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Home My WebLink AboutXR2022-2080 - Permits�EwaoRr City of Newport Beach iiiiiiiiiiiiiiiii II Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u x Permit Counter Phone: (949) 718-1888 1 a.. newportbeachca.gov/civic Cy<EcoaN`P Combination Type - SFP� Work Class - Alteration PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT] O , BUT NO LA" NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH SITY�REAS Job Address : 2555 VISTA BAYA Legal Desc : N TR 115�9 E F'LOa 49R 1159 Description: RENEW EXPIRED PERMIT X2021-2702" SFR RECONFIGYRE KITC�iEN, AY,,I�VTf Owner: JOSEPH CHOI Address : 3011 ANNITA DR. GLENDALE, CA 91266 Phone: Applicant: ACERA HELATH LLC Address: 3151 AIRWAY AVE. COSTA MESA, CA 92626 Phone: Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: B Permit : XR2022-2080 ,heck No : 2338-2021 Date : 08/02/2022 ate: I HAN 3 YKAR R011il^1JRIGINAL ISSUANCE DATE NO WQKK ON S 4i iAND HOLIDAYS IN ALL AREAS T 1 ALL -EX SELY 66 FT ROOM AND MASTER BE rac96r : LA RENOVATORS ess : 3 MIKE LOZA Ag 111 AMAMIILLO, Ctk 93012, CA 93012 r one: (818)620-0345 Con St Lic >" 974391 Lic E ire : 06/30/2024 f `9 B Lic: BT30077371 ` us Lic Expire : 12/31/2022 v Compensation Insurance xpire ` FI Spft 'lei: NO za Zone :NO ta m� No ones Front: 20, Side 4 de 4 v "A X <4,'.. R-1 - Sin le -Unit Resid ial , 9 _ SPECIAL CONDITIONS: Architect :t4E Addres a ? 100 SF *STOP WORK` Sto icy°. y �3 add; s : c ne : ;wa . rt-= Designer AfI[IheAC :'�" pbrWtruction Valuation : Adided/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of Business and Professions Code: The Contractors' State License Law does not apply to an owner of prop improvements are not intended or offered for sale. If, however, the building or improvement is sold wi r 'mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construc/withvp�3 apply to an owner of property who builds or improves thereon, and who contracts for the projec ❑ I am exempt from licensure under the Contractors' State License Law for the following r on: By my signature below acknowledge that, except for my personal residence in which following have �Ide sell a structure that I have built as an owner -builder if it has not been constructed in its a Irety b rise Professions Code, is available upon request when this application is submitted or at t follovdnJW eb Signature of Property Owner or Authorized Agent S LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of C,b"epter 9 (commenci wi and effect. License Class License No ,, I , WORKERS' COMPENSATION DECLARATION �" [[ NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUt., AND SH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L�R CODE, hereby affirm under penalty of perjury one of the following declarat i s: ❑ 1 have and will maintain a certificate of consent to self -ins Tor wor rs performance of the work for which this permit is issued. Policy. o. have and will maintain workers' compensation insurance, as ranee carrier and policy number are: ' is of Agent certify that, in the performance of the work , if I should become subject to the workers nature of Applicant _ _ _ -� CLARATION REGARDING CONSTRUCTION LIE5141DING NCY areby affirm under penalty of perjury that then&is a construe a Ider's Name ' my signature below, I certify to each of the Ilowi I am the property owner or authorized to act one 1 Ilropdrl"wrie I have read this application and the informatioryl have progiad is I agree to comply with all applicable city and county ordinancesr I authorize representatives of this city or county to enter the a$oyr nature of Prooertv Owner or Authorized Agent �� DATE I BY 1403 of I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the n ction 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' S fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any Vic more than five hundred dollars ($500). :, :., r"L) portions of the ork, an8'�ttl rty who, lhroug1�, 'ployees' or -0 one year of cogS''pletion, [h wm (SectiR_'t�0q�044, Bust ss and P sed 06d tractor p uant to the 'spodicated below by the checkmark(s) I have placed next to the applicable item(s) 4 d` lisIn, or repair any structure, prior to its issuance, also requires the applicant for tense Nall 9 (commencing with Section 7000) of Division 3 of the Business and of Section 704,1.5 by any applicant for a permit subjects the applicant to a civil penalty of structure is not intended or offered for sale (Section 7044, Ci onal effort, builds or improves the property, provided that the der will have the burden of proving that it was not built or that a copy of the The Contractors' State License Law does not e License Law). ;J i th SJ�fion 7000) of Division 3 of the Busl %d Professions Date Contr^ ignature TO CRIMINAL PENALTIES AND CIVIL FIN��ATOO @E Si HUNDRED T U FEES. 4 f�. /` 5 . t�i6itle D ctor of Industritiorr�as provid for`l� Se n fu , for the pe a ot(t�te work for icrr®mis rmi ,7 all not ,ifp HQPerson in any e W ion 37 .. e`*or Code, I shall xo . agej44 xe ormance of ttie iiprk s Address te el `5 ate la s relating to gg cor"uclion ntdied property to pection IdUrposes. .�' a,{ylrint Prepert Ow NPLIANCE, fT E EDERAL FD 61 RULE PERMIT EMENDED LJAQMD PERMIT FINAL ASBESTOS NOTIFICAYl6),N 15 NOT CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: .,.. m n o as to beet forth thcomplywith for which this rmit I r s or th jted Agel R OOICBWJSE ONLY overed by this permit, I cannot leg: ction 7044 of the Business and ode. Na �my license is in full force ' Ol S 1$130,0001, IN ADDRION TO TI ion 3700 of the Labor Code, for is issued. My workers' compensat compensation laws of Califomia, and Date_ (Section 3097, Civil Code). Name Date e`c'Po City of Newport Beach Community Development Department- Building Division S ➢ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 _ ' Inspection Requests Phone: (949) 644-3255 `C1411.1N newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration II III I I I II I II I III I III I II II COMB Permit : XR2O22-2080 Plan Check No: 2338-2021 Issued Date: 08102/2022 Inspection Area: 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND Job Address : 2555 VISTA BAYA Legal Desc : N TR 1 Description: RENEW EXPIRED PERMIT X2021-2702 ** SFR RECONFIGURE KI' Owner: JOSEPH CHOI Contractor: LA R# Address: 3011 ANNITA DR. GLENDALE, CA 91266 Address: 30A4(V Phone Applicant Address Phone: Phone: Con Sta ACERA HELATH LLC Lic Expj 3151 AIRWAY AVE. COSTA MESA, CA 92626 Bus Lic Owner/Builder Address: Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone: Use Zone: 2019 V-B U,R-3 Front: 20, Side34, 4 Re X Y R-1 - Single -Unit Reside a/l rt NrA 93012, CA 8)620-034'. TR 1119 LOT ;1111 C*�RILLO, 2 • LYI JUU I IJ I i.+rr c Exp 12/31/2022 Insurance rs mpQtgsation r x r 7 4 t x 4a Y z$rrl4Zone � - s rts : dr -' Stones 11� � �i �g PROCESSED BY: SPECIAL CONDITIONS:..0 3 YEA01,1ROlkl ORIGINAL ISSUANCE DATE ORK dN SU AY AND HOLIDAYS IN ALL AREAS . -EX SELY 66 FT- , AND MASTER BEDROOM 1 IkO SF *STOP WORK* Architect Address Phone: r State Lic P 31#ion: $0•09 ' g- ft. Bldg : 0 " Bldg: ft. Garage : 0 ' I i 'Si IF" E ea TO R OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Section 7031.5. Business and Professions Code: Any city or county that requires a permit to constru to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Cori Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exec jdn. of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will . U al usiness and Professions Code: The Contractors' State License Law does not apply to an er of nprov ents are not intended or offered for sale. If, however, the building or/lowing is soldvly npr eel for the purpose of sale). ` < , as owner of the property, am exclusively contracting with licensed ContrstrgL< M,a p ppfy to an owner of property who builds or improves thereon, and who contrarof with4 I am exempt from licensure under the Contractors' State License Law for reasomo ':y my signature below I acknowledge that, exceptfor my personal residence ist have resell a structure that I have built as an owner -builder if it has not been construcirety by liter 'rofessions Code, is available upon request when t ' application is subm'"or at th Ilov;i' Web signature or Property Owner or Authorized Agent - .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provis' ns of Ch ter 9,rt@en g nd effect. License Class License, -o WORKERS' COMPENSATION DECLARATION J DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS LAWFUL, 0 SHA . UBJECC Ell OST OF COMPENSAI ION, bAMAGES AS PROVIDED FOR IN SECTION37H THE LAB0 CODEJ�h T, ATTOR. hereby Pffirm under penalty of perjury one of the following [are ion I have. and vrll .naic:air a certificate of consent to f-insu wors ':iiSD iS liorl&sw eeorm:once of the work for which this permit is issued. olicy navel and will maintain workers' compensation ranre carrier and pol'cy number are: , to a" Agent� I certfy that. in the performance of the for whiq this permit is I. , I sh:tot.bLtip�y any E ` I s,ould beSomg ;subject to the wo rs' wet�Zns prove rii of Sec 370�t�f the Labor Ieture of Applicant +" � H :LARATION REGA1000 NG CONSTRUcT10 LENDING AGENCY hereby affirm unde•'peralty of perjury that is a14'Anstructior. lendirlg.,agency'lil lte performal _enders Name-__`�°,„, Lender's AdA,, 3y my signature below, I certify to each of the foe owing: I am the property owner or authorized to act on t8,prof erty owfkers-b c r I have read this application and the information I have provided'9S-corre I agree to comply with all applicable city and county orctAil s and state laws relatlnd fig, L11 I authorize representatives of this city or county ts9 enter the �atieye-Identified prop-s `,for inspe Signature of Property Owner or Authorized Agent V / �V :`J Print ACTION DATE BY j DECLARATION OF COMPLIANCE w9 CODE OF j REGULATIONS PART 61 Of TITLE 40 AND AQMD PERMITEXPIRED L—�'- - U I SUBMITTED ASBESTOS NOTIFIG PERMIT CANCELLED PE.RMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED PA I QMD ASBESTOS NOTIFICATION IS NOT PROPOSED D OUTION SIGNATURE TC/ fo he reasons) irk dated bale b` a checkrnark(s) 1 have placed next to the applicable ilem(s) alter, improve,.�`BmClish, o repair a lructuke; prior to its issuance, also requires the applicant for ctors' State Live Law ( apter 9 (Conn cfng with Section 7000) of Division 3 of the Business and Any viclatio Section 7 31.5 by any applic fora permit subjects the applicant to a civil penalty of r' R4or onions of a work, and to structure is not Tided ;or. offered for sale (Section 70", party throug employees' or personal effort, builds mproves the properly, provided that the -Nino year of cq plebon, to Owner -Builder will have the b en of proving that it was not built or 11_% s MI (Se 7044, Business and Profession �: The Contracto tale License Law does not nse ntractor pursuant to the Cont'c fate License La ) :L d tied JQ^t least one year prior to wmplet*the improveme se4,;ntractcrs. I understand that a oppy o e applicable to d this permit, I cannot legallt i 7 44 of the Business and je:http://www.leginfb.ca.,govicalaw,,WpNk,4 a Z with - P00) of Division B,p jiass and ofe5aions Conf!ctor ode, and my license is in full force Sign ure .'-rrrr PENALTLSS UP TOO HUrWAED T USAND DOLLARS (E1 oe,o001, IN AOOtt10N TO THE by Section 3700 of the Labor Code, for Code, for the p'>rtortnance oft work Xor ich this permit is issued. My workers' compensation, pirati to Phon # l+MARy manner se as t bow subject to the workers' compensation laws of California, and agre G all forthwith w ly wit hose provisions. 1 / DaEq y Z Z i@Vork for whl this IT Is issued (Section 3097, Civil Code). To-,ceh /,�, i�Q : n, tev P—/Z/ OFFICE 115E ONLY All 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.