HomeMy WebLinkAboutXR2022-3113 - PermitsNgwaoRT City of Newport Beach II II II II I IIIII IIIII II IIIII II II III II COMB Permit : XR2OZ2-3113
p� d Community Development Department- Building Division X R 2 0 2 2 3 1 1 3
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1052-2020
u - s Permit Counter Phone: (949) 644-3288 Issued Date : 11/29/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
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: 25 CASTAWAYS NORTH Legal Desc : N TR 15012 ELK LOT 106
Description: SFR REMOVE/REPLACE STAIRS, REDECKING AND GURADRAIL REPLACEMENT, SIDING AROUND WHOLE HOUSE 'STOP WORK' RENEW
PERMIT
Owner: NOEL PENDERGAST Contractor : Architect
Address : 25 CASTAWAYS Address : Address
NEWPORT BEACH, CA 92660
Phone: (714) 402-4478 Phone: Phone: ,
Con State Lie : State Lie
Lie Expire
Applicant: NOEL PENDERGAST Bus Lie: Engineer: CHRISTI t4 DALE
Address : 25 CASTAWAYS Bus Lie Expire : Address : 1744 W KATELLA AVE #107
NEWPORT BEACH, CA 92660 ORANGE CA 92667, CA 92667
Phone: (714) 402-4478 Workers' Compensation Insurance Phone: (714) 997-1145
Carrier :
Owner/Builder : NOEL PENDERGAST Policy No: Designer
Address: 25 CASTAWAYS W. C. Expire: Address
NEWPORT BEACH, CA 92660
Phone: (714) 402-4478 Phone:
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $395.00
Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg :
Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 10, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Upper Castaways
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 checkrnark(s) I have placed next to the applicableitem(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
be permit to file a signedstatement 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
'rofeseions 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
not more than five hundred dollars ($500)..
1, as owner of the property, or my employees With wegas 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 Corte: 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
m rovements are not Intended or offered for sole. 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
QATiroved for the. purpose of sale).
as own
er of the property, am exclusively contracting with licensed Contractors to construct the project Section 7044, Business and Professions Code: The Contractors' State License taw does not
apply o 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),
0 1 am exempt from licensure 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 4V this permit, I cannot legal,
self a structure that I have built as an owner -bull or fA has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable low, Sacti. 7 of the Business and
Professions Code,, is available upon request who7,tN
sap at' n' ubmitted or at the following Web site:http:/fwvv✓.leginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agen�✓ Date —
LICENSED CONTRACTOR'S DECLARAT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNUREO THOUSAND DOLLARS 1$T00,D0D). IN ADDITION TO THE
COST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION S70S OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
I hereby affirm under penalty of perjury one of the following declaratlons:
3 1 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 th
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
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 agre
I, if I should bete object to the workers' compensation provisions of Section 3700 of the labor Code, I shall forthwith comply with those provisions.
nature of Applicant _ Date
CLARATYON RE:G� DI ON$ R. CTION LE LNG AGENCY
Ireby affirm under malty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
,der's Name Lenders Address
ly 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 iInformati n ll awe provided is correct.
I agree to comply with all applicable city and ty ordinances and state laws relating to building construction.
I authorize representatives of this city or count ant a-iden ifed property for inspection purposes.
it nature of Property Owner or Authorized A ant Print Property Owner's or Authorized A
ACTION DATE
BY VDECLARATION OF Ci5MPUANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AONID RULF.
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PFRMITEXPIRED !
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PERMIT CANCELLED
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PERMITFXTENDED
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P[R,M7T FINAL Z'f_2'1 9E OTIF1CArION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSE. MOLnf N
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