92867
Phone: (714)566-5612
Phone: (714)771-6400
Phone:
Con State Lic : 875966
State Lic :
Lic Expire : 04/30/2026
Bus Lic: BT30079159
Engineer: CAVANA TERENCE JEFFREY
Applicant: MIGUEL CEBALLOS
Address : 12881 KNOTT ST, 207
Bus Lic Expire : 07/31/2024
Address : P O BOX 2059
FOLSOM CA 92763, CA 92763
GARDEN GROVE, CA 92841
Phone: (951) 494-2772
Workers' Compensation Insurance
Phone: (800) 457-9959
Carrier: TECHNOLOGY INSURANCE COMPANY
INC
owner/Builder:
Policy No: TWC4316872
Designer: MIGUEL CEBALLOS
Address :
W. C. Expire: 10/1/2024
Address : 12881 KNOTT ST, 207
GARDEN GROVE, CA 92841
Phone: (951)494-2772
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $40,300.00
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
0
Occupancy Groups : U
No of Units :
Alteration sq. ft. Bldg :
Add/New sq. ft. Garage: 0 '
Bldg Height:
No of Stories :
TOTAL sq. ft. : 0
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
€ 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 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 licensure 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 (_) 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 built or
'mproved for the purpose of sale).
111, 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
apply 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),
11 1 am exempt from licensure under the Contractors' State License Law for the fallowing reason: _
By my signature below f 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 Iegaill
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 a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:mtp:llw .leginfo.ca,govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally 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 .0/24 Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USANOOOLLARS IS100,000), IN ADDITION TO THE
3OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty Of perjury one of the fallowing declarations:
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
terfgrmance 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 permitis issued. My workers'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
FIT
Date
hereby affirm under penaltyJof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
_ender's Name Lender's Address
3y my signature below. I certify to each of the following:
I am the prcpery or'ner or authorized to act on the property owner's behalf.
I here read this application and the information I have provided is correct.
I agree to cnmrdy with all applicable city and county ordinances and state taws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Tian, I -re of Pr'ooetty Owner or Authorized Anent =r Pdni Pr�m.
A TiOiI I DATE BY DARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RF LATIONS PART 61 OF TITLE 40 AND AQMD RULE
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