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HomeMy WebLinkAboutXR2022-2354 - Permits�a�WPpRT City of Newport Beach e 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 Cq</ppµN`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration 11IIIIII111111111111111111111111111111111111111111111111I jjCOMB Permit : XR2022-2354 Plan Check No : PC2022-2198 Issued Date : 0110312023 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 1052 SF, REMODEL 1292 SF Owner: CHRISTOPHER FLETCHER Contractor: OLIVE TREE CONSTRUCTION INC. Architect Address : 500 31ST ST Address : 1048 IRVINE AVE, STE #167 Address NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92660 Phone: Phone: (949)378-8456 Phone: Con State Lic : 52348B State Lic Lic Expire : 12/31/2023 Applicant: OLIVE TREE CONSTRUCTION INC. Bus Lic: BT30028903 Engineer : GABRIEL MICHAEL R Addressl: 1048 IRVINE AVE, STE #167 Bus Lic Expire : 01/31/2023 Address : 483 E 20TH STREET NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 ,, ' Phone: (949) 378-8456 Workers' Compensation Insurance Phone: (949) 646-6596 ' Carrier: INSURANCE COMPANY OF THE WEST Owner/Builder : Policy No : WSD506228801 Designer : BILL GUIDERO Address: W. C. Expire: 10/l/2023 Address: 425 30TH ST, 23 NEWPORT BEACH, CA;92CT6,;? ' Phone: - Phone: (949) 675-2626 ' Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $307,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 1,052 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 1,292 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 1,052 Building Setbacks: Front: 10, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tar the reasoi indicated below By the ehackmark(s) I have placed next to the applicable ftem(s) (SOCUOTT 7031.5, Business end 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 the 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 Professions Code) or that he or she is exempt from Hconsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_y all of or U portions of the work; and the structure is not.. intended or offered for sale (Section 7044, Business 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 improvemants 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 Improved for the purpose of scale). ❑ 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 ap ty 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 licensure under the Contractors' State License Law for the following reason: By my signature below t 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 legal], sell a structure that I havo built as an ovmar-builder if It has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted prat the following Web site:Nttp_f/www.teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f Di s' n 3 of the Business and Pmfessto e, and my license is In full force and effect. License Class License No Date Contractor Signature. �d ram` WORKERS' COM7rNSATION DECLARATION NARKING: FAILURE TC ::C: JRE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALIDES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (§i'.0e,0i IN ADDITION TO THE CG$T OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3Te8 OP THE LAaOR DOME, INTEREST, AND ATTORNEY'S FEES. I hereby affirm urA,f, yecalty of perjury one of the following declarations: D, 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 performance of the work for which this permit is issued. Policy No. and will .na:n4n workers' compensation insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued. My workers' carrier rind pnlicy number are: Policy Number Expiration Date ne of Agent Phone t# certify that, in fne,oalformanee of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre , if I should becc.ne subject to the workers' compensation provisions of Section 3700 DI the Labor Code. I shall forthwith comply %jib those provisions. iwtJ: a of App';c8,u __. Date_-_-< ` -, 7- 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 Lender's Address y my signature below, Icertify 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 ter the = ve-identified property for inspection purposes. innal„rn nr Prnnortv rlu,n.r nr "'IMAT,w] Anent Pnnt PmnarlV fTwn.r'c nr Mah.n,.ei An.ri Nam. ACTION DATE BY REGULATIONS PATIONPART 51 OF TNCE WIT40 H CODE OF FEDERRULE AL J FOR OFFICE USE ONLY PERMITCANCELLEV '-'--�7I-J-IEPA fiERn ri7 £XTENf3EPW 13AQM p_ PERM77 f1NAL-� �,(� E5i05 NofiFICATION IS NOT APPLICABLE 70 CERTIRCATE OF I PROPOSED UFUI©UTION OCCUPANCYISSUED SIGNATURE: /� �