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Home My WebLink AboutXR2022-2657 - PermitsaEWP City of Newport Beach p`r \�� Community Development Department- Building Division �,100 Civic Center Drive, Newport Beach, CA 92660 4u. 1_T[ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration III I II I I II I II II COMB Permit : XR2O22-2657 Plan Check No : Issued Date : 1112212021 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 : 2227 16TH ST Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 48 NEWPORT HEIGHTS LOT 48 SELY 60 FT NWLY 390 FT Description: SFR ADD 200 SF AND REMODEL 1910 SF (RENEW EXPIRED PERMIT) Owner: GREGORY STUECKLIN Address : 2227 E 16TH ST NEWPORT BEACH. CA 92663 Phone Applicant: CASA BLANCA BUILDERS INC Address: 2785 PACIFIC COAST HWY #355 TORRANCE, CA 90505 Phone: (310)266-2597 Owner/Builder : Address : Phone Contractor: CASA BLANCA BUILDERS INC Address : 2785 PACIFIC COAST HWY #355 TORRANCE, CA 90505 Phone: (310)266-2597 Con State Lic: 878015 Lic Expire : 05/31/2024 Bus Lic: BT30077301 Bus Lic Expire : 11/30/2022 Architect: MBELU IKECHUKWU GEOFERY Address: HAWTHORNE BLVD #306 LAWNDALE, CA 90260 Phone: State Lic Engineer Address Workers' Compensation Insurance Phone Carrier: EVEREST+PREMIER+INSURANCE+COMPAN Y Policy No: 7600019499211 Designer'. W. C. Expire : 9/24/2023 Address : Phone MCCULLUM, ERIC WILLIAM 727 2ND ST STE 104 HERMOSA BEACH, CA 90254 Code Edition : 2019 Fire Sprinklers: NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 200 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 200 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt frorn the Contractors' Slate License Law for the resson(s) indicated below by the checkmari I have placed next to the applicable item(s) 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 to permit to file a signed statement that no 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 rofessions Code) or that he or she is exempt from leensure 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 of more than five hundred dollars ($500), 1 I, as owner of the property, or my employees with wagas as their sole compensation, will do L) all of or f_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, usiness 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 nprovemants 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 nproved for the purpose of sale). 1 1, 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 net poly 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). I I am exempt fmrn wensure under the Contractors' State License Law for Ire following reason' ,y 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 covered by this permit, I cannot legally ell a structure that I have built as an Gwnar-builder if it has not been constructed in its entirety by licensed contractors. I undorstand that a copy of the applicable law. Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov)calav+.html. .Ignature of Property Owner or Authorized Agent ._._..,._..___ ...............__.____ .____._... ., Date, .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penaliv of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Pr signs Cod d my license is In full force nd effect. License Class License No Dale //i--b- Z't— Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED TWO AND DOLLARS f$100,000), IN ADDITION TO THe OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty or perjury one of the following declarations: 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 rmance 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 of Agent Date 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' compensation laws of California, and agre nature of l ecanl /.r�io�� s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t, if I should becomes bled to the workers compensation provisions pp"''�/� ... _.___... ..._______._.._..__.._ _'__�__ Dat ..y_______ CLARATION REG DI STRUC710N LENDING AGENCY areby 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, Civil ode). ider's Name ._._... Lender's Address nay signature below, I certify to each of the following: uu 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, rdinart as and state laws relating l0 building construction. I authorize representatives of this city Or cou C to Titer th ove-identified property fo�,inspecnon purposes. // jr� nature of Pmoertv Owner or Authorized ADen fw-i� Lr 'Print Property Owner's or Authorized Agent's Name ,' X S AI j OL4 II I z� ACTION DATE I By DELRARATiON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓ / \ > RF.(-,LIIArIONSPAR15t OFTITI.£4il ANOAQNIDRUI,E 1403 PERMIT EXPIRED PERMIT CANCEtdEO PER,V11T EXTENDED PERAW7'FINAL CERTIFICATE Of OCCUPANCY ISSUED $ IT> FpI ICABLE 'I'O