HomeMy WebLinkAboutXR2023-2922 - Permits�FWP Rr City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 02660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - SFP
Work Class -Alteration
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COMB Permit : XR2O23-2922
Plan Check No : 1349-2021
Issued Date : 10/1712023
Final Date:
Permit Status: Issued
Inspection Area : 8
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 : 2508 CLIFF DR Legal Desc : N TR 919 BLK 2 LOT 3
Description: **CHANGE OF CONTRACTOR TO X2021-1533** SFR REMODEL (INCLUDES NEW BATH & BEDROOM) 1043 SF; NEW DECK, BALCONY & PATIO'S 896
Owner: NICK WORTHINGTON
Address : 2508 Cliff Dr.
Newport Beach, CA 92663
Phone : (530) 519-8152
Applicant: NICK WORTHINGTON
Address : 2508 Cliff Dr.
Newport Beach, CA 92663
Phone : (530) 519-8152
Owner/Builder: NICK WORTHINGTON
Address : 2508 Cliff Dr.
Newport Beach, CA 92663
Phone : (530) 519-8152
Contractor
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Architect
Address
Phone :
State Lic
Engineer: MADDUX KYLE LAWRENCE
Address : 35 ARGONAUGHT, STE B2
ALISO VIEJO, CA 92656
Phone : (805) 815-8131
Designer
Address
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 :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
'
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
CHANGE OF CONTRACTOR
TO X2021-1533
OWNER -BUILDER DECLARATION.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5. Business and Professions Code: Any city or county that requires a permit Io construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
'.he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of tho Business and
Professions 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
rot more than five hundred dollars ($500).
1 I, 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,
3usiness 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
mprovereents 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
' oroved for the purpose of sale).
2 I, 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
apply 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).
El I am exempt from licensure under the Contractors' Slate License L w for the following reason _ _.........
B m Signature below I acknowledge that. except for my personal res once in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
Y Y ] 9
sell a structure that t have built as an owner -builder if If has not b n onstrvcted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request'. when this appltc o bmitted or at the following Web site:http //www.leg nfo.ca.gov/calaw.htnil. Z�
Signature ,, of Property Owner or Authorized. Agent _ _ _ _ _ _ Date �O
LICENSED CONTRACTOR'S DECLARATION _
I 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
and effect. License Class License No Dale Contractor Signature
KERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO
COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN£Y'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
71 1 have and will maintain a certificate of consent to self -insure for Workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. Policy No.
have and will mainain 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
�l certify that, in the performance of the work r hlch 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
tat, if I should become subject to the w errs c nsauon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant ._. ... ..... . ...._._.. _._ ._..._ . Date—_�/,,,��G
ECLARATION REGARDING CONSTR LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit Is issued (Section 3097, Civil Code).
.nder s Name Lender's Address
y 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 in`ormation f have provided is correct.
I agree to comply ",h all applicable city and county ordinances and tat Taws relating to building construction.
I authorize represenelives of this city or county to enter the ab ✓e-' ied property for inspection purposes. t u
.Iona u t of Pronel cv simmer or Authorized AGent Print Property Owner's or Authorized Agent's Name L) "�L ` J CJ V4 A ` �h K_ Date
ACTION'
F cXfA)i EAVfRED
PFXMIT CANCEUt-0
PFRP41T EiTENDEU
DATE BY i. DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE
'!, 1403
L_J I SUBMITTED ASBESTOS NOTIFICATION TO
Tn
C'c Ri IFlC4 TE OF I '. P3l]P0$LD
OCCUPANCY ISSUED ( SIGNATURI