HomeMy WebLinkAboutXR2023-0242 - PermitsaECPo�� City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII IIII IIIIIIII II COMB Permit : XR2023-0242
Community Development Department- Building Division X R 2 0 2 3 0 2 4 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0184
Permit Counter Phone: (949) 644-3288 Issued Date : 01/27/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
ggcoaN newportbeachca.govfinspections
Combination Type - MFP ELEC MECH PLUM
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 : 700 MARGUERITE AVE Legal Desc : A TR CORONA DEL MAR BLK 739 LOT 2 UN 1 CORONA DEL MAR, BLK 7 39, LOT 2 OF PROJECT
938-01
Description: MFR- INTERIOR ALTERATION OF 2ND FL BATHROOM 120 SF
Owner:
Address
Phone
Applicant
Address :
MOLLY SCOTT Contractor
700 MARGUERITE AVE `s
CORONA DEL MAR, CA 92626 �1
(949) 743-1396
BRYCE HOVE,
576 WALD
IRVINE, CA 92618
Phone : (949)861-3419 O �.
Owner/Builder
Address : (�
Phone :
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Address:
Phone
SEA POINTE CONSTRUCTION
576 WALD STREET
IRVINE, CA 92618
(949) 279-0421
Con State Lic :
665114
Lic Expire :
02/28/2023
Bus Lic:
BT30016203
Bus Lic Expire :
07/31/2023
Workers' Compensation Insurance
Carrier: EVEREST PREMIER INS CO
Policy No: 7600001365221
W. C. Expire : 3/1/2023
Architect : GOERITZ MELLISSA
Address : 576 WALD IRVINE, CA 92618
Phone: (949)447-3385
State Lic
Engineer:
Address
Phone :
Designer:
Address
Phone:
Fire Sprinklers : NO Construction Valuation : $47,000.00
Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
No of Units : 2 Alteration sq. ft. Bldg: 120
No of Stories : 2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
00 000
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of penury 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 applicableitem(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is 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
'rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any. violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
tot more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure Is not intended or offered for sale (Section 7044,
luMness 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 that it was not builtor
nproved for the purpose of sale),
3 f, as 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
tpply 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).
3 1 am exempt from ficensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the Improvements covered by this permit, I cannot legalll
all 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 the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of p that I am licensed under provisions o r 9 ( ommencing with Section 7000) f Of 3 of the Business and Professi s Code, d my l P se is In full force
tnd effect. License Class SG License NoDate Contractor Signature.
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 00,0001, IN ADDITION TO THE
'.OST OF COMPENSATION: DAMAOFS AS PROVIDED FOR 1N SECTION 6706 OF THE LABORCODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for th
rmance of the work for which this permit is issued. Polley No.
91 va and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thi pe it isatfor s issued. My workers' compen
isur nca carrier and pollc�y nnumber '
er &. i I F"dZ✓��L Policy Number ��i%����� l� 57� Expiration Date
lame of Agent Phone If
Certify that, in the performance Of the workr wphich tt�ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' comps sation i-ws of California, and agree
If I should become su he wor om s s Lion provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions.
Iature of Applicant `- ry
'I ARATIr7N Plat 2nII CONSTRtTCTION LENiFt AGENCY
hereby affirm under penalty of perjury that there is a consthuctlon lending agency for the performance of the work for which this permit. is issued (Section 3097, Civil Cade).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state r vs relating to building construction.
I authorize representatives of this city or county to. en a abov fie property for inspection purposes. v �_
Signature of Property Owner or Authonzed Ngont Pont Property Owner's or Authorized Agent's Name L C� �V� Date `
p
ACTION DATE BY RATION Of COMPLIANCE V'1'1'H CODE OI rEDERA' I PoR OFFICE USE ONLY
KREGULATIONS PART 61 OF TITLE uO AND AOMD RULE _
1403 _
PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
CERTIFICATE OF J -ai
OCCUPANCYISSUED
NOTIFICATION IS NOT APPLIC"I.E 1"0