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HomeMy WebLinkAboutXR2022-2880 - Permits�EWPo� City of Newport Beach II IIIIIII�I IIIII IIIII IIIIIIIIIIIIIIIIIII III II COMB Permit : XR2022-2880 Community Development Department- Building Division r .. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2728 Permit Counter Phone: (949) 644-3288 > Inspection Requests Phone: 644-3255 Cy</pnpN�P newportbeachca.gov/inspections Issued Date : ons Inspection Area : 2 Combination Type - SFP Work Class - Demolition 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 : 129 VIA JUCAR Legal Desc : N TR 907 BLK LOT 709 TR 907 LOT 709 NELY 15 FT THEREOF(AND A LL -EX Description: SFR - DEMO SFR & ATT GARAGE. 1274 SF 3 BEDROOMS. SEWER CAP INCLUDED -. Owner: ROBERTPIGNERI Contractor: `-., Architect: JOHNMORGANJR Address : 27576 HOMESTEAD DR Address : Address : 18682 BEACHMONT AVE SANTA ANA, CA LAGUNA NIGUEL, CA 92677 92705 Phone: (714)402-7005 Phone: Phone: (714)730-2723 Con State Lic : State Lic Lic Expire: Applicant: ROBERTPIGNERI Bus Lic.`. Engineer: Address : 27576 HOMESTEAD DR Bus Lic Expire : Address LAGUNA NIGUEL, CA 92677 Phone : (714) 402-7005 Workers' Compensation Insurance Phone Carrier: Owner/Builder: ROBERT PIGNERI Policy No: Designer Address : 27576 HOMESTEAD DR W. C. Expire: Address LAGUNA NIGUEL, CA 92677 Phone: (714)402-7005 - Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone i NO -Added/New/TI sq. ft. Bldg 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. Bldg: 0 Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone: X Use Zone: R-1 - Single -Unit Residential 1 � t PROCESSED BY: ° SPECIAL CONDITIONS: JD DDM© T; G HAWS DFBRIS 6 _ _ OWNER' -BUILDER DECLARATK t hereby affirm under penalty of perjury Section 7031.5, Business and Profession am exempt from the Contractore StateLicense :: Any city or county that reequires a permit to co indicated below 1 have place the applicant for the Business and a civil penalty of more than five hundred dollars ($500), I, as owner of the property, or my empioyeeswith wages as their sole compensation will do U all of or (_) portions of the work, and the structure is not intended or offered: for sale (Section 7044, ,iness and Professions Code: The. Contractors' State License, Law does not apply toan owner of property who, through employees or personaleffort, builds or Improves theproperty, provided that the rovements 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 awes not builtor roved for the purpose of Sale). I, as owner of the property, am exclusively contractingwith ticansed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law: does not y�i 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).. exempt from Bcensure--under the Contractors' State License Lat r the following reason: + gnature below I acknowledge that, except for my personal resin whXi I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot ler of COMPENSATION DECLARATION of Chapter g (commencing with-SecGOn 7000) of Division 3 of the Business and Professions Code, and my license is In full force:. _ Date Contractor Signature Me SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS FI400,0001, 01 ADDITION CODE: INTEREST, AND ATTORNEYS. 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 t performance of the work for which this permit is issued, Policy. No. :1I 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' compensati� isurance carrier and policy number are: :arrier Policy Number Expiration Date of Agent ify that, in the performance of should become subject to the !:II id. I shall not employ any person in any mannerso as to become subject to the workers' compensation laws; of CC`alifomia, and agree Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions J&Do P� Dat� ireby affix under penal y of perjuq Tat G era is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code), ider's Name.' Lender's Address mysignature 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 pr ded is correct. f agree to comply with all applicable city and county o s a state laws relating to building construction. I authorize representatives of this city at aunty to e eT the b eddontified property for inspection purposes. nature of Pro en Owner or Authorized A nt Print Property Owner's or Authorized Agent's Nam P✓5 Daie/ TION DATE BY DE AT€ON OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE. USE ONLY R ULAT16NS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I UISUBMITT'.ED ASBESTOS NOT] FICATtON TO • • �" PERMIFCANCEi!£O EPA �y; • • . '• • P€RMiTEx7ENOED CKAQMD • , . PERMiTFINAI ASBESTOSNOTIFIC ISNOTAP LICABLE TO CERTIFICATEOF II PROPOSED DEM N OCCUPANCYISSUED (1 SIGNATUREcI •v+ • .+: •.+ e ,.�, •ee 4e• •a• •a•