HomeMy WebLinkAboutXR2022-1988 - Permitse wuvoRr City of Newport Beach
D A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u Inspection Requests Phone: (949) 644-3255
C,4/FppN�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
IN S m (C-7
COMB Permit : XR2022-1988
Plan Check No: PC2022-1833
Issued Date :
Inspection Area : 6
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 : 719 LARKSPUR AVE
Legal Desc : A TR CORONA -DEL MAR BILK 737 LOT 19
Description:
MFR ALT: REMODEL (E) BATHROOMS AND KITCHEN 180 SIF
Owner:
Ralph Emerson
Contractor : 0V4v1.W
Architect
Address :
719 Larkspur Corona del Mar, CA 92625
.�Ur'l�Pi
Address :
Address
Phone :
(714) 296-5326
Phone :
Phone :
Con State Lie :
State Lie
Applicant:
Ralph Emerson
Lic Expire
Address:
719 Larkspur Corona del Mar, CA 92625
Bus Lie:
Engineer:
Phone :
(714) 296-5326
Bus Lie Expire :
Address
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Workers' Compensation insurance
Carrier':
Policy No
W. C.`-Expire
2019
Fire Sprinklers :
NO
V-B
Fire Hazard Zone's
Y
R-3
No of Units :
2
No of Stories :
2
Front: 20, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS:
••
•
• a
••Y•3ti
• 4
•O JGYC
9 • .
• O
Y1tl FJ9
ID f
m+m•
Ralph Emerson
719 Larkspur Corona del Mar, CA 92625
(714)296-5326
Valuation : $65,000.00
TI sq. ft. Bldg : 180
sq. ft. Garage : 0
License Law for the
checkmark(s) I have placed next to the: applicable Item(s)
or
or
and
y of
), 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,.-
Mass 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 ownerof the property, am exclusivefycontraoting with licensed Contractors to Construct the project (Section :7044,.Business and Professions Code: The Contractors' State License Law doesnot.
dy, town 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 exemp+tiranilicansure under the Contractors' State License Law for the following reason
I flgget p?mity of perjury that I am licensed under provisions of Chapter .9:(commencing with Section 7000).of Division 3 of the Business and Professions Code, and :my license Is In full force
Canso Class License No Date Contractor. Signature
06MP+SATION DECLARATION
RE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED: THOUSAND DOLLARS ($400,0001: IN ADDRH)N TO THE
NSA)'ION, DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
wide; plInalty of perjury. oneof the following declarations:
14111 malritahi a certificate of consent to self -insure for workers' compensation, issued.. by the DirectorofIndustrial: Relations as provided for by Section 3700 of the -Labor Code, for th
Wile wol for which this permit is issued. Policy No.
will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this. permit is issued. My workers' compensatiol
jar and policy number area .
Policy Number Expiration Data
t Phone If
in the Do 'a
o -work for which this permit 18 issued, I shall not employ any person in any manner so as to become subject to the workers' componsation laws of Ca lfomia, and agree
i becomes jest to th rkers' compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
pplicanl_ Data,.
N REGARDING CONSTRUCTIGN LE DiNG AGENCY
under penaltyof perjury thatihere is a'construction lending agency for the performance of the work for which this permit: is issued (Section 3097, Civil Cod$):.
my signature below, I certify to each of the follow)
I am that property owner or authorized to act on
I have read this application and the information I
1 agree to comply with all applicable city and COL
I authorize representatives of this city or county'
Dx-.A.—
ier's behalf.
is Correct.
0
EpA ---- --- -- - All required alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall
be In place prior to approval to fill pool/spa & shall remain in place & he maintained for the
ASBESTOS NCjTIFICATION ISNOT APPLICABLE TO life of the pool.