HomeMy WebLinkAboutXR2023-2044 - Permits�6Wpo"T City of Newport Beach 111 IIIpIII 1111111111111111111111111111111111111111111 111� 11
I' A Community Development Department- Building Division X R 2 0 2 3 2 0 4 4
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u ems, S newponbeachca.gov/civic
C9G/repN�P Combination Type -
Work Class - Alteration
COMB Permit : XR2023-2044
Plan Check No : PC2023-1788
Issued Date : 07/25/2023
Final Date:
Permit Status: Issued
Inspection Area : 5
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 : 700 BEGONIA AVE, 1/2
Legal Desc : P BK 260 PG 9 PAR 1 UN 1 P.M.
260-09, PAR. 1 OF PR
Description: DUPLEX - R/R INSULATION OF DRYWALL 70 SF
Owner: JACQUELINE PETERS
Contractor : DRYMASTER
Architect
Address : 700 BEGONIA AVE #B
Address : 26021 PALA #150
Address
CORONA DEL MAR, CA 92625
MISSION VIEJO, CA 92691
Phone: (714) 290-5100
Phone: .(949) 492-1100
Phone:
Con State Lie : 959916
State Lie
Lie Expire : 04/30/2025
Applicant: RON STANGE
Bus Lie: BT30063173
Engineer
Address : 24310 MOULTON, #0-137
Bus Lie Expire : 05/31/202.y
Address
LAGUNA HILLS, CA 92637
Phone: (949) 207-3468
Workers' Compensation Insurance
Phone:
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
Owner/Builder :
Policy No: 9217814
Designer: DRYMASTER
Address :
W. C. Expire: 9/24/20,'Z 4
Address : 26021 PALA #150
MISSION VIEJO, CA 92691
Phone:
Phone: (949) 492-1100
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $2,200.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 2
Alteration sq. ft. Bldg : 70
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 18, Side: 3, Side: 4, Rear: 5
Flood Zone: X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
CONDITIONS:
NO CONSTRUCTION WORK
SPECIAL
0NNor-ar-CTO i
0N SATURC?AyS
OWNER -BUILDER DECLARATION
1 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 items)
(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
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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of
not 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 U 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, 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
atply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' Slate License Law).
LA I am exempt from licensure under the Contractors' Stale License l_aw for the follownng reason
By 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 legally
!sell a structure that I have built as an owner -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
!.Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.teginfc.ca.gov)calow.html,
Signature of Property Owner or Authorized Agent _ _____.___._..,...__......______-......_..._....._..._._______ Date
!.. LICENSED CONTRACTOR'S DECLARATION _
I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 70 f Division 3 of the Business and Profe5' s Co anSJ jny Is In full farce
and effect. License Class License No Date %a1,20a Contractor Signature ?
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORILERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1500,0001., IN ADon10N TO THE
!!COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 370E OF THE LABOR CODE, INTEREST, Me ATTORNEY's FEES.
iI hereby affirm under penalty of perjury one of the following declarations:
![ 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 thl
performance 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 Code, for the performance of the work for which this permit is issued. My workers'
ranee carrier and policy number are!
Policy Number Expiration Date
of Agent Phone # _
certify that, in the performance of the work for which thispermit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and ogre
it I should become subjaii 1ne orkeq' Compensation provlsions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
EC Onalure
of AN REGt _ CONSTRUCTIO tj LENt31 1 AGENCY
10
Date_ of i
hereby affirm under penaltyof perjury that there is Been ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
By 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county ter e a v = property for inspection purposes.
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A
ACTION DATE. BY DECLARATION OF COM ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
LREGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
.. TT2�44r0F3
PERMIT EXPIRED 'f LJI SJRMITTED ACRESTOS NOTI FICATI ON TO
PERMIT CANCELLED tJEP ,
............
PEFLfIT EhTENDED OMD
PERMITFINAL 1 11( 7��j n,r LJASBESTOSNOTIFICA'TION ISNOT
CERTIFICATE OF l��J✓,�7 `V `PROPOSED OFM(1L ITI�
OCCUPANCYISSUED ,IG JAIURE:
J
Date 7,