HomeMy WebLinkAboutXR2023-1221 - PermitsE.wao Cityof Newport Beach II���I�� �I�I� �����I���� ���� ��I��I��I�� 111 II
�� aTA Community Development Department Division coM6 Permit : XR2023-1221
p Y P P 9 X R 2 0 2 3 1 2 2 1
f 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1888
U Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023
newportbeachca.gov/civic Inspection Area : 1
9UFp0.N Combination Type - MFP
Work Class - Other
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: 611 LIDO PARK DR, 8F Legal Desc : N TR 815 BLK LOT 2 UN 2A TR 815 LOT 2 AND FOR LOT 3 AN UND 1 /42 INT
Description: MFR NEW FLOORING AND LIGHTING (RENEW EXPIRED PERMIT XR2022-2056)
Owner: 611 LIDO LLC
Contractor :
Architect : BROWN LANCE G
Address :
Address :
Address : 2901 W MACARTHUR BLVD #101 SANTA
JACKSON, WY 83001
ANA, CA 92704
Phone :
Phone :
Phone : (714) 427-0370
Con State Lie :
_
State Lie
Lie Expire:
• -
Applicant: KATRINA REITER
Bus Lie:
Engineer
Address: 2 GILLY FLOWER
Bus Lie Expire
: Address
LADERA RANCH, CA 92694
Phone : (714) 273-9536
Workers' Compensation Insurance Phone
Carrier:
Owner/Builder: KATRINA REITER
Policy No:
Designer:
Address: 2 GILLY FLOWER
W. C. Expire:
Address
LADERA RANCH, CA 92694
Phone : (714) 273-9536
Phone
Code Edition : 2019
Fire Sprinklers
: NO Construction Valuation
Type of Construction : I -A
Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units :
41 Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
8 Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 20
Flood Zone : AO 1; X
Use Zone: RM - Multiple Residential
NO CONSTRUCTION NOOSE
PROCESSED BY:
SPECIAL CONDITIONS: FEES PAID ON XR2022-2056)
9.fs�—
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ON THE WEEKEND 11 FA
OWNER -BUILDER DECLARATION
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 ftem(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
the perm190 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
' Profea ns 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
not ra than five hundred dollars ($500).
at, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business 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
Improvements 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
improved for the purpose of sals),
0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
[I I am exempt from licensors under the Contractors' State Licehse Law tot the following reason: ---
By my signature below I acknowledge that, except for my f's
which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall!
sell a structure that I have built as an ow nar-builder ff it haconrucd in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7p44 of t a B sines& and
Professions Code, is available upon request when apsub or at the following Web sitefhttp:/iwww.leginto.ca.gov/calaw.html,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATICQfi
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700p) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
WORKERS' COLi�'_VSATION DECLARATION
WARNING: FAILURE TC ! "_;,'RE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TOONE HUNOREO THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
CP3T O-^,,MPENSPTTON, DAMAGES" PROVIDED FOR IN SECTION 3703 OF THE LABOR COOP, INTEREST, AND ATTORNEYS FEES.
IIhhareby of firm tin Jai f+enal€y of perjury one of the following declarations:
L,•. I 'iavt and will 1lainta4n a certificate of consent to salt -insure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work Tor which this permit is issued. Policy No.
t,ava and will Theme:n 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'
ranee carrier and poll^,y number are:
Policy Number
of Agent
Date
certify that. it file )or ormance of the work 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
I if I should beco,ne subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
J of Apo[: S.A _ .__ Date
CLARATION kLOARDiNG CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Iders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorizers 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 applicablecity and county ordma - ss rid state laws relating to building construction. '-r� (�
I authorize representatives of this city or county to mart - -Id nllfied property for inspection purposes. ��Y `� 1 /1 r(-/j 7�'YI
nature of PrODertv Owner or Authorized Adent i Print Property Owner's or Authorized Agent's Nam IIJy`1 al CLU Data
ACTION
EXPIRED
PERMIT EXTENOED
PERMIT FINAL
CERTIFTCATE Of
OCCUPANCY ISSUED
DATE BY / ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE
U ASBESTOS NOTIFICA LION IS NOT API tO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
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