HomeMy WebLinkAboutXR2022-2826 - Permits (3)a �WPoRr City of Newport Beach
o A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c9t/coP�'`�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
X R 2 0 2 2 2 8 2 6COMB Permit: XR2022-2826
Plan Check No: �� $
Issued Date: 10/25/2022 tr9 g`
Inspection Area : 6
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: 86 LESSAY
Description: SFR REMODEL KITCHEN AND BATH 250 SF
Owner: JOHNVONASPEN
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Address : 86 LESSAY
" Add
NEWPORT COAST, CA 92657
Phone:
:. Pho
Con
Lic I
Applicant: OC HOME BUILDERS INC
Bus
Address : 16412 DEL MAR LN
Bus
HUNTINGTON BEACH, CA 92649
-
Phone: (714)330-9031
Wor
Can
Owner/Builder:
Poli
Address:
W,#
Phone:
Code Edition : 2019
Fire
Type of Construction : V-B
Fire
Occupancy Groups : R-3
No(
Bldg Height:
No: c
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Front: 10, Side: 5, Side: 5, Rear: 10
X
PC - Newport Ridge
SPECIAL CONDITIONS:
pire : 01/31/20
ic[:. BT3007E
ic-Expire : 02/28/20
ors' Compensation
r: WESCO+INSUF
No: WWC355i
Expire : 11/1/2022
prinklers : -' NO
azard Zone NO
14798, LOT 12 OF PROJECT 9 36-46 LOCATED ON
DERS INC '::
... Architect
t LN
'.:..Address
3EACH, CA 92649
Phone:
State Lic :
Engineer:
Address
rance
Phone:
;E+COMPANY
Designer:
Address
Phone:
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OC HOME BUILDERS «INC ®>_,
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16412 DEL MAR LN
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HUNTINGTON BEACH, CA, 92649
(714)330-9031
Construction Valuation
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg
$22,000.00
0
0
more
or
to
ile License Law does not apply toan
however, the building or tmprovemal
sold within one year of
will have the
of
led that the
not built or
1, as owner ofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The. Contractors' State License Law does not.
tly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors underthe Contractors' State License Law for the following reason:
my signature below I acknowledge that, except formy personal residence in which I must have €esided For of least one year prior to completion of the improvements covered by this permit, I cannot ley
I:a-cMnr3ura that i haves hi ilt nc an nwnar-hrtildar if it hac not hnan constructed in its enhrary by licensed contractom. I understand (hata coov of the: applicable law. Section 7044 of tha Business and
:NSk.tJ LUN4 KJALAI Uti'S UG4 LAKA I tUN
b affirm under enal of perjury that I am Ilcansad under provisions of Chapter (commencing MITI Section 7000 Q Division 3 of the Business and Prof ode,: and m licenseisIn foil force:
=Y p h! P r> ri p ( 9 1� Y
Ljfggt; LicensV.CA,ss License No Data"+_ ComractorSignatu
WER5' COURF.IlI$ATION DECLARATION
I fGAURETO SgCURE WOWERS' COMPENSATION COVERAGE IS UNLAWFUL, AND'SHALL. SUBJECT AN. EMPLOYER TO CRINIRAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (I400A00), IN ADDITION TO THE
ofitroMPENSATION„ DAMAGES. AS PROVIDED MR iN SECTION 37416.OF THE LABOR CQnF_ INTEREST, AND ATTORNEY'S FEES.
)by affirm under penity of perjury one of the followingdeclarations:
h�.and wijl:,hyaltinon a: certificate of consent to selfAnsure for workers'. compensation, issued by: the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thy.
rir" ce of the werkrfar which this permit is issued. Polity No, _
lWand will mstintainworkers 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` compensatior
aab2 orrierano poljoy number are:
sr. - Policy Number P.rpiration pate
*IdTADerN Phone #
certify that, in*" err* man a of the work for which this permit .is -issued. I $hall not employ any person in any manner so: as to become subject to the workers' compensation laws of California, and agree
if I should become sub'est the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
tature of Applicant ' Data (p.2S-2.-L
:LARATION RE DING UGTtON LENDING AGENCY
reby 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),
dens Name - Lender's Address
vysignature below, I Certify to each of the following;:
I am the property owner or authorized to art 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 rotating to building construction.2-
I authorize representatives of this any or counlVo ghter the above-idenGhed property for inspection purposes, �� 1
PERAUT EXFENOEO
PERrMITFINAL
CERrIFICA7EpE
APPLICABLE TO
FOR