The URL can be used to link to this page

Home My WebLink AboutXR2022-2733 - PermitsdEwao?r City of Newport Beach II III I I I II I II I III I IIII II II COMB Permit XR2U22-2733 Community Development Department- Building Division : 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2574 S Permit Counter Phone: (949) 644-3288 Issued Date Cq</F00.��P Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 newportbeachca.gov/inspections Combination Type - MFP 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 Pe - Job Address Description : Owner: Address 1233 BAYSIDE DR Legal Desc : N TR 8917 BLK LOT 1 UN 101 TR 8917 LOT 1 UNIT 101 FP, RP, CP MFR - STUCCO REPLACEMENT @ 2ND FL EXTERIOR CEILING SOFFIT L MICHAEL PONDER 4045 S BUFFALO DR 4A101-2 LAS VEGAS, NV B9147 Applicant: BRANT KEISER Address : 1120 PRINCETON DR, STE 6 MARINA DEL REY, CA 90291 Phone: (790)573-9116 Owner/Builder : Address : Phone Contractor: RECONSTRUCTION EXPERTS INC Address: 5310 VIVIAN STREET ARVADA, CO 80002, CA Phone : (310) 648-8653 Con State Lic : 750511 Lie Expire : 10/31/2023 Bus Lie : BT30062567 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: TWINC CITY FIRE INS CO Policy No : 20WEAAEOC8F W. C. Expire : 11/1/2022 Architect Addre;6 Engineer: 9+4MUEL H MELEIKA Address : 4160 TEMESCAL CANYON RD, STE CORONA, CA 92883 Phone: (949)326-8497 Designe Address r:, §Y4 a.•'-% Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $9,750.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-2 No of Units : 22 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks Flood Zone : AE, 8 FT; X Use Zone : RM - Multiple Residential PROCESSED BY: .1� - - - - '-- SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the feasori indicated below by the checkrnark(s) I have placed next to the applicable items) (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 licensureand 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or t_) 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 brat it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: _..__--_.._..._. By my signature below P 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, I cannot legall, sell a structure that I have built as an owner -builder if it has not been constructod in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:ffww4Y.leginfo.ca,gov)calaw.html. Signature of Property Owner or Authorized Agent ___ �._ ..__v___�____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Projeas'I`gt} Code, an m license is in full farce and effect. license Class License No Date ZZ o o Contractor Signa(uyE WORKERS' COMPENSATION DECLARATION vJ�\dE WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUEJECT AN EMPLDVER TO C INAL fiHALTIES AND CIVIL FINES UP TO ONE HUND O THOUSAND DOLLARS 15100A001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: kave 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 fh mance of the work for which this permit Is issued- Policy No. ave 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' compensatio nee carrier and policy number are: Policy Number of Agent Date certify tire[, in the performance 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 L if I show{d become subject to the workers' co pensatlen provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant L— CLARATIGN REG 51 CONSTR. CTION ENDi G AGENCY l areby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097. All Code). rdei'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 and the information I have provided is correct. �/ I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 67t, r Kez(sa r I authorize representatives of this city or county to all thaf.above-id—entified property for inspection purposes. nature of PrODertv Owner or Authorized Aaeol '�%. P� Print Property Owner's or Authorized Agent's Names 1 Date (0t -2G ACTION DATE BY t/ 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 6.1OF 71TLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED --1-- ASBESTOS N I SUBMITTFD ASBESOTIFICATION TO _ PEAMfT CAA'CFLI ED _ PERYAT EXTENDED 1®--rCPA LJAQMD I PCRMFfCATE1 '-ZZ PA-- ASBESTOS 4O1 IHCAfION IS NOT APPUCAeLE 10 CER71ftCATf OF PROPOSED r'�E•)VIO N t� OCCUPANCY ISSUED I LI S i SIGNATURE. _ 1L�