HomeMy WebLinkAboutXR2023-1665 - Permits4a, "0RT City of Newport Beach III III IIIIII IIII IIII IIIIIIIII'llllllllllll II COMB Permit : XR2023-1665
o, z"I Community Development Department - Building Division X R 2 0 2 3 1 6 6 5
t"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1682-2022
U T
Permit Counter Phone: (949) 718-1888 Issued Date : 06/19/2023
o- newportbeachca.gov/civic Inspection Area : 4
°'<rfoa Combination Type - SFP
Work Class - Other
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: 52 CROOKED STICK DR Legal Desc : N TR 15391 BLK LOT 54
Description: SFR INTERIOR ALT 200 SF KITCHEN & BATHROOMS -RENEW EXPIRED PERMIT X2022-1821
Owner: MICHAEL LANNI
Address : 52 CROOKED STICK DR
NEWPORT BEACH, CA 92660
Phone
Applicant:
Address
Phone:
Owner/Builder :
Address:
Phone:
Contractor:
PRO TECH CONSTRUCTION
Architect
Address :
2790 EAST REGAL PARK DR
Address
ANAHEIM, CA 92806
Phone:
(714)982-5151
Phone:
Con State Lic
: 485114
State Lic
Lic Expire :
01/31/2024
Bus Lic:
BT30068349
Engineer:
Bus Lic Expire : 08/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: ACE+AMERICAN+INSURANCE+COMPANY
Policy No:
C70071368
Designer:
W. C. Expire :
10/1/2023
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U,R-3
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Front: 5, Side: 5, Side: 5, Rear: 3
Flood Zone:
X
Use Zone :
PC - Aeronutronic Ford
PROCESSED BY:
SPECIAL CONDITIONS:
NO Construction Valuation : $0
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg:
2 Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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 item(s)
3evilon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is ficensed pursuant to the provisions of the Contractom' State License Law .(Chapter l) (commencing with Section 7000) of Division :3.of the Business and
vofassions 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
at more than five hundred dollars ($500),
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
iusiness 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 -Budder will have the burden of proving that R was not buillor
miroved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Sate License Law does not
ly to an owner of property who builds or Improves'. thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Sate License Law).
I am exempt from ficensure under the Contractors' State License Law for the following reason:
.y 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, t cannot "I[i
cell a structure that I have bulk as an owmar-builder if it has not been constricted in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 cf tho Business and
'rotessions Code, isavailable upon request when this application is submitted or at the following Web site:http�/hvww.leginfo.ca.govtcalaw.hbni.
Ignature of Property Owner or Authorized Agent +TH&AWUD
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm w taer penalty of Partin, that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) of "vi Ion 3 of the Business and P, and my license is in full force
nd effect. Licex.E Class License No Dale (A I L Contractor Signatur
t'Cf1NZRS' CQihFENSATiON DECLARATION
'ARNING: FAILURL TO atCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRPNNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRLLARS (3100.000L INAUDITION TO THE
AST Od COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR GOOF,1NTenEST, AND ATTORNEY"$ FEES.
herLLy affirm under penalty of perjury one of the following deciarations:
a I ha,,e and will malatain 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 th,
1-10-1,ance of inn work for which this permit Is issued. Policy No.
and will roaiutem 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`
carder and policy number are;
amer _
area of Agent
I Certify that, it th4 pe
at, if I should bauome:
iunature of Aoolicant
Policy Number Expiration Date
work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compar, ation ws of California, and agra
rkers' compensation provisions of Section 3700of the Labor Code; I shall forthwith comply with those provisions.
Date
fC716N LENDING AGENCY
�"
hereby affirm under penalty of periVry that there is a construction lending agency for the performance of the. work for Which this permit is issued (Section 3097, Civil Code)
tinder's Name
Lender's Address
y my signature below. I certify to each of the following:
I am the property owner or authorized to aot on the probe
owner's behalf.
I have read this application. and the information I have pr
ad is correct,
I agree to comply with all applicable city and county ordl
s and state laws relating to building construction.
I authorize representatives of this city of county�le/prSter t
innufi,ra of PrnndHv rlwnur ne A,dhnh>Rrl Anarvt V_
have -identified property for inspection purposes. k/I
PA61 Pmt' hadv L}wnar'< tr Aa,fhhri>QH Anune N..1 `
ACTION
PERMIT Fxl`FN(XP
PERMtr FINAL
CERTIFICATE OF
DATE I BY
PROPOSED
)MPLIANCE WITH CODE OF FEDEI
61 OF TITLE 40 AND AOMD RULE
APPUCAOM TOO
FOR OFFICE USE ONLY
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