HomeMy WebLinkAboutXR2024-6421 - PermitsdEWPoRp City of Newport Beach II���II��II����I���� ���I�����II��� II
CommunityDevelopment Department Division comb Permit : XR2024-6421
P P 9 X R 2 fl 2 4 6 4 2 1
n, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
u >M n Permit Counter Phone: (949) 718-1888
Issued Date : 1010112024
newportbeachca.gov/civic Final Date: 10/17/2024
°4tlro0` Combination Type - MFP Permit Status: Final
Work Class - ADDITION/ALTERATION 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 : 934 BAYPOINTE DR Legal Desc : N TR 14989 BILK LOT 1 TR NO 14989 FOR OF LOTS 1 & 2
Description: MFR REPLACEMENT OF DAMAGED DECK SHEATHING 6 SF
Owner: IRVINE CO
Address: 111 INNOVATION
IRVINE, CA 92618
Phone: (949)720-2156
Applicant:
HUGO ACEVADO
Address:
2010 E SANTO CLARA AVE #35
SANTA ANA, CA 92705
Phone:
(949)929-7992
Owner/Builder :
Address:
Phone
Contractor:
T D C CONSTRUCTION INC
Address :
18530 PASADENA STREET
LAKE ELSINORE, CA 92530
Phone:
(951)245-5849
Con State Lic
: 765207
Lic Expire :
06/30/2025
Bus Lic :
BT30030586
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: STATE COMP
Policy No: 9035765
W. C. Expire: 12/29/2024
Code Edition: 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone: X
Use Zone: PC - North Ford
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer: ORTIZ ROBERTO C
Address : 1744 W KATELLA AV STE 107
ORANGE, CA 92867
Phone : (714) 997-1145
Designer
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
5 Alteration sq. ft. Bldg :
2 Add/New sq. ft. Garage
TOTAL sq. ft. :
$1,375.00
0
0
0
OWNER -BUILDER DECLARATION
I 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 ticensure 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
improved for the purpose of sale).
❑ I, 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
aprly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' Slate License Law for the following reason: _
By 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 the Improvements covered by this permit, I cannot legall,
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:http:llwww.leginfo.ca.gavlcalaw.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 Contractor Signature
COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following 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, forth
performance 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 permit is issued. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
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.
signature of Applicant Date
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of 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 Lenders Address
ly 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 I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
3ionature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent s Name
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
_
OAQMD
PERMIT FINAL
CERTIRCATEOF
.1
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCYISSUED
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SIGNATURE:
Date