HomeMy WebLinkAboutXR2024-0158 - Permits�gWPORT City of Newport Beach Community Development Department- Building Division X R 2 0 2 4 0 1 5 8 COMB Permit : XR2024-0158
Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0131
T Permit Counter Phone: (949) 718-1888 Issued Date : 0111812024
« newportbeachca.gov/civic Final Date:
Ci��FOPN�P Combination Type - MFP Permit Status: Issued
Work Class - Other Inspection Area : 2
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 : 357 PROMONTORY DR W
Description: MFR REPAIR (E) DECK AND STUCCO
Owner: PROMONTORY POINT APARTMENTS LLC
Address : P.O. Box 2450
NEWPORT BEACH, CA 92658
Phone :
Applicant:
NATHAN BLACKBURN
Address :
832 LEMON N
ORANGE, CA 92867
Phone:
(714) 388-7966
Owner/Builder
:
Address :
Phone
Legal Desc : P BK.49 PG_15;PAR .1 PARCEL MAP 49-15 PAR 1 POR OF
Contractor: CELOSEAL ROOFING INC
Address 832 N LEMON ST
'
ORANGE, CA 92867
Phone:
(714)998-2990
Con State Lie:
263519
Lie Expire:
11/3012025
Bus Lie :
BT30066711
Bus Lie Expire : 04/3012024
Workers' Compensation Insurance
Carrier: REDWOOD FIRE AND CASUALTY
INSURANCE
Policy No: CEWC351974
W. C. Expire : 4/1/2024
Architect
Address
Phone:
State Lie:
Engineer:
ORTIZ ROBERTO C
Address:
1744 W KATELLA AV STE 107
ORANGE, CA 92867
Phone:
(714)997-1145
Designer:
Address:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$30,000.00
Type of Construction :
V-B
Fire Hazard Zone:
NO
Added/Newts sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units :
4
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
2 -_
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone:
X; X
Use Zone:
PC - Promontory Point - UP 1494
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors` State License Law for the reasoosy Indi^Plea b-low;by th%Chec�mark(s) t have pieced next to the applicable Itemts)
action 7034..5, Business and Professions Cade: Any City or county that requires a permit to Construct, alter, improve, dernuhs t, r repair any_structure, prior toits issuance, also requires the applcant for
permit to fife a signed statement that he or Eno is licensed pursuant to the provisions of they Contractors' State LI.Griso Law (Chapter 9 (cami eriaing. with Section 7000)`af Olvision:3 of the Business and
dessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption Any violation of Section. 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of
more than five hundred dollars ($500..
J 1, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or t_) portinns of the wnrk, 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 a. -pet son&i effi,rt, builds or improves the property, provided that the
nprovements are not. intended or offered for sale. If, however, the building or improvement Issoldwithin one year of-completior,, lire D'.xner-Builder will'rave, the burden of proving that It was not built or
n roved for the purpose of sale). - ` -
1, as awner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Lawdoes not
poly to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuantto the Contractors' Stale License Law),
J I am exempt from licensors- under the CDntraclors' Stale License Law for the following reason'
-y 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 legali,
ell a structure that I have built as an-ownor-builder if it has not been constructed in its ondrety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and.
rolessions Code, is available upon request whenthis application is submitted prat the fidlowing Web site:http:t wviw.teginfo.ca.govlcalaw.html.
ignature of Property Owner or Authorized Agent _. Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Divf ion. 3,of the Business and Profession epd my 11 • s i N forpa
nd effect. License Class (Q,q License No 2& -3 S- ( of Dafe ) Contractor Signature
WORKERS' COMPENSATI N DECLARATION
ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL,AND. SRALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5100,000j, IN ADDITION TO THE
Can OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TNTEREST. AND ATTORNEYS FEES..
hereby affirm under penalty of perjury one of the following declarations:
7 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
94pn"Iof the work for which°this permit Is issued.. Policy No.
.have,lind will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this: permit it Issued. My workers' Dompensatioi
gpda canter and policy number are;
riar_ 4C,-I (&SuxlfX Policy Number CEW C g5-6ff Sg Expiration Date
ne of Agent Phone
Sr -
certify that, in the performance oft r for which this permit is issued, I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agre
If I should pbbecamee�e t t workers' com n vfsiDns of Section 3700 of the. Labor Code, I shall forthwith comply with those provisions.
I p p
lalure ofA licant GL_ _ _ _ _.._ _ D.at / / 2
1LdRATHIN RFC,d nI N!" r` NSTRitr'TIf1N f FN[tIN(: Er_Fhlf:k' -'-'
sreby affirm under penalty of perjury that there is a construction lending agency for the
Tder's Name Lenc
my signature below, I certify to each of the following:_
I am the property owner or authorized to act on I" property owner's behalf.
I have read. this application and the information I have provided is core
I agree to comply with all applicable city and countYordln Des state la slatln
I authorize representatives of this city or count lotntgr tj7dentrfr�p�ytt+
erformance of the work for Which this permit is issued (Section 3097,. Civil Code),
ra Address
to building Construction.
Tr in ion purposes. i
Print Prooertv Owner's or Authorized Aaents Name 75)�(ee,z45✓•.—
AtION DATE. By DEtLARATION OF COMPLIANCE WITH CODE OE FEDERAL FOR OFFICE USE ONLY
REGULATIONS RARTSS OF T€TLF 40 AND AQMD RULE
1403
PERMIT EXPIRED LIT SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCAA'CE!!FD j I PERANTEATENDED { - (W,D
PERMIT FINAL St OS NOTIFICATION! APPUCABtE TO
CERTIFICAtE OF jI— Qtiti ROPOSED DEMQIJTGO¢' ) ./)/ ,/
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newporlbeachca.gov 1 (949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address
Permit Number:
Property Owner:
XR --2-0 z4 0(Sy
iC�,�� C�rvfl
Licensed Contractor:
Lic #: Z E s', i
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that
existing dwellings be `retrofitted with smoke detectors and carbon monoxide detectors.
CRC Section R314.3, CRC R315.3 defines required locations.
Both boxes below must be checked:
Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
sleeping area in the immediate vicinity of bedrooms or in each hallway outside of
the rooms, and each level of the dwelling. Detectors are also required in
bedrooms with gas fired appliances
Smoke Alarms: Installed in each room used for sleeping purposes, outside
each sleeping area, and on each level of the dwelling unit.
Retrofitted detectors may be battery operated for buildings where no alterations are
performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms)
shall comply with all applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturer's specifications.
I, the undersigned, hereby certify that I am the permittee or homeowner of the
project. I further rtify that smoke alarms and carbon monoxide alarms are
present and tested o fu ctional in all the following locations:
Signature: Date: �
NOTE. This self-certifi atio s only used for projects to the exterior of the structure where access to the
interior of the dwelling y t e ity of Newport Beach Building Inspector is not achieved during the course of
construction.
Forms\SmokeDeledomndCa,bonMonoxideSelfCed 08/12/16