HomeMy WebLinkAboutXR2022-2075 - PermitsWr,,,el City of Newport Beach
Community Development Department- Building Division
yy 100 Civic Center Drive Newport Beach, CA 92660
T# Permit Counter Phone. (949) 644-3288
Inspecton Requests Phone (949) 644-3255
°�trcoxN`P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
11�1 111111111111111111111111111111111111111111111111111 111jjCOMB Permit : XR2022-2075
Plan Check No: PC2022-1910
Issued Date : 1013112022
Inspection Area : 1
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: 707 LIDO PARK DR Legal Desc : P BK 235 PG 25 PAR.1 UN 1 P M 235-25 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP
Description: MFR REMODEL 2853 SF AND (N) ELEVATOR.
Owner: FREDERICK OREILLY
Address : 11541 HEATHCLIFF DR
SANTA ANA, CA 92705
Phone:
Applicant: JOSE FERNANDEZ
Address : 17985 SKY PARK CIR, STE G
IRVINE, CA 92614
Phone: (714)486-3318
Owner/Builder
Address :
Contractor: TEAM ULTIMO REAL ESTATE
Address: 1529 MAXWELL WAY
COSTA MESA, CA 92627
Phone :
(949) 689-5293
Con State Lie
: 964742
Lie Expire :
08/31/2023
Bus Lie:
BT30036733
Bus Lie Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9051279
W. C. Expire : 4/1/2023
Architect :
RICK GUINA
Address :
17985 SKY PARK CIR, G IRVINE, CA
92614
Phone :
(714) 486-3318
State Lie
Engineer: JAFARI MASOUD
Address: 23 ORCHARD #250
LAKE FOREST, CA 92630
Phone : (949) 206-9929
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
Occupancy Groups :
U,R-3
No of Units :
2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg
Building Setbacks :
Front: 20
Flood Zone :
X-0.2PCT
Use Zone:
RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
$313,830.00
2,853
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated Delow by the checkmark(s) I have placed next to the applicable item(s)
Section 7031 5, Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, demolish or repair any structure, prior W its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (. bapler 0 (commencing with Section 7000) of Division 3 of the Business and
professions Code) or that he or she is exempt from lieenstim and the basis for the alleged exemption_ Any violation of Section 71131.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of at L) portions of the wirk, and the structure is not intended or offered for sale (Section 7044,
•usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empf yeev' ar personal effort, builds or improves the property, provided that the
nprovemants ate not intended or offered for sale. If, however, the holding or improvement Is sold within one year of compleVo , the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bust ass and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor purl lent to the Contractors' State License Law),
I i am exempt from Iicensure under the Contractors' State License Law for the following reason r—
,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year r nor to completion of the improvements covered by this permit, I cannot iegaily
oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Yofesslons Code, is available upon request when this application is submitted or at the following Web s3te;nttp:/fwwwJeginfo.ca govlcalaw.9atmL
gnatum of Property Owner or Authorized Agent _ _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 8: (commencing with Sectio 0) of ivision 3 of the Business and Profes . ns od a . r1k.'ensels In full force
Flat effect. License Class License No Date V s t. 'Z. Contractor Signature -�-J
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENWION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000L IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S Fees. i
hereby affirm under penally of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'. compensation, Issued by the Director of
hernance of the Mork for which this permit is issued. Policy ND.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
rTaRae carrier and policy number are:
Her Policy Number
is of Agent
certify that, in the- e meance of the work for which this permit is Issued, I shall not employ any person in any manner so
If I should Deeper object to the workers' compensation provisions of Section 3700 of the Labor Code; I shall forthwith e
iafum of Applicant `�_
usby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this
trial's Name Lender's Address
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 andthe information I have provided is correct.
I agree to comply with all applicable city and cn my dinances and state laws misting to building construction
I authorize representatives of this city or eounfy�p rater the abovej'4jerjilfied property for inspection purposes.
Relations: as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' c repensation laws of California, and agra
oly with those previsions.
Data I ini/s I -Z
)ermit Is issued (Section 3097, ON I Code).
ACTION DATE 6Y DE6L4RATIONOF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TlTi.F 40 AND AQMO RUFF.
1403
L..f I SUBMITTPD ArP5'TOS M1 C i, FIG4 fION TO
PERMIT EX7ENOW
PERMIT FINAI
CERrIFICAr€ OF
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