HomeMy WebLinkAboutXR2023-0959 - Permits�EWPo T City of Newport Beach
`' RA Community Development Department- Building Division X R 2 0 2 3 0 9 5 9
100 Civic Center Drive, Newport Beach, CA 9266D
u 2 Permit Counter Phone: (949) 644-3288
c P Inspection Requests Phone: (949) 644-3255
"0ciroaP` newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2023-0959
Plan Check No
Issued Date : 04/13/2023
Inspection Area : 2
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 : 27 HARBOR ISLAND
Legal Desc : N TR 802 BLK LOT 27 TR 802 LOT 27 ALL -INC BET SAME & HIGH T IDE
Description: SFR REROOF T/O SLATE AND COMP AND REPLACE
W/ COMP 48 SOS
Owner: NANCY YOUNGMAN
Contractor :
Architect
Address : 27 HARBOR ISLAND
Address :
Address
NEWPORT BEACH, CA 92660
Phone: (949) 887-3197
Phone :
Phone
Con State Lie :
State Lie
Lie Expire:
•'
Applicant: MICHAEL COTE
Bus Lie :
Engineer
Address : 26000 Avenida Aeropuerto #51
Bus Lie Expire :
Address : r'
San Juan Capistrano, CA 92675
Phone: (949) 519-5949
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : NANCY YOUNGMAN
Policy No :
Designer
Address: 27 HARBOR ISLAND
W. C. Expire:
Address
NEWPORT BEACH, CA 92660
Phone: (949) 887-3197
-
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $35,00mc -
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Tl sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg: - -
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 15, Front: 15, Side: 4, Side: 4
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION
O/B FORM ATTACHED
I hereby affirm 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 {teal
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, allor. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
fessions 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
more than five hundred dollars ($500).
I, as ownerof the property, or my employees with wages as their sole compensation, will do j_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness and professions Code: The Contractors' State License Law does not apply to an owner of property what through employees' or personal effort, builds or improves the property, provided that the
rovemenis 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).
'has owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
iy 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 licensure under the Contractors' State License Law for the following reason: _----
y 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
all a structure that I have built as an owner-bwldXN
has notbsen constructed in' nbr ty by licensed contractors. understand that a copy of the applicable law, Section I
'rofessions Code, is available upon request whea 'v su �t the [owing Web site:httpJ/www.leginfo.ca.govlcalaw.html.
lignature of Property Owner or Authorized Agent Gs Dat
ACENSED CONTRACTOR'S DECLARATI
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenc[ng with Section 7000) of Division 3"of the Business and Professions Code, ai
rid effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
of the Business and
my license is In full force
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION To T
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND A"ORNEY'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
erformance of the work for which this permit is Issued. Policy No. _
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'
francs carrier and policy number are:
Policy Number
of Agent
Date
-1I certify that In the perf rmance of the work for which this armit is issued, I shall not employ person in any manner so as to become subject to the workers' compensation taws of California, and agre,
hat, if I should becom s bjeet to the workers' corn o p f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '}\��f
3lgnalure of Appticant'. Da J
)ECLARATION REG DI CONS tlC N LENDING AGENCY
hereby affirm coder p ,natty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 30%, Ci it Code).
tinder's Name Lender's Address
3y my signature ur,lvw, I certify to each of the following:
I Lm the property cwner or authorized to act on the property owner's behalf.
' 'lave read th.s application and the information I have provided Is correct.
I igree to ccmply'vith all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cou o on r the above•id 3ff e for inspection purposes. N �! /� �✓ /'_ �3 Z'
;;i,imure of F. ooert" Owner or Authorized Print Property Owner's or Authorized Agent's
ACi1JN DATE By V I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART Gt OF TITLE 40 AND AQMD RULE
'FPMIT EXPIRE?
I SUBMITTED ASBESTOS NOTIFICATION TO
?'PMIT CANCELLED
EPA
PERMIT EXTEAOFu
PERMITFINAL
ASBEST S OIIHLAFHtid'IS' APPLICAB To
NLiI _
CERTIFICATE OF
OCCUPANCY ISSUED
�''(/'�'
OSED- OUT
! IGNATURE�
rn
E' '9
co
xzCD
U F N
W
Q
Uoo
W MM
W D
0) Q
OZ
a Q to a
OC'7r- U
X U
W dam°M
zW�oo
a) m
F >_
ICI U
U O
U 0
O
0
O c t m m
o E� d`oo
o O LL NN o c ID m
C >
O
a
,s(D, a Q m
ta Q ) )
n
12 0 C C U ID
J '> _ 'v .s
> E L c
O N C
a T N m
C `
_ _ "� o
c c m o
W m Y m m
OZ
E _
m
c m m O m E o
-'& o
y E J � T
co W > p O
p) m n
O ��( rmm
N a a ¢N 0
J N
N = m O 0 J O c a n = o
Ein
N w N
F L C m Mn C
t J E ID as m
c c U
c c o
p)at aOOo c
LE5 w � w
c
>'o,o c m r m
m > 3 d m U
c o >p C)O0 NB
NT° cXOca72Z.-coYo
E o m 0=
NpCh
U>, a
m
a. m-_
G
a. m O c N
C O_ m m L m j N'
ID¢m�mo303aE`
O ET c.oa
C N L T om cm °YwY -`aN ca V� °N� °
o c mE o o o- o roJ jOcp) ammTE
o•3cao Tcm o ma Eo
CD
CO (D C a)C m 'c = N y 3 N y
G C m 3 N C O O 'c `O C 'rn- m N c (D N
h 3Da N 4)'] J y CU Q w- N1]� 0 O O N
w O> J N m. p a m T C tm N
T N T J_ G ` `� m m U O N N E �1 m" m
N N
a) am a'E ° ;� $ ac) E �ca E 0 m�y-op c
o E m m
a m c a m r E r w m m co c a) O o` m a 3
G r o > a w o m C L 0 3 m C C 0- N O
�0 >. ` O 'O m a J m J w
> 1: O m U d 0 m L 'O o d m 'O O rpil 4)) N 3 t m m _ J
a Loco=mc n° m� m o�m mom
O a 'O m m O "O N m 3 N
O' N T N > J m E N N N m L w m Y m N w m 0 J
m V N c G .c G n m 'o :: m c L a 0 O N
C y E O a) T N U a f6 U T`- m r�. 3 O U '3 3
p m N p N N 'U _ c N CD N m o- J c 'O y m
� J.; m> E a s A C C m m m m � a E E m s a T
Ia aow m a m > a) my oa �+
N d mv n c o
N O y .O m �•' "' >. YO m m 'a) = a U U) M G m N C d N u ' m Y m
o�E m m c m Edo 0 c 0 >,X m� -0a N� � y E
G U T J m C _
mE U NJCmOECvJi3 pa M t� NUaT) p_ -,_C Um UC mcU am N rO
Uo ` E `cm co N
ID N Um
m m m E mm 0 C 6 o-C N
0Nmme E- Ecw oo cocaa mc o� mopmE m0 °-oa1°E
"N' m N N C 2 V D E N a) o E E cmc N Y M C"
m aY2'�°`am Ec 3>, mm Tom D 0y °N0 0
m cNa)'o a`) 0Es �� nma) N3�� mEN� Sat
m aciE0 cc coo 0o °E E5:a 0 -m a) L)
J`m 0o cU coo'-' E2m a >c Oac)>E a`)2=o Ooc
Ana. m� t n - o EEo�
E m c r U m
S 0 c a m c a M 'U U
m mcm�rop ac my U° -0a wa E� J 0pm mGw
co
U c E -O ` m >` O c N c m T
_ m
C
E cc
mc
wEo3yNEy�wc0 m 0 �
CD m admmo m
ma .o�ET`J�co�rCmol-oNp a C_�J_
am a - C a OO
Q ) `m V U m m Oca
p U
KITA E O m p O
mEEE WE m
2-> '
rn3r_C Iac
U 0 G o _ f, C m w o G m G� O JCl m m
0 PPifTTTT:�. 0 o m m o "'�-IIII i ��VV J a U m co m a m
C
E N
2E�cm
E�
0
m
00a CO
Ec
m
c o
E E-cc:u
N
C' C
o
O
N
me
cp
m N
)
C O N
O OO+
Oc 011
m o
I N
o
m com
N
-an
n n . O
' N_
o. a
O C ,N
m 0
E �-(CDM
g �
Q
C 00
Q W
d N
C
O N _
0,
m C � Tn
N? N N
� N
d
m'Om
a
�' T
C
O C -1
N
Eu)ioU
30
O
O N o� p
C .m. ,N m p
m-p
d U)
o -0 m
E c
T
c o
N m
CO N r{
CCU 'O
J m
U
o V m m
a)
C
O CO
N m 0 U
$wU)-
m a
E
m
cQo`oO
Ers
m
m mcu N
N J C� p
m m m
�ac)Eom
E�-`o
c TU E
m.o-p
7
d
— C m
UC1
C C
W
O y
O
�SmU
ho-
�coo
m m o
m
-
E��
c
'p 0)
cca)OD9,2
T
C Q
Cw
O m N U N
C-
m L C t` :E
Eo '3ucmn3
6
a)r�
p
a
O
�,
U N m L= O
a t
�``
Q
M
m N m U T 3 N
m
a L :4
V_
0 0
o° T E o m
d.
rn c
`o 0
U
C 3 >� N
OI 0 =
m
a)
;
w
T c N T O O
w U
c U) V-m
c
a) TmL a)
m v
C`
"�
a U
m
C
4 T
a
aOo
(a
E�p
LaO
C`
Q�
a) 0
Y } T L
L i
O.
a)
U O".Ocp-
in c
V'
at�OOa)
V
OL
m m
O m L T
O N
C N .0
•Q O
O
N CLO C a)
a a) E �.� 3:
N'O C m
>> m o
a �
Em�a
�c
�JUo
m a)
Et a)
S
d p
a) 0 CO N
.
y
a
�'>
inmr3II�
m 0-0 O
a10)a�'
to
N O
0 p'� �,..
'a) ai 0
O Q
m m N - c
T C m )O N O U
W d C a)
C
0 A E
0:3
L
o..
'p N m
m
m ri O m
o
L N
y
�v
O
C
N .L... •a 0' 0 m
T ,�
c.. Q)
N
_
NN O O O O o>
V m 0
m d
o
O)
�a
o$
° m
Q
m � m'�� c
$ m 0.
> C
O) c
w ca EGCYa0)m
6V«m
`oa)=ID
Q
m
3°
N p T aL+ = L C
c= 0 L.
O 1/1
a
�OCO
N
c Eo°.3c
�
c
`�ca
L
mmG
0
01
ty 3
c°)Eopaa))-_�)'
aa))
F-
m
OwUa
0 'C
acpRo
N N O_
00a)>m
mQm
m
C
EE
mco�
o
Oa
c0
ca c-
Z-j?:1-L)0pp20
012
� o p
'ID
n w m
A
ry O 3
m
o
z
a)
aOa�
mU O'
L N 2
O Z U
c
m
3 m
m
O U
w
C O
a
o o m
moos,
'
w U U to
p m .
E c c m
m CO o 3
- C cO O
1.0
0
E(Da
U
Z O i
�
�c m c
Q
m
_
aWow
n
c
c
O O w
a
Q
m
w m o
v`
0 ro 0
Q
O
N
N N a
a
O
N
O
O LO a)
C
o
L
m a O N
U
w
=
Q
Q
O
= w h
>.
J
O
N
m p
m
N
U o y m
` c Q
m
p
m o
CL _
I
ru
zY
c
O
N
0
C -il
E `a
C
0 rn
N
N
O
N