HomeMy WebLinkAboutXR2023-0075 - PermitsCity of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U s Inspection Requests Phone: (949) 644-3255
c9<rcoaN`P newportbeachca.gov/inspections
Combination Type - PLUM
Work Class - Other
jjl11111111Ili 1111111111111111111111111111111111111111iil jjCOMB Permit : XR2023-0075
Plan Check No : PC2022-2389
Issued Date : 01/12/2023
Inspection Area : 15
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: 506 AVOCADO AVE, 1/2 Legal Desc :
Description: DEMO BACK UNIT W/ GARAGE (1 BEDROOM) 600 SF INCL SEWER CAP
Owner: 506 CAPITAL GROUP LLC
Contractor:
D L HOME
Architect:
Address : 506 AVOCADO AVE
Address :
5 UPPER NEWPORT PLZ #201
Address
CORONA DEL MAR, CA 92625
NEWPORT BEACH, CA 92660
Phone : (949) 945-9945
Phone :
(949) 945-9945
Phone
Con State Lic
: 760451
State Lic
Lic Expire :
11/30/2023
Applicant : I D L HOME
Bus Lic :
BT30059341
Engineer
Address : 5 UPPER NEWPORT PLZ #201
Bus Lic Expire : 05/31/2023
Address
NEWPORT BEACH, CA 92660
-
Phone: (949) 945-9945
Workers' Compensation Insurance
Phone:
Carrier :
Owner/Builder :
Policy No :
EXEMPT
Designer
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$6,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-4
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
Flood Zone
Use Zone
NO
CONSTRUCTION NOISE
PROCESSED BY: (
SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS
_
►,! " � ;
ON THE WEEKEND
f hereby affirm under penalty of perjury that lam exempt from the Contractors' State License Law for the reasons) 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 fiie, a signedstatement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Seoflon 7000) of Division of the Business and
Wassions Code) or met he or she is exempt: from Roensure and the basis for the alleged exomption. Any violation of Section 7031.6by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or C_) portions of the work; and the structure is not intended proffered for safe (Section 7044,
tusiness and Professions Code: The Contractors' State License Law does not apply town owner of property who, through employees' or personal effort; builds or improves the property, provided that the
mprovemenls are not intended Or offered for safe. if, however, the building or Improvement is sold within one year of completion, the Owner-Butitder will have the burden of proving that it was not built or
m roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and. Professions Code: The Contractors' State License Law does not
Ipply 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 ficensure under the Contractors' Stale 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 least one year prior to completion of the improvements covered by this permit, I cannot legalf.
*If a structure that I have built as an owtmer-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
rrofesslons Code, is available upon request when this application is submitted prat thefoliowing Web sjto:httpJ/www.leginfo.ca.goylealaw,html,
Lignatore of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of oerjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ' ndon3 of the Business and Professio C l d i license is in full force
Intl effect. License Class License No DataL d"7 Contractor Signature -
VORKERS' COMDENSATION DECLARATION
tARNING: FAILURE TO SECURr` WORP'Errr' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED USANU DOLLARS ($100ASOL 0 AUDfi10N TO THE
�OST OF COMREryaATNAN, 6AMAOE3:.8 PRtsYIDEO FOR IN SECTION STOb OF THE LABOR DODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintaat a Lenifi ate of consent to selfdnsure for workers` compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erfommnce of the wrark;cr which this rermit is issued. Policy No..
11 have and will maintain work)rs Lc,npensatlon insurance, as required by Section 3700 of the Labor Cod% for the performance of the work for which this permit is issued. My workers' compensetiol
Isurance carder and policy numhPr aye
:arrier Policy Number Expiration Date
lame of Agent _ _ _ _ Phone tk
91 cer fy that, in trig pe?)rmanee or the work for hick 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
let, If I should become subject to the wurW, pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
of Applicant
neby affirm undialo laky of peaL411T§tethere is a construction lending agency for the
rde's Name Lent
my signature below, 1 Cat W 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.
Date®I�Z D� mm
work for which this permit is issued (Section 3097, Civil Code).
I agree to comply With all applicable city and County rdinanDes rid rate laws relating to building construction.
I authorize representatives of this city or county to n the ov - nflfied c perry for inspection purposes.
ii nalure of Property Owner or Authorized A ent Print Property Owner's or Authorized AC
ACTION DATE: 6y ^V1 DEqPKTIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
rcnmrt revnL ^ r t CSTOS 40TI A ION IS OF APPLICABLE TO
CEOTIFICATEOF 2i l ROPOSED OEM CICCUPANCYIS5UED trrwen rvc.. //
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