HomeMy WebLinkAboutXR2022-1893 - Permitso��E.waoR e ` Community City +of NDewport Beachpnt-Building Division II III I I I II I II I III II I IIII II COMB Permit : XR2O22-1893
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1006-2021
u = Permit Counter Phone: (949) 644-3288 Combination Type: MFP
Inspection Requests Phone: (949) 644-3255 CqG/FOFN\P newportbeachca.gov/inspections Work Class : Alteration
Issued Date :
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: 6 CANYON ISLAND DR
Legal Desc : TR 8445 LOT 1 UNIT 1
UND 1161 INT IN LOT 1
Description:
MFR - FIRE DAMAGE REPAIR IN BEDROOM
#2 & DECK. (CHANGE OF CONTRA(
Owner:
OAKHURST INTERNATIONAL INC
Contractor
Address:
3230 E IMPERIAL HWY STE208 BREA CA
Address
92821
"Phone:
Phone:
".: Con State. Lie
Applicant:
Lie Expire
Address :
Bus Lie
Phone:
` Bus Lie Expire
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
0
PC - Big Canyon
I -
Workers': Compensation Insurance
31, 2, P OF PROJECT LOCATED ON AP 442-241-01 TOGETHER WITH AN
FOR)
°°°•
Architect
:Address: •'• +°°•>�
• . °
Phone: •• .
�.
State Lie a• • •
Engineer: HANSEN HANS CHRIS70PHER 7Q„•
Address : 180 E MAIN ST #201 Tl1ST" CA 92780 ° • •
...Phone: (714)573-0073
Carrier
=' Policy No:
Designer:
W. C. Expire:
Address
Phone:
Fire Sprinklers : NO
Construction Valuation
Fire Hazard Zone : 'Y
No of Units : 1
Added/New sq. ft. Bldg
No of Stories :
Added/New sq. ft. Garage:
Public Works Approval:
Plan Check By:
Approval To Issue:
$0.00
^V 0 9 p
6 • p •
b,
Contractors State License Law for the raason(s) indicated below by the
that requlres a permitto construct, alter, improved demolish, or repair an
a civil
and
not more than live nimored ootlars t"uw
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or t_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Coda: The Contractors' State License Law does not apply to an oemer of property who, through employees' or personaleffort, builds or improves, the property; -provided That the
improvements are not intended or offered for sale. if, however. the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it not built or
roved for the purpose of sale)..
1, as owner of the property. am exclusively contracting with licensed Contracti
ly to anowner of property who builds or Improvesthereon, and Atic, contracts
I am exempt from licensors under the -Contractors'. State License Law for the
ny signature. below I acknowledge that; except for my personal residence fn H
M
(Section 7044, Business and Professions Code:: The Contractors' State License Law does not
sed Contractor pursuant to the Contractors' State License taw).
ty of perjury; that I amlicensed under provisions of Chapter 9: (commencing: with Section 7000) of Division 3 of the Business and Professions Code, and my licenseis in full force
License No Date Contractor Signature
ATION DECLARATION
MT. AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00), rN ADDITION TO
,AND ATTORNEY'S FEES.
M;y affirm. under penalty. of perjury one of the following declarations:
r%ave SAW iramtain 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
'dtmance of jhe-+ygrk for which this permit is issued. Policy; No.
'Iiaue and *14 maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this parmit is issued, My workers' compensa
irancecarrier and policy number are:
hey .Policy Number Expiration, Date
4I cgttlfy Ihaj to tD§ performance of the work for which this permitis issued. I shall not employ any person: in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should SNIcome subject to the workers' compensation provisions of Section 370D of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant. Date—.
)ECLARASION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm Under penalty of perjury thatthera is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097,.Civil Code):
.ender's Name - Lenders. Address
3y my signature below, I. certify to each or the following:
I am the property owner or authorized to act an the: property owner's If:
I have read this application and the information t have provided isc a t.
I agree to comply with all applicable city and. county ordinances a st to laws relating to building construction,
I authorize representatives of this city or county to enter abo ntified property for inspection purposes. 1 %L ZZ
ii. nature of Property Owner or Authorized A ant ,.�--� Print Property Owner's or Authorised A ent's Name C Date
ACTION DATE. BY DECLARATION OF COMPLIANCEWITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PERMTTC4NCELLED LJEPA - - All required alarms, latches gates and fence's which serve as part of a pool/spa barrier, shall
PERMIT ENTENDED LIACIMD be in place prior to approval to fill pool/spa &shah remain in place & be maintained for the
PERMIT FINAL I ( ' UCABLE TO ASBEMS NOTIFICATION IS NOT APPlife of the pool.
CERTIFICATE OF PROPOSED DEMOLITION