HomeMy WebLinkAboutXR2024-0528 - Permits�EWPoRT City of Newport Beach II IIIII I I I II IIII II III III III II II II COMB Permit : XR2O24-0528
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'off Community Development Department- Building Division x R 2 0 2 4 0 5 2 8
100 Civic Center Drive, Newport Beach, CA 92650 Plan Check No: PC2023-1167
Permit Counter Phone: (949) 718-1888 Issued Date : 03/07/2024
o- �•<}. newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Issued
Work Class - Alteration Inspection Area : 1
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: 4719 RIVER AVE, 1/2 Legal Desc : R BK 32 PG 50 PAR 8A
Description : SFR R/R GUARDRAIL AT DECK & REDECKING
Owner: SCOTT LAIDLAW
Contractor: OWNER/BUILDER
Architect : SCOTT LAIDLAW
Address: 4719 RIVER AVE
Address :
Address : 4719 RIVER AVE NEWPORT BEACH, CA
NEWPORT BEACH, CA 92663
92663
Phone : (949) 278-1653
Phone :
Phone : (949) 278-1653
Con State Lie : OWNER/BUILDER
State Lie
Lie Expire
Applicant : SCOTT LAIDLAW
Bus Lie:
Engineer:
Address : 4719 RIVER AVE
Bus Lie Expire :
Address : _ --
NEWPORT BEACH, CA 92663
Phone : (949) 278-1653
Workers' Compensation Insurance
Phone
Carrier:
Owner/Builder :
Policy No :
Designer
Address:
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $20,006.90, "
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: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: T.�:>J" \,
SPECIAL CONDITIONS: E—Vmg8z9-94l2
rZ, j S,_;r 4 - O 411 Z
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item{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 applicantfor
the 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 the Business and
Professions Code) or that he or she is exempt from ficensure 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 Shan five hundred dollars ($500).
1, 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 thestructureis not intended or offered for sale (Section 7044,
Business 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
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 theburden of proving that it was not built or
improved . for the purpose of sale).
you . 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 I am exempt from licensure under the Can tractors' State Licens for the following reason
By my signature below I acknowledge that, except for my personal rice in which I must have resided forat 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 it it has not b ructad 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 I applicati fitted or at the following Web site: http:liw .leginfo.ca,govlcalow.html,
Signature of Property Owner or Authorized Agent _v _ „_,___, _ oat •2•_,
LICENSED CONTRACTOR'S DECLARATICIA
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, andmy license is In full force
and effect. License Class License No _ Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATIONS, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I 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, forth
erformance of the Work for which this permit is issued. Policy No.
]I 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' compensatior
isurance carrier and policy number are:
:arrier Policy Number Expiration Date
lame of Agent A A Phone #
11 cortifv that, in he performan 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 ogre
rt, it I should bocomc svubjact orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
kmalu,e of Applicant _ Data
ECLARATIGN REvA NSTRUCTION LENDING AGENCY
hereby affirm unCs: e.nalty 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).
nndef s Name _ Lender's Address
ry my signature balo,N I certify to each of the following:
i am the property owner or authorized to act on the property ner s behalf.
I have read this application and the information I have or is correct.
I &y Le to comely Willi all applicable ciii.ty and count or ' a and slate laws relating to building construction.
I auti orize represaniahves of this city or counfxto nt aye -Identified property for inspection purposes.
AC, ION DATE RV b4CLARATION OF CONE P LIANCE WIT14 CODE. OF FEDERAL I FO R OF F ICE USE ON LY
't REGJLATION5 PART 61 OF TITLE 40 AND AQMD RUt
PERMITFXPlRED ' LJ f SUBMITTED A5RF5TOS NOTIFICATION TO
PEAMIr CAMCElIED EPA
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