HomeMy WebLinkAboutXR2022-2177 - Permits��wPoRT City-,,f Newport Beach II III I I I II I II I III II I II II II
p4 d Community Development Department- Building Division COMB Permit : XR2O22-21 77
100 Civic Center Drive, Newport Beach, CA 92660 u 5 z Permit Counter Phone: (949) 644-3288 Issued Date : OB/2 Plan Check NO 2022-2016
: PCPC
Inspection Requests Phone: (949) 644-3255 Cq��FORN�¢ newportbeachca.gov/inspections Inspection Area : 2
Combination Type - MFP ELEC
Work Class - Alteration
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 : 308 ONYX AVE
Le
Description:
SFR REMODEL TO KITCHEN AND BATH
162 SF..
Owner:
WIESER PHYLLIS TR
Ca
Address:
191 SAINT NICHOLAS AVE APT7B NEW
Ad
YORK, NY 10026
Phone:
eti
Applicant:
WIESERJANET
Address:
191 ST. NICHOLAS AVE. NEW
10026
Phone :
(917) 703-7063
Owner/Builder :
Address
Phone:
13 LOT 5
Architect
CA Address
Phone
State Lie
Lie Expire: 09/30/2022
)RK NY Bus Lie: BT30079515
Engineer:
Bus Lie Expire : 08/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier NATIONAL LIABILITY
Policy No : V9WC305565
Designer:
BENITO CORONA
W. C. Expire: 3/2012023
Address :
1100 E ORANGETHORPE AVE., 2004
ANAHEIM, CA 92801
Phone:
(714)371-7176
Code Edition : 2019
Type of Construction : V-B
Fire Sprinklers : , NO
Construction Valuation : $30,000.00
Occupancy Groups : U,R-2
Fire Hazard Zone : No
No of Units : 1
Added/New/TI sq. ft. Bldg: 0
Bldg Height:
No of Stories : 2
Alteration sq. ft. Bldg: 162
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone: X
..•.
Use Zone: R-BI- Two -Unit Residential, Balboa Island •000••
PROCESSED BY:
SPECIAL CONDITIONS:
..•..
.....
I,.as owner of the property, or
>iness and Professions Code: T
)rovements are not Intended or
)roved for the purpose of sale).,
1; as owner of the property. air
rty to an Owner of property who
I am exempt :from licensure ur
my signature. below I acknowle.
I-astructure that I have bunt as
h from the contractors' State License Law forthe reason(s).indicated below by the checkmark(s) I have placed next: to the applicable (tem(s)
or county that requires'a::permit to construct, alter. improves demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
.ed pursuant to theprovisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe business and
re and the basis for the alleged exemption, Any violation of Section 703t5 by any applicant for a penitit, subjects the applicant to a civil penalty of
is as thek sole compensation, will do j_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
sense Law does not apply to an owner of property who, through employees' or personal effort, binds or improves the property, provided that the
aver, the building or improvement is sold within one year of completion, the Owner-Sulider will have: the burden of proving that it was not built or
with .licensed Contractors to construct theproject(Section 70". Business and. Professions code: The Contractors State License Law does not
on, and who contracts for, theprojects with a licensed Contractor pursuant to the Contractors State License Law), .
m under penalty of perjury that am licensed under provisions of Chapter-9 (commencing
License Class License No
;'COMPENSATION DECLARATION
In full force
(L. PENALTIES AND CIVIL FINES UP TO ONE 14UNORM THOUSANO DOLLARS ($100MO): IN ADOrnON TO THE
hereby afr m undar penally of perjury one -of the foliowing declarations:
3 1 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.3100 Of the Labor Code, for
ormance of the work for which this permit is issued. Policy No..
DH;aXe 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' compensa
isurance carrier: and policy number are:
>arder Policy Number Expiration Date
DKnn. dd
11 certify that; in the performane 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 agre,
1aL i£ I should beco as bject a workers' comp.. cation provisions of Section. 3700 of the Labor Code; I shall forthwith comply with those provisions.
3gnature of Applicant DalXvu 9
)ECLARATION RFGA CONS CIION LENDING A NCY
hereby affirm under p afEy of pejury thatthers is,a construction lending agency for the performance Of the work forwhich this permit: is issued (Section 3097,ode):.
.enders Name. Lender's'. Address
3y 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 tocomply with all applicable city and county ordinances and state laws relating to building construction.
I authorize rePMOVatives of this city or cou en a abovetidenti properly for inspection purposes.iffi_
ralur,s of Pn 9ft Owner or Authorized A silt i/G Print Proa Owner's or Authorized Agent's Name - ! LO 0 Date
ACT10N. • • • OATE. RY.CLARATIO.OFCOMPLIANCE WITNCODE AFFEDERAL . FOR OFFICE USE ONLY
• •• REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I AM
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, $hall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
To life of the pool.
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