HomeMy WebLinkAboutXR2022-3363 - PermitsCity of Newport Beach
Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP PLUM
Work Class - Alteration
COMB Permit : XR2022-3363
Plan Check No : PC2022-2567
Issued Date : 0112012023
Inspection Area : 1
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 : 4309 SEASHORE DR, 1/2 Legal Desc : THIRD ADD. TO NEWPORT BEACH, BILK. 43, LOT 5 & A POR. OF 4, O F PROJECT930-61 LOCATED
ON AP 424-444-06 TOGETHER WITH AN UN
Description: DELTA 2 TO MODIFY KITCHEN BEAM, ADD (2) WINDOWS AND REPIPE *NEW SCOPE
Owner: GLANCE PATRICK Z TR
Address: 241MPERATRICE
DANA POINT, CA 92629
Phone:
Applicant: ROBERT LAWRENCE
Address: 177 RIVERSIDE, PO BOX 2325
NEWPORT BEACH, CA 92663
Phone: (949)633-9560
Owner/Builder
Address :
Phone
Contractor: INNOVATIVE BUILDERS & DESIGN
Address : 1445 ROSE AVENUE #B
LONG BEACH, CA 90813
Phone:
(323)627-6425
Con State Lie
:-923421 - -
Lie Expire :
10/31/2024
Bus Lie:
BT30080111
Bus Lie Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Policy No: CWC01041800
W. C. Expire: 8/3/2023
Architect :
ROBERT LAWRENCE
Address :
177 RIVERSIDE, PO BOX 2325 NEWPORT
BEACH, CA 92663
Phone:
(949)633-9560
State Lie
Engineer: YAGHISHUCRII
Address: 112 E. CHAPMAN #D
ORANGE, CA 92866
Phone: (714)997-9120
Designer:
Address
Phone :
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :-
$A5,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
-0
Occupancy Groups :
U,R-3
No of Units:
1
Alteration sq. ft. Bldg:
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garagg :
- 0 -
TOTAL sq. ft.: -
• 0 o"
Building Setbacks :
Front: 5, Front: 0, Side: 3, Side: 3
Flood Zone:
VE, 15 FT; X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: REV2022-2327
HIGH DENSITY ZONE; VE15 FLOOD ZONE; LIQUEFACTION
NO CONSTf41_,�ON NOISE
ON THE WEEKEND
I hereby Billion under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 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
he 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
'rofassions Code) or that he or she is exempt from licensors 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intendedor offered for sale (Section 7044,
Iusiness 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 [list it was not built or
Tlproved for the purpose of sale).
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
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 licensure under the Contractors' State License Law for the following reason:,________—.._._.__.v_._-��-_—__-__.-._-
fy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pdor to completion of the improvements covered by this permit, I cannot legallt
all a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, isavailable upon requestwhen this application is submitted or of the following Web site:htipJiwww.leginfo.ca.govlcalaw.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 Div ion 3 of the Business and Professionsgc my license is in full force
Ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOU O LLARS ($100,0001,1N ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T06 OF THE LABOR MOE, INTEREST, AND ATTORNEY'S PEES,
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 th
erformance of the work for which this permit is issued. Policy No.
OTiave 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' compensatiol
)surance_�Qarripr and policy number are:
Policy Number Expiration Dale
of Agent
certify that, In the performance of the w4 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 agre
1, if I should become subi a we s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale_
CLARATFON REGA N RUC770N LENDING AGENCY
Ireby affirm under penalty f ped y that there is a construction lending agency for the performance of the work for which this perm it is issued (Section 3097, Civil 92,).
tdar's Name. I Lender's Address
my signature below, I cart] y to each of the following:
I am the property owner or authoA,ed to act on the properly owner's behalf.
I have read this applicatio„ and the information I have provided is car cI
I agree to comply with all applicahle city and county ordl anc an ate laws relating to building construction.
I authorize ropresematives' of Ihls city or county to eni ov -i mined property for inspection purposes, /////q]n�
nature of Proopdv Owner or Authorized Aaent Print ProOerly Owner's or Authorized Aaent's Name , 0X / 942 Date /
ACTION ( DATE ( BY DELL RATIQN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REG LA NSPART6I DFTITLE40ANDAQMD RULE
PERMIT EXPIR£O
PERMITENTENDE00 -
P€RMITFINAL IIf_16-71 MASHES IDS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
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OCCUPANCY ISSUED I SIGNATURE:
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