HomeMy WebLinkAboutXR2023-0423 - PermitseWPoRr City of Newport Beach
D p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq<rFOR��P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
IIIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIilllllllllllll II f COMB permit : XR2023-0423
Plan Check No: 1272-2021
Issued Date : 02/14/2023
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 : 1726 CANDLESTICK LN
Description:
***CHANGE OF CONTRACTOR*** SFR CHANT
Owner:
HILARY SHALLA
Address :
1726 CANDLESTICK LN
NEWPORT BEACH, CA 92660 -
Phone:
(949)331-5327
Applicant:
WILLIAMLUSHBAUGH
Address :
17191 CITRON
IRVINE, CA 92612 -
Phone:
(949)584-2166
Owner/Builder :
Address:
& REMODEL MST. BATH 200 SF
Architect: WILLIAMLUSHBAUGH
Address: 17191 CITRON IRVINE, CA 92612
8
Phone: (949)584-2166
State Lic : CO24867
Phone:
Code Edition :
2019
Fire Sprinklers ::'
- NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1 -
Bldg Height:
No of Stories,:
1
Building Setbacks :
Front: 20,
Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone:
R-1-6000
- Single -Unit Residential (6000 indicates minimum
lot area)'
PROCESSED BY:
SPECIAL CONDITIONS: CHANGE OF CONTRACTOR
Engineer: JAMIL BASHAR S
Address : 751 SHASTA DR
CORONA, CA 92881
Phone: (714)883-4124
UND
Designer:
Address
Phone :
Construction Valuation
PAdded/New/Tlsq. ft. Bldg: 0
Alteration sq. ft. Bldg : 200
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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I hereby affirm under penalty of perjury that I am exempt from the Cordmotors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
coon 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
permit to fife a signed statement that he or she is licensed pu€m ant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure 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
more than five hundred dollars ($500). 1
J 1, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions at the i
lusiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through emp
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completk
Ti roved for the purpose of sale).
I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044. Bw
P�ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pul
J I am exempt from licensure under the Contractors' State License Law for the following reason:
iy my signature below I acknowledge that, except for my personal residence 1n which I must have resided for at least one year
ell a structure that I have bust as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under,
'ro£essions Code, is available upon request when this application is submitted or at the following Web aite:httpJtwww,leginfo.c
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000 ojpi
nd effect. License Class — _ License No Date - / al
COMPENSATION DECLARATION
WARNING FAILURE TO SECURE WORKER& COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CIF
:DST OFCO,NFENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANDATTORNEYS FEES,
hereby affign under penalty of perjury one of the following declarations:
k, and the structure is not intended or offered for sale (Section 7044,
gees or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that ill was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements coven
that a copy of the applicable law, Section
and
of the Business and Prof io ode, ar rM my licegse Is in full force
Contractor Signature
v
L FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,OOD), IN. ADMION TO T
I hay6 and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of [noustrial Relations as provided for by Section 3700 of the Labor Code, forth
fo once of the work for which this permit is Issued. Policy No.
have and will maintain rkers' compensation i nce, as required by Section 3700 of the Labor Code, for the perfo ante of the Work for which this permit is issued. My workers' compensatiol
urance carder and policy umber are:
rder Policy Number Expiration Date
ma of Agent Phone #A
I certify that, in the=pedurythe
for which this permit Is issued, I shall not employ any person in any manner so a� to become subject to the workers compensation laws of California, and agre
t, if I should becom' Compensation p s of Sacion 3700 of the Labor Code, I shall forthwith comply with. those provisions.
;nature of Applicant
CLARATION REGACO ON ING AGENCY I
?reby affirm under pat ere is a construction lending agency for the performance of the work for which thi'# permit is issued (Section 3097. Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the p arty owner's behalf.
I have read ave plicsfion and the information I hro clod is correct.
I airee to U%p!,441th all applicable city and county o Inggones and state la adng to building construction.
.lauthorize �pregPrtltatives of this city or county 1Io en rpje above -id red property for inspection purposes.
• I // V tI - ,� diet v•F /� r/ (nature of PODaeftV PlWner or AURwdzed Avert PHn1 Prvnarfv Chunar'c nr Aurhre44ur5 Ananr"c Noma
R
REGULATIONS PART fir OF TITLE 40 AND AQMD RULE
u•••• 1403
I U I SUBMITTED ASBESTOS NOTIFICATION TO
yexwyl ANAL • .R nn�r HFSTOS TIFlQQQQAAAATION 15 NOT APPLICABLE 'to
CERTIFICATEOF • e 'L'`3 PROPOSEDD OLI]�N
"S(.iPANCy#SS•U'D ` SIGNATURE:
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•m Rs