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HomeMy WebLinkAboutXR2022-2112 - PermitsaEWeoRT City of Newport Beach II III I I I II I II I III II II II I II COMB Permit : XR2O22-2112 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1945 Permit Counter Phone: (949) 644-3288 Issued Date : Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 Cqf./pOpl��P newportbeachca.gov/inspections Combination Type - SFP ELEC 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 AREAS Job Address : 2585 CRESTVIEW DR Description : SFR ENCLOSE (E) BALCONY 142 SF Owner: ANTHONY PHAM Address: 2585 CRESTVIEW DR NEWPORT BEACH, CA 92663 Phone: Applicant: JUSTIN JOHNSTON Address: 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 Owner/Builder : Address Phone: Legal Desc : N TR 1102 BLK LOT 66 Contractor: VANGUARD CONTRACTING INC Address : 7938 LEWAY DR RIVERSIDE, CA 92508 Phone: (714)204-0434 Con State Lie: 996461 Lie Expire : 11/30/2023 Bus Lie: BT30079412 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 9263208 W. C. Expire : 10/29/2022 Architect: JUSTIN JOHNSTON Address : 151 KALMUS DR, G-1 COSTA MESA, 92626 Phone: (714) 754-4040 State Lie : C038829 Engineer: Phones i/�, : ' N © pw�� I S I EC 1TV 1 Designer: Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $25,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 142 Bldg Height : . No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks : Front: 10, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential - PROCESSED BY: c % SPECIAL CONDITIONS: I hereby afflnn under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) coon 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 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 fessions Code) or that he or she is exempt from ticensure 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 more than five hundred dollars ($500), I, as Owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lfness 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 (hat the rovemenls 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 roved for the purpose of sale), 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 �iy 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). J I am exempt from lioensure under the Contractors' Slate License Law for the following reason: ly 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 171` ments covered by this. permit, I Gannet legall7 ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the appiic I licensed IS W. Section 7044 of the Business and 'rofesslons Code, is available upon request when this application Is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.litmi. tignature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION 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 Profession e, an my license is in full force no effect. License Class License No Date Contractor SignaturakA VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN A0017x)N TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, hereby affirm under penalty of perjury one or 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 the Labor Code, for th, r nce of the work for which this permit is issued. Policy No. n Ihave 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' compensatior urance carrier and Go' number are: 'amier Policy. Number Expiration Date lame of Agent A Phone Is certify that, in the pedon nce the rk 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 I. if I should become $ubject the work s compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicanx Dayt, r��2 CLARATION REiGA��'SBLTIF.6r3N CTION LENDING AGENCY �T Ireby affirm under penalty of perjury that the Is onstruc'on lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lenders Address _ my signature below, I certify to each of the fol wing. I am the property owner or authorized to act on he prop y wner's behalf. I have read this application and the information I ve prov is correct. I agree to comply with all applicable city and count_ rdinan s rid slate laws relating to building construction. ' I authorize representatives of this city or county to ant. the a ov identified property for inspection purposes. nature of Property Owner or Authorized Agent � _ Print Prooertv Owner's or Authorized Anent Name�� _C 7_ ACTION DATE I BY ^ Dl!e6W 'fN OF COMPLIANCE WITH CODE OF FEDERAL ? 1 REGULATIONS PART 51 OF I E 40.A,ND AQMD RIAE 1403 PERMITEXPIRED 15URMITT DA5 ST05N FICAT[ON TO PERM?TCANC£LLED T EPA. PERMITEXTENDED QAQMD - PERMIT FINAL (9 DiC,.t- ASBESTOSNOTIFI TION NOTAP CAMLE TO CERTIFICATE OF �'o PROPOSED DEMOLITION OCCUPANCYf55U SIGNATURE; It FOR OFFICE USE ONLY Ai required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall Dam place prior to approval to fill pool/spa & shall remain in place & be maintained for the Ilia of the pool.