HomeMy WebLinkAboutXR2023-2081 - Permitsty
D�.a�WPo'r6' ColmmuOnity DeevelopmOetottDpament-Building Division 111 I��III�� III 111111111111111111111111111111111111111111 jjCOMB Permit: XR2O23-2081
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2990
Permit Counter Phone: (949) 718-1888
iG H. S Issued Date : 07/28/2023
'q • .ems newportbeachca.gov/civic
Final Date:
•n„k! 4<„ Combination Type - MFP 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: 741 AVOCADO AVE Legal Desc : N TR I D274 BLK LOT 1 UN 101 TR 10274 LOT 1 UNIT 10
Description: MFR -INTERIOR ALTERATION 500 SF *RENEW EXPIRED PERMIT*
Owner: IRVING BUDLONG
Contractor :
Architect : FRANK SILKE
Address : 741 AVOCADO AVE
Address :
Address : 610 ANITA ST LAGUNA BEACH, CA
CORONA DEL MAR, CA 92625
Phone : (949) 230-0601
Phone :
Phone : (949) 280-3793
m.
Con State Lie :
State Lie : CO28991!
Lie Expire
Applicant: FRANK SILKE
Bus Lie :
Engineer
Address : B10 ANITA ST
Bus Lie Expire :
Address
LAGUNA BEACH, CA 92651
Phone : (949) 280-3793
Workers' Compensation
Insurance
Phone
Carrier :
6 -d
Owner/Builder : IRVING BUDLONG
Policy No :
Designer :+
Address: 741 AVOCADO AVE
W. C. Expire:
Address :
C
CORONA DEL MAR, CA 92625
Phone : (949) 230-0601
Phone
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units :
150
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
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 checkrnarkjs) I have placed next to the applicable nem(s)
ction 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 ho 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 licensors and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
4-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,
;mess and Professions Code: The Contractors' State License Law does riot apply to an owner of operly who, through employees' or personal effort, builds or improves the property, provided that the
rovements 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
roved 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' Stale License Law does not
ny 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).
LJ I am exempt from Icensure under the Contractors' State License Law for the following 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, Sactio 7 44 of the Business and
Professions Code, Is available upon request when t pphca'oq.is submtt or at the ollowing Web site.hltp:!lwww.leglnfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ _ �_____,,,,_,____,__„ __,,,__. Dat. —„�,=, z_____„_
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that am licensed undnproI❑s of Chapter 9 ommending with Section 7000)of Division 3 of the Ousfness and Professions Code, and. my license is in full farce
and effect. License Class LDate Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3TU8 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
I 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 Ili
performance of the work for which this permit is issued. Policy No.
have and will maintain workerscompensation 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
Dale
lame of Agent rnone rF
]I 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 worker 'compensation laws of California, and agrer
tat, if I should becon ublect o the workers cornpyreation provi.wons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7
iynaWre of Applicant ( _ _ _ Da
IECLARATION F RDING COO TRUC ION NOING ENCV
hereby affirm under penalty of perjury the there is a con T.. uction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code).
ender Name _ _ _ Lender's Address
iy any signature below, I certify to each f 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—
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 cou,'Ip'�� to a terathe ahoy?lklentified roperty for inspection purposes. I�{�/ ��
llnnat,lre of Prnnarty C1%vner or Authorized Auenl�. I l/ 11 rr7A��17 Print Property Owner s of Authorized Aqent's Nam Ul Date
ACTION DATE
BY V AR ION OF COMPLIA E VsnTH CODE OF FEDERAL
RFGU TION5PART61 OF ITLE40ANDAONIDRULE
1<103
FOR OFFICE USE ONLY
PERW EXPIPED
I EUBMI7T_5_1) ASPFSIOS NOTIFICATION TO
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