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HomeMy WebLinkAboutXR2022-2356 - Permits?EWPo,�T City of Newport Beach p @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �q��roxa`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition �������IIII����IIII��III��II IIIIII��III111111111111111COMB Permit : XR2022-2356 Plan Check No : PC2022-2198 Issued Date : 01/03/2023 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: 429 RIVERSIDE AVE Legal Desc : A TR FIRST ADD TO.NEWPORT HEIGHTS BLK 24 LOT 16 Description: SFR ADD DETACHED ADU 662 SF (ABOVE DETACHED: GARAGE) Owner: CHRISTOPHER FLETCHER Address : 500 31ST ST NEWPORT BEACH, CA 92663 Phone Applicant: OLIVE TREE CONSTRUCTION INC. Address : 1048IRVINE AVE, STE #167 NEWPORT BEACH, CA 92660 Phone: (949)378-8456 Owner/Builder : Address : Phone Contractor: OLIVE TREE CONSTRUCTION INC Address : 1048 IRVINE AVE, STE #167 NEWPORT BEACH, CA 92660 Phone : (949) 378-8456 Con State Lic : 523488 Lic Expire : 12/31/2023 Bus Lic: BT30028903 Bus Lic Expire : 01/31/2023 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD506228801 W. C. Expire : 10/1/2023 Architect Address Phone: State Lic Engineer : GABRIEL MICHAEL R , Address : 483 E 20TH STREET COSTA MESA, CA 92627 Phone: (949)646-6596 Designer : BILL GUIDERO Address : 425 30TH ST, 23 NEWPORT BEACH, CA,92661 Phone: (949)675-2626 " Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : - Single -Unit Residential (J//R-1 PROCESSED BY: //k SPECIAL CONDITIONS: 4 3.l 1 it $120,od .d' 662 0 662 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckmark(s) I have placed next to the applicable Dennis) Section 7031 a, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to 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 7090) of Division of the Business and rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemplhon. 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 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or ( ) 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 property,provided that the nprovements 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 11 was not built or nproved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 71344, Business and Professions Code: The Contractors' Stale License Law does not ply 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 am exempt from Qcensure under the Contractors' State License Law for the 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 legall) oil a structure that I have built as an owner -builder if it has not bean constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 Of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:http3Mww.leginfo.ca,gov)calow.html. signature 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 70.00) T' Divisib 3 of the Business and Professions .Ws, an license is in full force rid effect. License Class License No. Date z Contractor Signature. PORKERS' COY PFNSATION DECLARATION ARNING: FAILURE Tn 4FC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL. FRIES UP TOONE HUNDRED THOUSAND DOLLARS t6100,000u tN ADDITION TO THE 'SST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR LODE, INTEREST, AND ATTORNEYS FEES. !;ereby : ffirm upaz-poralty of perjury one of the following declarations: I 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+ arfor,nance of the work for which this permit is issued. Policy No, and will me'rtdin 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 am: or Agent Policy Number Expiration Date Phone Is Gedif; that, in.. the, pa, formance 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 if I should bercme rubiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply With those provisions. Of Date 3 - Z SCLARATION v:�GAADING CONSTRUCTION LENDING AGENCY hereby 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 Code). enders 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 state laws relating to building construction. I authorize representatives of this city or county t r the ail Vey identified property for inspection purposes. .�/ lanatum of Prooenv Owner or Authorized Agent ✓��"�� Print Property Owner's or Authorized Auent's Name/ r ��� � � s r ACTION DATE 3V DECLLARA DNS OA OM OF TITLE 40HCODE OF AND AQMD FEDERAL I FOR OFFICE USE ONLY PERMIT CANCELLED PERM17ExTENDEO TTU7-EEP-AA L1pr>,MD PERMiTFINA1 ��� ALns p$gESTOS NUTIfit:A'F1rIN i5 NOT APFLi{iABt.£ TO CERTINCATEOF �Mf6 1 PROPOSEODOMOLIPON OCCUPANCY ISSUED 1 SIGNATURE-