HomeMy WebLinkAboutXR2023-0387 - Permits04'.
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
nenewportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
jji111111111111111111111111111111111111111111111111111111jjCOMB Permit : XR2023-0387
Plan Check No : PC2023-0302
Issued Date : 02/13/2023
Inspection Area: 6
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: 5 SEAFARING DR
Description: SFR ALT (E) BATHROOM 50 SF
Owner: DANIEL VOGT
Address : 5 SEAFARING DR
CORONA DEL MAR, CA 92625
Phone: (949)241-7000
Applicant: DANIEL VOGT
Address: 5 SEAFARING DR
CORONA DEL MAR, CA 92625
Phone: (949)241-7000
Owner/Builder : DANIEL VOGT
Address : 5 SEAFARING DR
CORONA DEL MAR, CA 92625
Phone: (949)241-7000
Legal Dose: N TR 7967 BILK LOT 54
Contractor
Address :
Phone:
Con State Lie
Lie Expire:
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer: CROSS KIRK
Address: 3198-D AIRPORT LOOP DR
COSTA MESA, CA 92626
Phone : (714) 556-5475
Designer:
Address :
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 : R-3
No of Units :
1
Alteration sq. ft. Bldg :
50
Bldg Height :
No of Stories ;
1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks : Front: 15, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Jasmine Creek
PROCESSED BY:
SPECIAL CONDITIONS:
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 item(s)
(Section 7031.6, 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 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
Professions Code) or that he or she Is exempt from Ecensure and the basis for the alleged exemption. Any violation of Section 7091,5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)..
El I, as owner of the property, or my employees with wages as their sole compensation, will do L) ail of or (_) portions of the work, and the structure is not intended orofYered 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. 11, however, the building or improvement is sold within one year of completion, ft Owner -Builder will have the burden of proving that it was not built or
qpVtoved for the purpose of sale).
Ia„ lll
s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code; The Contractors' State License Law does not
ED"Can 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:
By my signature below f. acknowledge that, except for my personal residence in which I must have resided for at lust one year prior to completion of the improvements covered by this permit, t cannot legall'.
sell a structure that I have built as an owner -bull r F' has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, SocNo 7 4�Susiness Profasslons Gode, Is available upon request wh s a ication is subm t the following'/Jab stlaihilp;!/wvaw.kaginfo.oa.govtcalaw.html.Signature of Property Owner or Authorized Ag -
LICENSED CONTRACTORS DECLARA
I hereby affirm under penally of perjury that I am licensZtst under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code andmy license is In full force
and effect. License Class License No Date Contractor Signature.
COMPENSATION DECLARATION
fARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS t5100,0001, IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain o certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Sech'on 3700 of the Labor Code, for the
orformance of the work for which this permit is issued. Policy No,
have and will maintain workers' compensationinsurance, 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 policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for whilop this permit is Issued I shall not employ any person in any manner so as to become subject to the workers' ompensation laws ofCalifomia, and agree
I, if I should bee e ubj thhee—w�or�kers'Do on provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
nature of Applicant \IL_�l"�. YL _ _. 7
CLARATiON REGfOWQXONSTRUCTIO"ENDING AGENCY' /
areby affirm under penalty of pehury that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097, If Code)
hders Name Lenders Address
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 Inances and state laws rel .:Gilding construction
I authorize representatives of this city or county t titer t t1E .(hove-IdanBfje rop y far inspection purposes.
Of CONIPLIANCEW17HCODEOFFE:DF..RAL ! FOR OFFICE USE ONLY
PART fit OF TITLE 40 AND AQUAD RULE
PERMIT EXPIRED L.) I SUBIVIII TED ASBESTOS NOTIFICATION TO
PERMIT&W ELLED ���-- EP�
PERu17 EXTENDED ONR
PERMff fINA[��� --ff
jQ•2i pjL/�- I yB,rSTOA4itFl f IS NOT APe4lttAe �.
CER7fE1CATE OFGGc "0L1TlC
OCCUPANCY ISSUED [ sIrNan mrA