Loading...
HomeMy WebLinkAboutX2022-1091 - Permitsw °u, City of Newport Beach r Community Development Department -Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 v -- Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit : X2022-1091 Plan e Check C oNo : 1002-2022 Issue022 Inspection Area :5 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: 440 DE SOLA TER Legal Desc : N TR 1237 BLK LOT 116 Description: SFR - CONVERSION OF LIVABLE SPACE TO ADU 559 SF Owner: Steve Mckibben Contractor Address : 440 De Sola Terrace Corona Del Mar, CA Address Phone: (949)903-2537 Phone: Con State Lic Applicant : IONESCU BENJAMIN Lic Expire Address : 17332 IRVINE BLVD TUSTIN, CA 92780 Bus Lic : Phone : (714) 267-6561 Bus Lic Expire Workers' Compensation Insurance owner/Builder: Steve Mckibben Carrier : Address : 440 De Sola Terrace Corona Del Mar, CA Policy No: Phone : (949) 903-2537 W. C. Expire: Architect Address Phone: State Lic Engineer: IONESCU BENJAMIN Address : 17332 IRVINE BLVD TUS fiN, CA 92780 Phone: (714)267-6561 Designer: Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : Y Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 5, Front: 15, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 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 to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ 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, Business 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 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 was not built or i" roved for the purpose of sale). ¢7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). LJ I am exempt from licensure under the Contractors' State License Law for t following reason: By my signature below I acknowledge that, except for my personal residen i hich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot egall, sell a structure that I have built as an owner -builder if it he of been const t in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 44 of the Business and Professions Code, is available upon request when is a i i at the following Web site:hhp:/Avww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent% Da LICENSED CONTRACTOR'S DECLARATIAN I hereby affirm under penalty of perjury that I am liceZed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 1 hard 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 3700 of the Labor Code, for th rrfcrmaice of the -.vork for which this permit is issued. Policy No. :1, nave 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' compensation c;ura.r.,e carrier and policy number are: tea, vier _ _ Policy Number Expiration Date Vume o. Agent _ _ _ Phone # :1I certify that, IF the,p3rformance 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 agree Ha,, ,f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1g ri�Aure of Applicant ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby Prfirm under pec31ty 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). endoi s Name _ Lenders Address _ y my signature below. I certify to each of the following:- am the properly owner or authorized to act on the property owner's bah If. I have read this application and the information I have provided is con e t — I agree to comply with all applicable city and county or. 'nances and s laws relating to building construction. I authorize representatives of this city or county to e I ad property for inspection purposes. !,�.T�` _ _ `/ ienature of Prooefty Owner or Aulhonzed Acenty . /. Prim[ Prooertv Owners nr Aulhnri>ed Anenrc Name.11l 11.Q t%GN n�la JC. 7 M3-22 BY / ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED �I-� � t PERMITEXTENDED / R IMnI k CERTIFICATE OF I OCCUPANCYISSUED �fI OYT' crmAOTIEw TDAAll required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.