HomeMy WebLinkAboutXR2022-2815 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U22-2815
D� @ Community Development Department- Building Division X R 2 8 2 2 2 8 1 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1934-2021
Permit Counter Phone: (949) 644-3288 Issued Date : 1012512022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
C9�IFOt�N`P. newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LAT�NOW%0NSUNDit'YXTtLID
YEARS FROM I DANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS YSINALLAREAS
A%(p
Job Address : 1980 PORT RAMSGATE PL Legal Desc : N TR
Description: SFR ADD 257 SF & REMODEL 375 SF (CHANGE OF CONTR
Owner: RHODES PAUL MICHAEL TR Co for : ELE
Address : 1980 PORT RAMSGATE PL dress : 4
NEWPORT BEACH, CA 92660 *' NEV
Phone
Applicant:
ELEVATEDBUILDIh
Address :
4905 RIVER AVE
NEWPORT BEACH,
Phone:
(845)825-2376
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
V-B
R-3
LOT 72 V�OCIO
BUI
(845)$$5 76
�,� ' n Stathic :` 109278
Li Expire : 06/30/2024
P JJa��wc :� 8T30079030
B sLic.Expire:06/30120
3
-; WbkCdIrs'Comp, to e
Carrier
Poli
C. i
Ire Sprinklers : N
Fire Hazard O
No of �§1a,�ledl
l �O
Front: 18, Side: 5, Side: 5, Rear: \
X
PC - Harbor View Hills
SPECIAL CONDITIONS: OWNER LETTER ATTACHED
i UP INCk,O
Architect
t�...
Address
4
Phone:
State Lic
Engineer
Address
if
Phone:
WILLIAM
2171 SOI
IctjsA V Ion : $0.00
e sq. ft. Bldg
sq. ft. Bldg
Yew sq. ft. Garage : 0
sq. ft. Bldg : 0
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 Checkmark(s) I have placed next to the applicable item(s)
Ilion 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
permit to file a signed statement that lie 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
fessions Code) or that he or she is exempt from Iicensureand 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
more than five hundred dollars ($500).: _0001
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work a struct
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through, ees' or personal
vovements are not intended or offered for sale. If, however, the building or improvement is sold within one ye pr!'�i letmn, the Owner -Build
moved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to cons��,�rr project (Section �-Q4for Iustness and Pro
)iy to an owner of property who builds or improves thereon, and who cunt acts for act$ with a,lli asad�l�6wf �dLtor pu sua�}�td�hq
I am exempt from heensure under the Contractors' State License La ollowing reason
my signature below I acknowledge that, except for my perst ants in which I must have resided for a I • r prior to completion
not intended or offered for sale (Section 7044,
builds or Improves the property, provided that the
have the burden of proving that it was not built or
oil a structure that I have built as an owner -builder if it - eon constructed in its y by liconse��. I understand that al py�of'f6e app.
'rofessions Code., is available upon reque a I n is submitte the followin Web sit tieWwwwaeginfo.ca.go �a 'hi
signature of Property Owner or Autho ant __, ____ _ _ —.
.ICENSED CONTRACT CL
AIR v' ' t
hereby affirm on y of perjury t�1a I I e under pravisi o la er 9.(i�en h Sectid 0 ) t Divis' n of the business and
nit effect. Lice eClass _ ` „_ices' 'No � +�....m`3 v oat / a Contractor Signa
The Contractors' State License Law does not
e License Law).
rents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
YARNING; FAILURE TO CURE WOR%ERS' COMPENS N dSVER UL�IE3 SHALL SUBJECT AN P `r£H TO CRIMINAL PENALTIES AND CIVIL FINES VP TO ONE NUNORED hOU3AN0 DOLLARS tSt06,00061N ADDITION TO THE
:OS7 OF COMPEN5ATI0 aAMAGE3 Ea P6 SECTION _%tlR CODE, INTEREST, 6�rjp.A Y 5 rEp3_
��hereby affirm under enat per}u eof o i. aclarationa
the
..11 I have and will m\',w
lain cartihcec of consent to self•Insuujra 5 k ' sauon,. issued by the Director of Industrial elan in for b Seetlon 3700 of the Labor Code, for the
lerformanee of the woit Is Issued. P a �,�!�
�I have and will maiwe or$' tom nsatto su nee re ed by cion 3700 of the Labor Code, r L"'...' thAwork or whi h this pe It. is issued. My workers' Compensation
isuuance carrier and numb �A r�\\
Iander mbar �.�ic}iiration Do.
d me of Ag In it K Phone #
certify that. in the 4eli
r for ich this permit is is 1 i II t employ any"I in a y manner so as to become t orkers' m nsation laws of California, antl agver
hatou9d become Sol) pensahon r of the Labor Code, I shag forthwith comp) deal^�yj
> gnature of Applican_ 07 a S Z
)ECLARATION REGN LrYY,hereby affirm under I cOnstryaotx�r�raIng agency for the pertorrna he work for will per ued' (Section 30 , CI it Code).
.ender's Name ``CC�� Lend dress
3y my signature below, I certify to ach of t I fbllowing-
I am the property owner or aut rized to actor the property owne elf.
I have read this application and a information t have r is correct.
I agree to comply with all applica e i I11$ dinance nits ws r building construction.
I authorize representatives of this it 'Co I. a er U r or inspection purposes.
3i nature of Property Owner or Aulh I d A e tint Property Owner's or Authorized Agent's Name ?� t v1� 1 ��j d,I+� Eat
ACTION DATE ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATION5 PART 51 OF TITLE 40 AND ACtMn RULE
PERMIT CANCELLED
FERrYfiTEXTEMDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
NOTIFICAT!014
ISNOTAPPLICA.RLE TO