HomeMy WebLinkAboutX2022-0235 - Permits (3)IIIIIII�I�I� I�I �2II�II I��II��I�III��IIIIIIIII COMB Permit : X2022 0235
tipo �. City of Newport Beach
kr '
Community Development Department - Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0211-2022
ui Permit Counter Phone: (949) 718-1888 Issued Date : 01/25/2022
c newportbeachca.gov/civic Final Date:
tai oa? Combination Type - SFP Permit Status: Reissued
Work Class - Alteration Inspection Area : 2
" ` w w M i ► � + w + 1,_ �!' _+ .. +, � " M C M ;* "` . + w ;: w * � w + + . .
l.# i �►''' rl '' M 111161iMAN 101
rM+ 61 IMall 01I ITIVAo''14 01M.] I W010211 MUIRTAIIMe '[42TIM61 MOW*] 0 101111101 mylva-AN11IN I'!
Job Address : 305 GRAND CANAL
Legal Desc : A TR BALBOA ISLAND SEC 4BLK 14 LOT 34
Description: SFR CHANGE OUT 29 WINDOWS
Owner: 5 CA GRIZZLY LLC
Contractor : `' OWNER/BUILDER
Architect
°
Address : 18 4TH ST E 902
Address :
Address
CINCINNATI, OH 45202
®° ° °
Phone : (949) 683-5400
Phone:
Phone :
Coco
Con State Lic : OWNER/BUILDER
State Lic
Lic Expire
Applicant: PATRICK COLETTE
Bus Lic:
Engineer: MOBED MEHDIABADI SASAti °
Address : 268 COVINA
Bus Lic Expire :
Address : 3842 HENDRIX ST
° ° °
LONG BEACH, CA 90803
IRVINE, CA 92614
° ° ° °
Phone: (562) 388-5974
Workers' Compensation Insurance
Phone: (310) 433-7927
°
Carrier :
co °
Owner/Builder :
Policy No:
- Designer.
Address :
W. C. Expire:
Address :
C ° ` °
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
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
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: I --Two-Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
(Section 7031A Business and:Prolessions Code: Any city Or county1fiat requires a. permit to Construct, alter, improve"dernollsh, or repair Bay structure, prior to its issuance, lais,o requires ine appilcanttor
the permft to file a signed statement that he or She is licensed pursuant to the provisions of ffie-Contractors` State License Law (Chapter 9 (commencing with Section 7000) Of Mvision.3ofthe Business and
Professions Grad e or th: vi
atheer she t from li censure and the basis, for a alleged exomPtio n � Any violation, of Section 70314 by any appridarit for a p4m. it subjects. the a pplicant to a vilpenalty of
not more than five hundred dollars ($500),
1, as owner of the property, or my employees with wages as their sole compensation, will doL) all of Or U portions of the work, and the structure is not interidedor offered for sale (Section 7044,
Business andProfesslons Code. The Contractors' State License Law does riot apply toan owner of property who, through employeas'ar personal effort, builds or improves the property, provided thattfte
Irnpr nts are not intended or offered for sale. If, however, the building .orimptovement is sold within one year of Completion, the Owner-Buildor will have the burden of :proving that it was net built or
It F, v d. for the purpose of sale),
, as ownet of the property., arn exclosively co ntracling with licensed Contractors to construct the project (Section 7044, Business arid. Peofessions, Code; TheContractors' State License. Law does not
apply to an owner ofproperty who builds or imp roves, thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' 'State License Law),
1 am exernpt from licensuire under the Contractors' State License Low For4he following . ...... . . . ——"--,—"`,--`, . .......
By my signato rob billow fooknowledge that, except for my porsonalresid an J ich I must have resided for at least:one year prior to completion of the limproverne. 0 red by.this-perm,ft, I cannot legally
Sell a structure thet I have b . Wit as an owriar-builder 1 , fithasnotbeendor ructed' its. entirety by licensed contractors I unders4ind that a copy of they applicable la So 4 of o Beiness Prid
Profession$ Coca:, is.avallable upon request when this application is su m'.1 t the f
1 Signature of Pio.perty Owner or Authorized A� REnt . . ......
LICENSED C.,PNITRACTOR'S DEGLAR 6-1;F-
a
i hereby affirr� under penalty of perjury that a. licensedume provisions of ChaptarO (commencinq with Sectibri 7000)of Division 3of the Busines's and Professions Code, and my licenwKin full force
and effect. License Class Ucense,No Date Contractor 81.9nature
WOROPW'd �P,,ENSATION D CIARATION
WARNING, FAILURE TO SECURE WORKERS'COMP ENSATI[ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTLES AND CIVIL PINES UP TO, ONE HUNDRED THOUSAND DOLLARS f%100;*00), IN AUDmON TO THE
CV,ST 67i CO MKNSk)r 10, N � DAMAQ WS AS PROVIDED FOR IN 80,�PTION 37-00,OF THE LABOR COOE� INTEREST, AND A77oRN. ursrees.
I he4b aff I m perjury om of th
. y r of perj; ry e following declarations,
01 I I )kive and w:At'm'8intwn R consent to self insure for worket-W compensation, issued. by the Director of industrial Relations as provided for by Section 3700 of the Labor Coda., for th,
perfOrrnan w� afii6 rxork for which this permit IS Issued, Policy No,
4 hpvaand w0i maintain workers' compensation Insurance, as required by Sqctlon 370.0 of the Labor Code, for the performance of the 'work for which, this pormR. is fssua& My workeW componsatioir
insura n q carrier and policy number are.
W SZ
,on
t to 411VI
o r 7
Policy Number Expiration Date
N. Im P. r,)f,Agont Phone #
he k T"componsattion law of California, and agrej
I tify that, in thp�, of the work for whi i , ormit lstssuecfA I shall not employ any pats:on in any manner so as to become subject to the works m
if Ishouldbee IaSH'6DJactto the workars'co tion provislons of Section 31 the Labor Code, I shall forthwith comp
'a 8' ly wl4h those provisions.
Signature of Applican f
'an D I
LENDING AGENCY tirtel-ARATION Rl XAPOING OR-ii T
�reby affirm under penalty of perjury at ' . is anstruction lending agency for the performance of the work for which this permit is. issued (Section. 3097, Civil Code),
ider's Name. Lenders Address
my signature below, I certify to each of the folkming,
I am th'a Property Owner Or authorized to act 00 the.
I have raid this application and the Information lba
I agreeto comply with all applicable: city and county
I authorize representatives of thiscity or.Cnty to f
ACTION I DATE By
PFRANTEXPIRE-0
PERM07'CAN.CELLE'D
owner's behalf.
to building construction.
C77
Prinf ew kfghnri7pd: Adom,,12n.
)MPUANCEWITK CODE OF FEDERAL I FOR OFFICE USE ONLY
61 OF TITLF 40 AND AQl Ru it
N TO
PaqmirFimAL CA, LE 'to
F9A—
R
-C ON
OCCUPANCY ISSUED 4A