Loading...
HomeMy WebLinkAboutXR2023-2343 - Permits,�wroRT City of Newport Beach IIIIIIIII�I I IIII III II IIIIIII IIIII I II COMB Permit: XR2O23-2343 d Community Development Department- Building Division X R 2 0 2 3 2 3 4 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2050 > = Permit Counter Phone: (949) 718-1888 Issued Date : 0812312023 a,. newportbeachca.gov/civic - Final Date: Cq<rFOAN�P Combination Type - Permit Status: Issued Work Class - Alteration 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: 1801 CLIFF DR Legal Desc : N TR 1221 BLK LOT 23 Description: DUPLEX- R/R (5) WINDOWS Owner: NICOLE MARTIN Contractor : Architect Address : 1805 CLIFF DR Address : Address NEWPORT BEACH, CA Phone: (949)400-4101 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: NICOLE MARTIN Bus Lic : Engineer Address : 1805 CLIFF DR Bus Lic Expire : Address NEWPORT BEACH, CA Phone : (949) 400-4101 Workers' Compensation Insurance Phone Carrier : Owner/Builder: NICOLE MARTIN Policy No: Designer: Address : 1805 CLIFF DR W. C. Expire: Address NEWPORT BEACH, CA Phone: (949)400-4101 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-3 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 ; Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: - SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasdn(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) (Seetion 7031.5. Business and Professions Code; Any city or county that requires a perrWIR 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 licensure 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 more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ,improved for the purpose of sale). 'I© 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a ply to an owner of property who builds or Improves thereon; and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I am exempt from ltcensure under the Contraclor�5Btate ycenseLaw for the following reason: By my signature below I acknowledge that, except fqr citytp'sidoncotnwhlch I must have resided For ai least one year prior to completion of the tmproveinenks covered by this permit, i cannot legalhsell a structure that I have built as an owner -builder d rt h.constructed-iiiTts`ontirety by licensed Contractors. I understand thata copy of the applicable law, Section 7044 ofthe Bu$inoss and Professors Coda, Is available upon request when this aub ilted or at the following Weh silethifpaiwv+w.laginfo.ca.gotdcalaw.html.Signature of Property Owner or Authorized AgentDateLICENSED CONTRACTOR'S DECLARATIOtd' I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) 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 COMPENSATION DECLARATION FARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,0001, IN ADDITION TO THE IOST OF COMPENSATION; DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNII FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain 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 in( erformance of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade,. for the performance of the work for which this permit is issued. My workers` I carrier and policy number are: ' Policy Number of Agent Date certify that, in the 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date zreby 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). Aer s Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the ropejty owners behalf. I have read this application and the information I It `provided is correct,___ - I agree to comply with all applicable city and co-rni and slate laws relating to building construction. tatN^s I authorize represenof I city ur county *o eritej-tlte aTovq-Identifled property for inspection purposes. ACTION I DATE M BY '-'(- DECLARATION OF COMPUANCEW17H CODE OF FEDERAL FOR OFFICE USE ONLY [ REGULATIONS PART SI OF TITLE 40 ANO AQMO RUIE PERMTEXPIRED I LJI SUBM17TFD ASBESTOS NOTIFICATION TO PFR,lf1T CANCFLtED t„-I@pA PERivRT EXTENDED aQMD PERMIT FINAL 1�. /I J.'L� f,-,t ASBESTOS N011F ICA I ION 15 NOT APPLICABLE TO CERTIFICATE OF W PROPOSED DEMOLITION OCCUPANCY i5SUEO SIGNATURE: