HomeMy WebLinkAboutXR2023-3272 - PermitsPEWP0
k3• City of Newport Beach 1111111111111111111 1111111111 COMB Permit : XR2023-3272
DF A Community Development Department- Building Division X R 2 0 2 3 3 2 7 2
�". 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2802
Permit Counter Phone. (949) 718-1888 Issued Date: 11/1612023
U T newportbeachca.gov/civic Final Date:
Cq<I F00.N�r Combination Type - MFP ELEC MECH PLUM . - - ,o•"�9" '� '+ Permit Status: Issued
Work Class - Alteration _a .t 3 -d' a 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 : 240 NICE LN, 205 Legal Desc : N TR 8336 BLK LOT 14 UN 101 TR 8336 LOT 14 UNIT 10
Description: MFR REMODEL KITCHEN AND BATHROOM 250 SF
Owner:
BRIAN & DANA FLOOD
Address :
203 Nata
Newport Beach, CA 92660
Phone:
(949)510-7199
Applicant :
BRIAN & DANA FLOOD
Address :
203 Nata
Newport Beach, CA 92660
Phone:
(949)510-7199
Owner/Builder: BRIAN & DANA FLOOD
Address : 203 Nate
Newport Beach, CA 92660
Phone: (949)510-7199
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier:
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: BRIAN & DANA FLOOD
Address : 203 Nata
Newport Beach, CA 92660
Phone: (949)510-7199
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
$16,000.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-2
No of Units :
1
Alteration sq. ft. Bldg :
250
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage :
0
TOTAL sq. ft.:
0 =
Building Setbacks
Flood Zone : X
Use Zone : PC - Versaillesonthe Bluff
PROCESSED BY:
SPECIAL CONDITIONS:
; '
I hereby affirm under penalty of perjury that I'. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
(Section 703t.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
the permit to file a signed statement that he or sheds licensed pursuant to the previsions of the Contractors' State. License Law (Chapter 9 (commencing with $action 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from flcensure 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 morethan five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, provided that tha
Improvements 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
Woved for the purpose of sale).
, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
e�rply 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),
LI I am exempt from licensure under the Contractors' Slate 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 nor be c retracted in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 f the Business and
Professions Code, is available upon request wh�nTR'. p licatio miffed or at the following Web site:htlp:l/vAvw.leginfo.Ga.gov/calaw.h[mL t�_
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATID
1 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 Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORRERB' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000L IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 thi
)orformanco of the work for which this permtt 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:
no of Agent
certify thsk
if I should
rotors of Ad
Policy Number
Date
which this permit isissued, I shall not employ any person in. any manner so as to becomesubject to the workers' compe sation laws of California, and agre
mpensabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date—
hereby 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),.
enders Name Lender's Address
y my signature below, I certify to each of the following:
I am the prcaerty owner or authorized to act on the property owner's behalf.
I have read ,hib application andthe information I have provided Is tome
I sgrea to comply with. all applicable city an. t ordinances d st to taws relating to building construction.
I GuthorizE I a,r ex natives of this city or county to r the _ide tif'ad property for inspection purposes.
ign.iture of Properly Owner or Authorized Agent Print Prooertv Owner's or Authorized Anent's Name
DATE By t DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE 40 AND AOMD RULE.
1403
IL I I SUBMITTED ASBESTOS NOTIFICATION TO
PEP l T EXTENDED
t UA.OMD
PRA9SOSNOTIFiC_ YfON_ {S_ _ __
ICA9rF TO
!Earl ICAif OF
PROPOSE �LIT
IO
RfCUPANCYLSUEO
5NR
Date