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HomeMy WebLinkAboutXR2022-3193 - Permits��vu�oRr City of Newport Beach IIIIIIIIII II IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit : XR2022-3193 0� Community Development Department Building Division X R 2 0 2 2 3 1 9 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3064 F n Permit Counter Phone: (949) 718-1888 Issued Date : 0513112023 U S o- newportbeachca.gov/civic Inspection Area : 3 Cq<�FORN�P Combination Type - SFP ELEC MECH PLUM P 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: 2335 MESA DR Legal Base : N TR 6407 BILK LOT 43 Description: SFR INTERIOR ALTERATION APPROX 291 SF INCL GAR FLOOR SLAB, NEW BEAMS, NEW BATH/CLOSET Owner: ALEXANDER ESCALERA DISCRETIONARY TRUST Address : 500 NEWPORT CENTER DR STE850 NEWPORT BEACH, CA 92660 Phone: (949)981-8295 Applicant : Avalon Architectural, Inc. Address : 18006 SKY PARK CIR #100 IRVINE CA 921614, CA Phone: (949)640-0606 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : 2021 Contractor: MARTIN VINCENT BOYD Address : 4879 E LA PALMA AVE, 206 ANAHEIM, CA 92807 Phone: (714)701-0380 Con State Lie : 789090 Lie Expire : 12/31/2024 Bus Lie: BT30081523 Bus Lie Expire : 0513112024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1610699 W. C. Expire : 2/1/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: 3s SPECIAL CONDITIONS: HAULER:WASTE MANAGEMENT CMSD PERMIT: SD23-0108 Architect : Avalon Architectural, Inc Address: 18006 SKY PARK CIR #100 IRVINE CA 921614, CA Phone: (949)640-0606 State Lie : Engineer: ORTIZ ROBERTO Address: 1744 W KATELLA AVE ORANGE, CA 92867 Phone : (714) 997-1145 Designer: Address : Phone: NO Construction Valuation : $200,000.00 NO Added/New/T1 sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 491 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law Tor the reason(s) indicated below by the checkmark(s) I have placed next to the Iteni. Section 7031:5, Business and Professions Code: Any cityor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for in permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors'State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation ofSaction 7031:5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 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, lusiness 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 nprovemenls are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner-Bullderwill have the burden of proving that it was not built or nproved for thepurpose of sale). 3 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 not pply 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 loansure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at leastone year prior to completion of the improvements covered bythis permit, I cannot legally oil 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 theapplicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:htipllwww.feginfo.ce.gov/celaw.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 7000 of Di . ion 3of the Business and Professions Code, and my license is In full force and effect. License Class License No 1 4'+G og l� Date ContractorSignature'— VORKERS' COMPENSATION DECLARATION FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS ($100.000), IN ADDITION TO THE :DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEy'S FEES. hereby affirm under penalty 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 IN iorfoorrrpance of the work for which this permit is Issued. Policy No, i8'have ..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 isurance carder and policy number a [ :arrler� -� c_, J�Ut Policy Number (ES\�6�1� — �� Expiration Date tame of Agent Phone # certify that, in the performance of the work for which this permit is issued. I shall not' , if 1 should become subject to the wprkers' compensation provisions of Section 3700 of Applicant any person in any manner so asto become subject to the workers' compensation laws of California, and agre, Labor Code; I shall forthwith comply With those provisions. ireby 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), ides s Name Lenders Address my signature be;aA, ; oenity to each of the following: I am the proper.y owner or authorized to act on the property owner's behalf. : Oasa read this uppacation and the information I.have provided is correct. I agree to con.ply %4h all applicable city and county ordinances and state laws relating to building construction. I outhrrize representatives of this city or county to enter the aboyp-Identifled properly for inspection purposes. fir N I DATE I BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY Ifl (t REGULATIONS. PART 510E TITLE 40 AND AQMO RULE 1403 tMti EXPIREDU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQMO PEA,LIfT Fft.AL I L!/'O'7r1 NOTIFICATION IS NOT APPLICABLE TO CERifFICATEOP II 61 PROPOSEDOEMOI OCCUPANCY ISSUED I SIGNATURE: