HomeMy WebLinkAboutXR2023-0804 - PermitsKati °okr City of Newport Beach
D �� Community Development Department- Building Division
t y. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CgGrF00.N�P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
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COMB Permit : XR2023-0804
Plan Check No : PC2023-0693
Issued Date : 04/0612023
Inspection Area : 4
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
: 1013 GRANVILLE DR
Description :
MFR REMODEL 2451 SF
Owner:
CLARKE JAMES A TR
Address :
127 HARBOR ISLAND RD
NEWPORT BEACH, CA 92660
Phone:
(619)318-0900
Applicant: CLARKE JAMES A TR
Address : 127 HARBOR ISLAND RD
NEWPORT BEACH, CA 92660
Phone: (619)318-0900
Owner/Builder :
Address :
Legal Desc : N TR 14839 BLK LOT 2 UN HOLD
Contractor: BALLAST CONSTRUCTION
Address : 65 STANDFORD COURT
IRVINE, CA 92616
Phone:
(707)217-8597
Con State Lie
: 1082190
Lie Expire :
10/31/2023
Bus Lie :
BT30081202
Bus Lie Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Architect :
TAJUDIN AMAT K
Address :
17871 MITCHELL NORTH #150 IRVINE, CA
92614
Phone:
(949)955-3282
State Lie
Engineer:
Address
Phone:
Designer:
Address:
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$196,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups:
U,R-2
No of Units : 38
Alteration sq. ft. Bldg :
2,451
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 15, Front: 3
'
Flood Zone :
X
Use Zone :
RM - Multiple Residential
BY:
PROCESSED
;
SPECIAL CONDITIONS: LP(L Servi'cei
(kkHlet)
..
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
iection 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
Is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any vlolation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of
of more than five hundred dollars (b500).
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the
nprovements are not ntended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have theburden of proving that it was not built or
nproved for the purpose of sale).
11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Cade: The Contractors' State License Law does not
spry to an owner of property who builds or improvesthereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law).
.# I am exempt from Iicensure, under the Contractors' $tale License Law for the Viewing fee SOn _
y my signature below I acknowledge that, except for my personal residence 1n which I must have resided for al least one year prior to completion of the improvements covered by this permit, I cannot leg all!
ell a structure that I have builtas 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
'rafessions Code, isavailable upon request when this application is submitted or at the following Web site:http:lj' mm.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent _. _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter g (commencing with Section 700 ) D' ision 3 of the Business and Profassigifroode,. an lice ry Is in full force
nd effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
ARNING: FAfLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CMMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN A➢OmON TO THE
057 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 following declarations:
I 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 th
erformance of the work. for which this permit is issued. Policy No.
11 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' compensatiol
Isurance carrier and policy number are:
Policy Number
Agent Phone #
Date
certify that, in the performance of the work for which this it 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
L If I should become subjec workers' ensaf rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant ee :, Dale
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CLARATION REGARDI ONSTRUC I N LENDING AGENCY
ireby affirm Imder pan t of perjury thatthere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
lder's Name Lenders Address
m} signatures below, I certify to each of the following:
I cm the propety owner or authorized to act on the properly owner's behalf.
! have read this application and the information I have provided is correct. ,�
I agree to comply with all applicable cdy and county o antes and s e law�re ling to building construction.
auLhorize,ap,Esenlatives of this city or county [ nl the abov Lis r erty for inspection purposes.
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