HomeMy WebLinkAboutXR2023-0563 - Permits��EWPoRT City of Newport Beach
Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
.ate r Inspection Requests Phone: (949) 644-3255
°gciFonr`P. newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
iiiiiiiiiiii II
COMB Permit : XR2023-0563
Plan Check No : PC2023-0451
Issued Date:
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: 441 ISABELLA TER Legal Desc : N TR 1237 BILK LOT 161
Description: SFR REMODEL AND RAISE EXISTING DECK AT REAR OF HOUSE 206 SF * i22-3593
Owner: MICHAEL OSBORNE
Address : 441 ISABELLA TER
CORONA DEL MAR, CA 92625
Phone: (559)960-8364
Applicant: VULKAN DESIGNS
Address : 155 ROCHESTER ST
COSTA MESA, CA 92627
Phone: (626)224-3300
Owner/Builder: MICHAELOSBORNE
Address: 441 ISABELLA TER
CORONA DEL MAR, CA 92625
Phone: (559)960-8364
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
YES
Occupancy Groups :
R-3
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks :
Front: 15, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS: FUEL MOD AREA
Architect: METODIEVTRIFON
Address: 155 ROCHESTER COST;AVESA, CA
92627
Phone:
(949)293-2176 •� ,
State Lie
Engineer:
CHOI DAVID
Address :
1327 LOMA AVE
LONG BEACH, CA 90801
Phone:
(562)961-5600
Designer
Address:
Phone
Construction Valuation : $10,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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)
Section 7031.5, Business end 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
is permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensors 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).
il 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,
RISIneSe 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).
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
ply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensureunder the Contractors' State License Law for the following reason
ly 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
oil a structure that I have builtas an owner -builder if it has notbeen constructed in its entirety by licensed contractors. i understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this app'iond or at the following Web site:http:liwww.leginfo.ca.govtcalaw.htmi.
tignature of Property Owner or Authorized Agent\—. ❑ate
.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 Ciaes License No Date Contractor Signature
COMPENSATION DECLARATION
iARNING: FAILURE TO StGURE WORKERS' COMPENSATION COVERAGE IS UNLAwFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,0W1, 3N ADDITION TO THE
DST OF COMPENSATIOP, "PAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h^.re5y affirm under penally of perjury one of the following declarations:
I I have and will Mali tim a Certificate of consent to self4reure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
a. forman.:a of the work fir which this permit is issued. Policy No.
hs,,e and will, maiirfam workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers`
rance carrier Bird pc:icy number are:
Policy Number Expiratic
of Agent _ _ _ Phone 8
Date
;.,rJ.y 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
11 1 rhould become subject to the workers' oompensaticn provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions,
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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).
tder'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 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 ordinanc state laws relating to building. construction.
I authorize representatives of this city or count t mer t b -identified property for inspection purposes. (( � ,(/�
nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Auent's NameY"4 r `-� VSSd i.
ACTION
PERMIT EXPIRED
PERMI7 CANCF.LI ED
.._____.___...._.__._. _....
PER,VIT EXTENDED
PCRMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUEA
DATE By / ftE•••.CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TrrLE40 AND AQMD RULE
1403
t(—
NOTIFICATION TO
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