The URL can be used to link to this page

Home My WebLink AboutXR2023-2815 - PermitsagW PO?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-2815 0� @ Community Development Department -Building Division X R 2 0 2 3 2 8 1 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : 0565-2020 Permit Counter Phone: (949) 718-1888 Issued Date : 10/06/2023 S newportbeachca.gov/civic Final Date: CqG/F00.N,P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Other Inspection Area : 2 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 : 200 RUBY AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BILK 10 LOT 17 BALBOA ISLA Description: MFR INTERIOR ALTERATION 1,600 SF -RENEWAL EXPIRED PERMIT X2020-0741 Owner: RICHARD CUSHMAN Contractor : Architect Address : 73 LINDA ISLE Address : Address NEWPORT BEACH, CA 92660 Phone: (949)500-6315 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: PATRICK GAULT Bus Lic : Engineer : DEIHIMI AMIR HOSSEIN Address : 7923 E HAMPSHIRE RD Bus Lic Expire : Address : 23172 PLAZA POINTE DR STE 145 ORANGE, CA 92867 LAGUNA HILLS, CA 92653 Phone : (949) 463-6844 Workers' Compensation Insurance Phone : (949) 954-7244 Carrier : owner/Builder: RICHARD CUSHMAN Policy No Address: 73 LINDA ISLE W. C. Expire: NEWPORT BEACH, CA 92660 Phone: (949) 500-6315 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories Building Setbacks : Front: 4, Side: 4, Side: 4, Rear: 10 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY : _ _ 94 Designer Address Phone : NO Construction Valuation : $150,000.00 NO Added/New/TI sq. ft. Bldg : 0 2 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 SPECIA.'_ CONDITIONS: i4 4_ 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 cheGkmark(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 to its issuance, also requires the applicant for le permit to file a signed- statement that no 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 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 at more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, usmess 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 safe). 1, as owner of the property, alri exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). 7 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 legalll all a structure that I have built as an owner -builder if it hps not bee Coast t9,d in Rs entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of- To Business and 'reasslons Code, Is available upon request,when th h t'o I ubmitt p a f ell wing Web site:http:L/www.leginfo.ca,govtcalaw.htmly p signature of Property Owner or -Authorized Agent - � — /E --- --—��------�_. Date ICENSED CONTRACTOR'S DECLARATIO hereby affirm under penalty Of perjury that I 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 nd effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.,000), IN ADDITION TO THE OSF OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate or 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 xmance 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' compensa rance carrier and policy number are: Policy Number Dale is of Agent _ Phone # 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. tignalure of Applicant.___.,_._._.__.__._.Date_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Landers Address ly my signature below, I cartify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and,plate laws relating to building construction. I authorize representatives of this city or countylie fartt r 1,hejpbovq-icj�erjq�tfi l o�el3�y for inspection purposes. ACTION I DATE RY l /V1"➢ECLARAT€ON OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j I REGULATIONS PART Sl OF TITLE 40 AND AQMD RULE PEMITEXPIRED l I LJ I SUBMITTED ASBESTOS NOT]FICATION TO PERMITCANCELLED _- --� ®CPA — — — ...._ ...._ P€R,bfiT EXFENOED .. _ . ..._ ___'7--L L`JAQMD PCR,URT FINAL TT LJASRESTOS NOTIFICAIION 15 NOI APPLICABLE 10 CERTIFICATE OF OCCUPANCY ISSUED II 17 r 1(I";, l�r/j ROPOSED'DEMOLITION Irll SIGNATURE: