HomeMy WebLinkAboutXR2023-3301 - Permits�aEWPo�r City of Newport Beach jjl111p111111111111111111p11111111111111p1111111111111jj COMB Permit : XR2023-3301
C @ Community Development Department- Building Division
F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2827
= Permit Counter Phone: (949) 718-1888 Issued Date : 1112712023
newportbeachca.gov/civic Final Date:
c4��FowN`P Combination Type - SFP ELEC Permit Status: Issued
Work Class - Alteration Inspection Area : 4
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 : 4 RUE GRAND VALLEE Legal Desc : P BK 42 PG 32 PAR 2
Description: ATT SFR - INSTL LIFT BETWEEN THE (E) LIVING ROOM AND LIBRARY (40 SF)
Owner: LARKIN SANDRA C TR
Address : 4 RUE GRAND VALLEE
NEWPORT BEACH, CA 92660
Phone:
Applicant: KRISTEN LOTTIE
Address : 34167 COAST HWY
DANA POINT, CA 92629
Phone: (949)226-7130
Owner/Builder:
Address :
Contractor : ACCESS TO FREEDOM
Address : 9272 JERONIMO RD, #111
IRVINE, CA 92618
Phone :
(949) 472-4900
Con State Lie
: 786659
Lie Expire :
10/31/2024
Bus Lie:
BT30067117
Bus Lie Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: AMGUARD INS CO
Policy No: ACWC301235
W. C. Expire : 3/1/2024
Architect
Address
Phone:
State Lie
Engineer: BURKE LEO
Address : 34167 PACIFIC COAST;iWY##D
DANA POINT, CA 9262E
Phone : (949) 226-7130 - - -
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone :
X
Use Zone:
PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
$35,000.00
0
0
0
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 checkmark(s) I have placed next to the applicable item(s)
3eclion 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
is permit to file a signed statement that he e 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
7ofessions Code) cr that he or she is exempt from licensure 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
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages 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,
Iusiness 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).
D 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
poly 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).
7 I am exempt from lwensum under 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 iegall)
ell a structure that I have built as an owner -builder if it has not been constructed in its enfiroty by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
^rofesslons Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leglnfo.ca,govlcalaw.'html,
signature of Property Owner or Authorized Agent _ Date _ -
.ICENSED CONTRACTOR'S DECLARATION
���///���
hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Sn 70 ) f Divi ion 3 of the Business nd Pro i Code, and. my license is In full force
rideffect. License Class License No to 2 Conrad it nature
VORKERS' CC-M0PNSATION DECLARATION
ARNING. 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 (S100.000), IN ADDITION TO THE
OST nF FOMPENSATION, 0 \MAGES AS PROVIDED FOR IN SECTION e706 OF THE LABOR Dope, INTEREST, AND ATTORNEYS FEES.
nereby affirm under pe-Ialty of perjury one of the following declarations:
a : hoed 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
NIrmance of thi wo'.k for which this permit is issued. Policy No.
rrand 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' Compensatior
e carrier and po,ey number are:
Policy Number
of Agent
Date
I cenri that, ir, the pe',7ormance 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 afire
1, if I should ecome sub' Coe workers compensation provisions of Section 3700 of the labor Code; I shall forthwith comply with those provisions. Xt
0 ppa���2A f REGARD G CNSTRUCTION LENDING AGENCY
=.raby affirm under penalty of perjury that there is a construction lending agency for the performance of the :work for which this permit Is issued QSection 3097, Civil Cade).
lder's Name Lenders 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 app!icabe city and county o,,,jjjdinancas and slate laws relating to building construction.
I authorize representatives of this city r coun erbove identified property for inspection purposes. / t- �(
filature of Property Owner or Authorized t / /J � � l�,i Print Property Owner's or Authorized Adent"&me �1.L M De
ACTION DATE ey r DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51, OF TITLE 40 AND AQNID RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERIYftT EXTENDED
rcnm!I YNVAt SBEST NO CATION ISNOTAPPLICABLE TO
CERTIFICATE OF 0 0 EM L
OCCUPANCY ISSUED aC.NATII
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