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HomeMy WebLinkAboutXR2023-2852 - Permits2¢,WPORT City of Newport Beach D� d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G N+a x Permit Counter Phone: (949) 644-3288 o, Inspection Requests Phone: (949) 644-3255 CgL,Fp PH�P newportbeachca.gov/inspections Combination Type - MFP Wnrk Class - Other ��1111111111111111111111111111111111�11111111111111 COMB Permit : XR2022-2852 Plan Check No : 2831-2019 Issued Date : 1110412022 Inspection Area : 3 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: 2131 CRESTA DR Legal Desc : Description: BLDG 10 BLOCK WALLS 45'10" X 5'6", 59'8" X 3'6" Owner: SHEA HOMES LTD PTNSHP Address : 2 ADA, STE 200 IRVINE, CA 92618 Phone Applicant: SHSCSC INC Address : 655 BREA CANYON RD WALNUT, CA 91789 Phone: (909)594-9500 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: SHSCSC INC Address : 655 BREA CANYON RD WALNUT, CA 91789 Phone: (909)594-9500 Con State Lic : 1012096 Lic Expire : 03/31/2024 Bus Lic: BT30069571 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: LIBERTY MUTUAL INS CO Policy No: WA266DO66115031 W. C. Expire : B/l/2023 2019 Fire Sprinklers : V-B Fire Hazard Zone: U No of Units : No of Stories Architect: GRAHAM VANCE D Address: 17848 SKY PARK CIR STE D IRVINE, 92614 Phone: (949)346-1962 State Lic: Engineer : WONG RAMON R II TR Address : 17 PORTICA NEWPORT COAST, CA 92657 Phone: Designer: Address Phone : NO Construction Valuation : $12,686.57 NO Added/New/TI sq. ft. Bldg: 4 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 X RM-6000 - Multiple Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Teasoo(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior toits 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 licensors and the basis for the alleged exemption. Any violation of Section 7031:6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, as Owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 properly, provided that the Improvements are not Intended or offered for sale. It,, 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 Improved for the purpose of sale). 0 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 of Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from kcensure under the Contractors' State License Law for the following reason: By 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 Got by this permit, I cannot legail; sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 70" of the Business and Professions Code., is available upon request when this application is submitted or at the following Web slta:httplAvww.leginfo.ca.gov/calaw.html. Signature of Properly Owner or Authorized Agent 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) o ivision 3 of the Business and ProfigpsrCo. de fyi m 11 is In full force and effect. License Class License No Date I I 1- r Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TOORIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS10D,000j, IN ADDITION TO THE COST OF COMPENSATION: OAMAGES AS PRDVIOEo FOR IN SECTION 370e of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, �hereby affirm underpenalty 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 industrial Relations as provided for by Section 3700 of time Labor Code, forth, � ormance of the work for which this permit Is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that 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' johnipansafforl laws of California, and d: should become s�t to t,FT orkers 00 npe es� n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature o(Appkcan pa I I2- hereby affirm affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civfl Cade). endeis Name Lenders Address y 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 slate laws relating to building construction. I authorize representatives of this city or county io/err the above-irf..wUIIed properly for inspection purposes. , 11/H/L-t ACTION DATE. BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART 61 OF TITLE 40 AND AQMD RULE ' 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO OEPA MQM p_� , ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PERMIT CANCELLED PERN7TEXTENDEO PERMiFFINAL q CERTIFICATEOF PROPOSED DEMOLITION i)CCUPANCyiSSUEA SIGNATURE