HomeMy WebLinkAboutXR2023-0338 - PermitsaEWPoRT City of Newport Beach IIIIIIIr03IIIIIIIIII���.7`�`oMiermit : XR2o23-0338
Community Development Department- Building Division X R 0 3 3 8 \
y 100 Civic Center Drive, Newport Beach, CA 92660 6. o D Plan ecNo : PC2023-0268
= Permit Counter Phone: (949) 644-3288 t�QO Is ed Data
: 0 112023
.s. Inspection Requests Phone: (949) 644-3255 NG spection Area
cq4 co µNAP newportbeachca.gov/inspections O�
Combination Type - MFP
Work Class - Alteration
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE - LAST VALID INSF ION NO LATER THAN 3 YEARS FROM O GINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATU AY OR SXDAY IN HIGH DES Y AREAS AND NO WORK ON SUNDAY A HOLIDAYS IN ALL AREAS
Job Address : 352 PROMONTORY DR W Legal Desc; P BK 49 PG R 1 PARCEL MAP 49-15 PAP, 1 POR OF PAR
Description : MFR (UNITS 352, 501, 156 MOVE Rfl?LACE5I8" GYP BRD,I, A ES, WALLS AND CEILINGS 1000 SF +✓
Owner: IRVINE CO ry�� Contractor : ATI RESO ON LLC (', ��Architect : NIE Y
Address : 111 INNOVATION �� Address : 3360 EAAA PALMA AVE g'� Addre 586 E UITE SPRINGS RD
IRVINE, CA 926 �� ANAHE CA 92806 �V: ` NINE PALMS, CA 92277
Phone : Phone : '714) 283-9990 yj� P ne :•e+�a�(7 296-5502
Con State Lie : 1075543 tate
Lie Expire : 05/31/20230 yQ
Applicant: JAY,T Bus Lie: BT3003010 'Agi r :
Address : 2065 AS ONE AExpire ire : 03/31/2023 A ess :
V �:, Bus p
NEWPOR EAC CA
Phone: (949) 285,55 Workers' Co !t bn Insurance Phone:
Carrier:
Owner/Builder : Policy No . 44664104 Designer
Address : W. Cire / 023 Address
Phone: °q' �'�a Phone
Code Edition : 2022 �c�•. F rg19 klers : NO Construction Valuation: $15,000.00
Type of Construction : V-B " r, I azard ne : Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U '.,,. of Uni 7 Alteration sq. ft. Bldg
Bldg Height: 4 No of ories : Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks:�`�` \Q��
Flood Zone : X; X ->
Use Zone : PC - Promontory Point - U4'9' 9
PROCESSED BY:
SPECIAL CONDITIONS: �Q d 4a1 d as i
OWNER -BUILDER DECLARATION
€ hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, all
the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contract
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemptio ny
not more than five hundred dollars ($500)..
El 1, as ownerof the property, or my employees with wages as their sole Compensation, will �) all off
Business and Professions Code. The Contractors' State License Law does not apply to a Her of d
improvements are not intended or offered for sale. If, however, the building or improve tit is s in orrtq
improved for the purpose of sale). q,C
I, as owner of the property, am exclusively contracting with licensed Contra rs to constmct. the r &dt
raP,p€y to an ownerof property who builds or Improves thereon, and who cent. s for the projects with !car
LJ I am exempt from censure under the Contractors' State License Le or the follo g rea on:
By my signature below I acknowledge that, except for my personal r ence in wh I mu t e resided
sell a structure that I have built as an owner -builder if it. has not b constructs m its a y ce c
Professions Code, is available upon request when this applica " is submit[ or at th IloyQfng ue:F
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATI N
re a{s) indicated belo
mprove, demolish, air
State License La aptar 9
vio�atn of SOr9031.5 by s
jpotEsofthework dthe structure isl
y wh¢gliro//ugh emplo es' or personal effort,
ydr of coin le' n the Owner -Builder will
X P
O I
I hereby affirm under penalty of perjury that I am I1C ed un p islons Rf Chapter 9 tronlrnzncing vnth Sec's 7
and effect License Class -r se No e _
WORKERS' COMPENSATION DECLA IDitli� �' `
NARNINO: FAILURE TO SECURE WOR%ERS' COM aAT10N C GE ISUNLAWFVt-r AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL
DST OF COMPENSATION, DAMAGES
hereby affirm under penalty of
] I have and will maintain ��ee
rformance of the work fayaUhi
and will melntaior
lsurance carrier and policy %r
to of Agent _
Certify that, in the
if I should becon
iature of Avolican
affirm
(s) I have placed next to the applicable Remisl
prior its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
Ir a permit subjects the applicant to a civil penalty of
Business and Professions Code: 1
pursuant to the Contractors' State
one year prior to con
I understand that a
20 OFORMSE ON3706 OFTHELASORC00E. INr€FEST,ANC ATTORNEY's FEES.
one of th ollowl oc4arrltions �o
Ffca -� onsen't salt insure, Ipr +u f e s' (Omp naalon. Issued by t Dir r of trial Relatio as
i mit is issue ollcy Nc. _ s
'camps _ insu as rmquire i by Secilo 3700 of the Labor Code, or the performanc f the w
11
IRM
are,
-
ollcyN1),a umher E Ira rA — e #
3y my signature below. I certify to each of thWp
I am the property owner or authorized to act
I have read this application and the nformat
I agree to comply with all applicable city and
I authorize representatives of this city or cob
Signature of Property Owner or Authorized Aden
ACTION I DATE I BY_
FM
nded or offered for sale (Section 7044,
or improves the property, provided that the
.a. burden of proving that it was not built. or
State License Law does not
Law).
Hants Nvered by this. permit, I.cannot
law, SocV 7044 of the Business and
01100,000), IN ADOPTION TO THE
by Section 3700 of the Labor Cade, for
this permit is issued. My workers`
'hi ermit isjiisued. I shall not rr .person in any m er so a o erne subject to the workers' eomper ion laws of California, and agre
n ti ovisidns of Section 3700. eLab Code, I shag rthwilh m th those provisions.
GENCY �
a ruction fens Iffa�r�@y fo"tttg ormance the we or mh this permit Is issued (Section 3097, Civil de).
R E.G
PERMITEXPIRED V11~-. (Z.( I PA --I" ^: (_ SUR-All
PERMIT CANCELLED 1IPcn
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYf55UED
behallM1
correct. ^�
and state Paws V Ins to
61 OFJITLWAND AQNID RULE
TO
15NOTAPPLICASLE TO
Owner's or Authorized Ad
FOR OFFICE USE ONLY