HomeMy WebLinkAboutXR2023-1897 - PermitsF�� J'oRr City of Newport Beach II IIIIIII II IIIII I IIII IIIII III III I II II COMB Permit : XR2O23-1897
D Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1673
N'^ ? Permit Counter Phone: (949) 718-1888 Issued Date : 07/12/2023
.� newportbeachca.gov/civic Final Date:
cq//coaN�P Combination Type - MFP PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 4
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 : 2 CHATHAM CT
Legal Desc : N TR 11451 BLK LOT 1 UN 1 TR 11451 LOT
1 UNIT 1 OF�
Description: MFR REPLACE SHOWER PAN AND TILE
AROUND* MATTE-rz6Pcr�t
Owner: DANIEL WHELAN
Contractor: COASTLINE TILE AND SHOWER
Architect
Address : 12 CHATHAM CT
Address : 1671 W ARROW ROUTE
Address
NEWPORT BEACH, CA 92660
UPLAND, CA 91784
Phone: (949)248-1098
Phone: (800)313-1548
Phone:
Con State Lic : 837001
State Lic
Lic Expire : 04/30/2024
Applicant: David DiGiorgio
Bus Lic : BT30082089
Engineer : ... .
Address : 1671 W. Arrow Rte.
Bus Lic Expire : 07/31/2024
Address
Upland, CA 91786
Phone:
Workers' Compensation Insurance
Phone:
Carrier : FALLS LAKE FIRE AND CASUALTY
COMPANY
Owner/Builder :
Policy No : FLA01568202
Designer: David DiGiorgio .
Address :
W. C. Expire: 11/9/2023
Address: 1671 W. Arrow Rte.
Upland, CA 91786
Phone:
Phone:
Code Edition: 2022
Fire Sprinklers : NO
Construction Valuation : $650.1 0
Type of Construction : V-B
Fire Hazard Zone : NO
Added/Newts sq. ft. Bldg : 0
Occupancy Groups : U.R-2
No of Units : 1
Alteration sq. ft. Bldg : , ,
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Aeronutronic Ford
PROCESSED BY:
SPECIAL CONDITIONS:
DECLARATION
I hereby affirm under penalty of perjury that I Are exempt from the Contractors' State License Law for the reason(s) indicate(
'Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, dernolls
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
Professions Code) or that lie or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section S
tot more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do t_,) all of or U portions of the v
BLISIrr P.SR and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
mprovements are not intended or offered for sale. if, however, the building or improvement Is sold within one year of completl(
mproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Sue
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pur
1 am exempt from licensum under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under,
Professions Code, is available upon request when this application is submitted or at the following Web site:hl1p:1(www.1eginfo.c.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Dh
and effect. License Class License No D to t
COMPENSATION DECLARATION
below by the checkmark(s) I have placed next to the applicable items)
or repair any structure, prior to. its Issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to A civil penalty of
k, and the structure Is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built. or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, 1 cannot let
that a copy of the applicable law, Section 7044 of the Business and
of the Business and f rofnK ns Co516, ad y Ilcerisg is In full force
Contractor Sig tore (��
NARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES }1NO CIVIL FINES UP TOONE RUMORED THOUSAND DOLLARS ($100,000),1N AOOr10N TO THE
COST OF COMPENSA710N, DANACES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEVS FEES.
hereby affirm under penalty of perjury one of the following declarations:
LJ I have and will maintain a certificate of consent to sSINnsum for workers' compensation, issued by the Director of lot
RE
ante or tha work'or which this permit Is issued. Policy No.
n and will ma+n�ein workers' compensation insurance, as required by Section 3700 of the. Labor Code, for the perfor
mce carrier aria policy number are:
Carrinr Policy Number
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
ne of Agent Phone #
certify that, in the pe f ante of a work r wh1 this permit is issued. I shall not. employ any person in any manner so to become subject to the workers' compensation laws of California, and agre
I, it I she erne �dbjecttot workers' o nsatlD sions of Secllon 3700 of the Labor Code, shall forthwith co ply with !hose provisions.�; A licant _ .,_,T__ DatJd�� %CLAAIATION REGARNS CT ..ENDING AGENCY /
uaby affirm une:er pa,:.alty of perjury that there is a construction lending agency for the performance of the work for which thi, permit is issued (Section 3097, Civil Code).
rder's Name Lender's Address _
nay si0nalere. below I certify to each of the following:
I am the prohPoy owner or authorized to act on the property
I have read this application and the information I have,prI
I agree to comply with all appl,cable ity an unl rdinan
I authorize representatives of this Ci y o ount. O enter the
of Procertv Owner
behalf.
laws r lating to buildingconstruction.
ad ope on., pettier, purposes.
/ Print Procertv Owner's or
It I
ACTION I DATE 6Y RUIF
4 3 LAr1 OAR ATiTLE 40 ANO AQMD FEDERAL FOR OFFICE iJS¢ ONLY '
I SUBMITTED ASBESTOS NOTIFICATION
PER,"MT EXTENDED 1_ LIAQMD
PEA111T FINAL !O ?J /Wnr jTNO ICATIONI NTAPPLICABLt TO
CERTIFICATE OF /[V\ Pft0OCCUPANCY ISSUED 5RE.