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Home My WebLink AboutX2022-0713 - Permits (3)�eWPORT City of Newport Beach IIIlillillillilIllilIiIlillilliIlillilliIllillillI II Community Development Department- Building Division X 2 0 2 2 0 7 1 s COMB Permit : XZOZZ-071 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0630-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 06/02/2022 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Reissued Work Class - Alteration 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 : 104 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 1 LOT 1 BALBOA ISLAND SEC 4 LOT 1 BLK 1 NLY 35 FT Description: SFR NEW DECK 207 SF, TEAR -OFF (E) ROOF, INSTALL METAL ROOFING (MCELROY ICC-ESL1082) 8 SQUARES. , Y iaeft.-N. Owner: THERESA HARRY TR GRUMET Address: PO BOX 10B NEWPORT BEACH, CA 92662 Phone: (805)722-2222 Applicant: EVERETT SMITH DESIGNS, INC Address : 3437 POTOMAC CT PERRIS, CA 92570 Phone : (951) 323-2187 Owner/Builder : THERESA HARRY TR GRUMET Address: PO BOX 10B NEWPORT BEACH, CA 92662 Phone: (805)722-2222 Contractor: OWNER/BUILDER Address : Phone: Con State Lic: OWNER/BUILDER Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: Z State Lic Tr m Engineer: MOKSUDUR RAHMAN C7 Address : 13611 12TH ST, STE B CHINO, CA 91710 X Phone: (213)400-8078 Designer: Address ,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: 5, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: 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 items) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or U 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 nprovements 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 nproved for the purpose of sale). 1, 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 pply 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: _ ly 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. fignature 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) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE 'DST 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 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 thi erformance 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' rance carrier and policy number are: Policy Number 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. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 Iders Name Lenders Address 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. nature of Prouertv Owner or Authorized Agent Print Prooertv Owner's or Authorized ADent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED i i I 05A PERIT FINAL CERTIFICATE OF 4b/lu� t+ p[_ x PROPOSED DEMOLITION ION IS NOT APPLICABLE TO OCCUPANCYISSUED f r��r ' SIGNATURE: FOR OFFICE USE ONLY Civil Code). Date IPORT CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT r�+ BUILDING DIVISION cq�oRN\r 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.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: /0�Y CAN YX IJ Permit Number: ° Z 2- 6 '7 f 5 Property Owner: T//tS4c (. 2u M c'r' Licensed Contractor: Lic #: 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. �1❑ 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 EV 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 homeow of the project. I further certify that oke alarms and carbon mo axide alarms are present and test to be funcxf'qnal in all the following locations: n Signatu e: Date: NOTE: This self -certification is only used for projects to the exterior of the structure where access to the interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of construction. Forms\SmokeDetectorandCarbonMonoxideSelfCert 08/12/16