HomeMy WebLinkAboutX2021-1480 - Permits�gWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XZOZ1-1480
p� A Community Development Department- Building Division X 2 0 2 1 1 4 9 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1295-2021
Permit Counter Phone: (949) 718-1888 Issued Date: 06/10/2021
a S newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status;, Expired
Work Class - Alteration Inspection'11rea: 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATERAN 3 YEARS F M <
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS SA�NLt{Y AAI� NO WORK ON�
Job Address: 2024 NAUTILUS LN Legal Desc : N TR 3763 BLK L 5 Gr�`� O�0
Description: SFR CREATE DOOR OPENING AT LIVING ROOM 25 LF "CR�� O{
Owner:
Address
Phone
Applicant
Address
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:
t�
Contractor: M T R ONSTRUON Jj�° / Architect:
Address : 17 20TH ST 'U' ,r^• Address:
NAL HIL CA 90 �O
Phone : (714) 57 861 Phone
Con S Lic : 9 02 �O State Lic
Lic I pire : 3/31/2025
Bus Lic : BT30050473
Bus Lic pire : 0/31/2023
ers' Compensation Insurance
arrier :`'SEVEREST PREMIER INSURANCE COMPANY
Policy No: 7600023206231
W. Expire; 8/5/2024 <y
Mp
`Tr l•
V� S
Fire Si NO
Fire tozard Zone•; ,' NO
No of units � 1
ti
No of Stones : 2 16 /
Front: 20, Side: 6, Sid
X
R-1-6000 - Single -Unit
SPECIAL CONDITIONS:
6, : 6t c
en 0 indicates i lot
N"
t.07
NALISSUANCE DATE
HOLIDAYS IN ALL AREAS
Engineer: CHIANVTZUU PIEN
Address . 1311LNE AVE
SAN GABRIEL, CA 9 6
Phho�` ` (666 831-0818
1 `+
deaNgne r} fi
Addr�
�� .tiav r
Rhone : •yh'+` `'
�y�•
Cons ctro� @uation
A d/New I s, Bldg : 0
Iterab sW4 Bldg
Add New sq. ft. Garage: 0
T AL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
ction 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 licensure 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 70",
liness 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
�rovements 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 C a Contractors State License Law does not
ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Cor It, ' fate cerise Law).
J 1 am exempt from licensure under the Contractors' State License Law for the following reason;
sy my signature below I acknowledge that, except for my personal residence in which I must have resided
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed
'rofessions Code, is available upon request when this application is submitted or at the following Web SIM
signature of Property Owner or Authorized Agent a 1::
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of r 9 (commencing wit
nd effect. License Class Licens /
VORKERS' COMPENSATION E
rARNING: FAILURE TO SECURE WORKERS'
DST OF COMPENSATION, DAMAGES AS PR
hereby affirm under penalty of - Tie rju
7 I have and will maintain a, certif
erformance of the work for which thl
JI have and will maintain workers'
isurance carrier and policy number
one of the
lame of Agent
3 certify that, in the performance of the
1aL if I should become subject to the wor
signature of Applicant
IECLARATION REGARDING CONSTRU
hereby affirm under penalty of perjury Sh+
ender's Name %
y my signature below. I certify to each '- I
I am the property owner or authorized
I have read this application and the in
I agree to comply with all applicable c
I authorize representatives of this city
ionature of Prooertv Owner or Authorize(
ACTION I DATE
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
consWt to self -insure
Is Issued. P o
msu ce as rr
a 4
er
Po> her
k for which
s co
ON N
S following:
act on the f
AN
that a copy of the
11 ur • ,`Uv .
:fion 7000) of vi"V0,et the Business and Profes
Date�^f11a Contractor Sign _
UMINA}LL PPENNAALLTIT46 sl ES UP TO ONE HUNDRED T
Director of Industrial Relations as provided for by
this permit, I cannot
of the Business and
Code, and my license is in full force
i3i1 3700 of the L o f&%I a performance of the work for which this permit is
Expiration Date
a
Phone #
not any person in any manner so as to be °� j t tr workers compe
3700 o the Labor Code, I shall to I ON IS ons.
'�.,i j'te 1� Date_ _
lending agency for the p ante of
°^e dress
�d`bo ftidiifffiices and �sts, Ve`h� ielatmg to building cc
lu ' ' to enter the{a 46.entified property for inspe
ant %'print Prop
DECLARATION OF CO CE WITH CODE OF E
,RE,GULATI T61 OF TITLE 40 MD
403
i✓u 15UBMI E5T0$�1,�TION TO
A s°
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
USE ONLY
is issued (Section
Name
DOLLARS ($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
My workers'
laws of Califomia, and