HomeMy WebLinkAboutXR2023-0930 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Alteration
111I��III��III ��III�IIII11111111111111111111111111111111111COMB Permit : XR2023-0930
Plan Check No : PC2023-0143
Issued Date : 04/12/2023
Inspection Area : 8
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
: 1805 CLIFF DR
Legal Desc : N TR 1221 BLK LOT 23
Description:
DELTA 1 ADD'L SCOPE: DUPLEX KITCHEN
REMODEL 67 SF; RELOCATE (2) ELEC SUBPANELS
r°W4o23 -,9"q
Owner:
NICOLE MARTIN
Contractor:
Address :
1805 CLIFF DR
Address
NEWPORT BEACH, CA
Phone:
(949)400-4101
Phone:
Applicant: NICOLE MARTIN
Address : 1805 CLIFF DR
NEWPORT BEACH, CA
Phone : (949) 400-4101
Owner/Builder : NICOLE MARTIN
Address : 1805 CLIFF DR
NEWPORT BEACH, CA
Phone: (949)400-4101
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
Address
Phone:
Designer
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$10,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
67
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
i
PROCESSED BY: I S i"� L e i O Pl
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 torts issuance, also requires the applicant for
to 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 Ecensure 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
of more than five hundred dollars ($500)..
1 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,
lusiness 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 built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does net
:pp€y 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).
a I am exempt from licensure under the Contractors' State License Law for the following reason:
(y 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 legaly
all a structure that I have built as an ownar-builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
`rofesslons Code Is available upon request when t s appli on is It at the following Web site:http:Ilwww.leginfo.ca.gov/calaw.html,
signature of Property Owner or Authorized Agent Datek da
ACENSED CONTRACTOR'S DECLA.RATI N r
hereby affirm [.r.d1r penalty of perjury that I am Ilcense. under p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. Licars^ Class License. No Date Contractor Signature
VOPE:ERS' CCkIPENSATION DECLARATION
rARNING; FAILURE T1 E 11URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN ADDITION TO THE
0ST'1F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37BB OF THE LABOR CODE, INTEREST, AMID ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will meintarn a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'cr.nance of the work for which this permit is issued. Policy No.
navy and 01 maintain 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' compensa.
nauce carrier and policy number are:.
.dlfld,
dame m Agent
Policy Number
Date
cerCy that, ;nthe performance 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
, if I should �cco.ra subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicantDale_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Ider's Name Lender's Address
rry 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 laws relating to building construction.
I authorize representatives of this city or county to enter tfllaby Id _property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
P€RN11TEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE ( BY r R. GId1.AT10 N PART 61 COMLI TITLE 40 H ANCE WICODE OF FEDEQQMD RULERAL J FOR OFFICE USE ONLY
IJ ASBESTOS NOTIFICATION I NOTAP�CABLE TO
PROPOSEa PF,yx10LITlON�2 ,/<-;7,1