HomeMy WebLinkAboutXR2023-0275 - PermitsEWoo T City of Newport Beach I �1111111p11111111111111111111111IIIIIIIIIIIII111111111111I�jjj COMB Permit : XR2023-0275
o¢ e Community Development Department - Building Division Plan Check No: PC2023-0205
�n w 100 Civic Center Drive, Newport Beach, CA 92660 Issued Date : 03/28/2023 S Permit Counter Phone: (949) 644-3286
u Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
C9C�c0Rr\�P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
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
Description :
555 VISTA FLORA Legal Desc : N TR 5740 BILK LOT 40 TR 5740 (L.L.84-21402B) PAR 40
TOWNHOME LIVING RM, KITCHEN AND POWDER ROOM REMODEL, STUCCO REPAIR ON GARAGE 417 SF
Owner:
DANIEL BIBB
Address :
555 VISTA FLORA
NEWPORT BEACH, CA 92660
Phone:
(949) 337-8164
Applicant:
DAVID BAILEY
Address :
23183 LA CADENA DR, #101
LAGUNA HILLS, CA 92653
Phone:
(949)573-1050
Owner/Builder : DANIEL BIBB
Address: 555 VISTA FLORA
NEWPORT BEACH, CA 92660
Phone: (949)337-8164
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy NO:
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories:
Architect: DAVID BAILEY
Address: 23183 LA CADENA DR, #101 LAGUNA
HILLS, CA 92653
Phone :
(949) 573-1050
State Lie
Engineer :
WILSON KALEN
Address
23152 DR 3.
OCA
LAGUNA HILLS, 9 6�
Phone:
(714)576-6524
Designer:
Address
Phone:
,• �....'
NO Construction Valuation :
NO Added/New/Tl sq. ft. Bldg
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage
TOTAL sq. ft. :
q, t � fi ,. A � �t o •.�
$100,000.00
5
417
0
5
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 items)
(Sectlon 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
the permit to file a signed statement that ha 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 licensum 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
Wnot ore than five hundred dollars ($500),
. as owner of the property, or my employees with wages as their sole compensation, will do L) all of or N portions of the work, and the structure Is 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 soli within one year of completion., the Owner -Builder will have the burden of proving that It was not bullt or
improved for the purpose of sale).
❑ 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
11 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason: _ _
By my signature below I acknowledge that, except for m-------------8 p y personal residence in which 1 must have resided forat least one year prior to completion of file fmprovements covered by thisparmit,l cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by leensed contractors. I understand that a copy of of the J applicable law, s cofien 7044 of the Perm it,
I Business and
Professions Code is available upon request wile till 4iop�s�gutt¢yKagr®r-eFiMe-following Web site:http:/iwww.leginfo.ca.gov/calaw.html. Signature of PropertyNT Owner or Authorized RAgent ATIO �y(�
LICENSED CONTRACTOR'S pECLARATlO _
I hereby affirm under penally of perjury that I am license 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
NORKERS' COMPENSATION DECLARATION Contractor Signature
VAPNING; FAILURE TO abCUHE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10e,0e0), IN ADDITION TO THE
:Orr C� cl"PENSAT ON;. DAMAGES AS pROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AMC, ATTORNEYS FEES.
hereby affirm undA-pnralty of perjury one of the following declarations:
1 have and will rc,aintain a certificate of consent td self- insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
,Orformance of the :ork fcr 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 anJ Pokey number are:
of Agent
Policy Number
Date
Phone #
certify 'hot. in 'he 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
if I shnuld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
iawre of Aoolir.an,
L:t-A"IFION REGARDING CONSTRUCTION LENp{NG AGENCY Date__
=reby 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).
Wor's Name Lender's Address
my signature below, I oenffy 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t ,Ptertpp ab a-ldenf d property for inspection purposes, T
nature of Property Owner or Authorized Agent �y �� Pr nt Propery Owners or Authorized Agent's Name(�Z,, I. i Fir F.-a'
v�ucn,nni EUIN Ur LUMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
SUBMITTED ASBFSTnC NnTl PIrAT1 nu Tn
PERMITFINAI AS13ESTOS NOTIFICATION 15 NOT APPUCABLE TO
CERT0CATE OF ^IA PROPOSEO�Ef�811.ITT -T.?I I
OCCUPANCYISSUEO ff�l k _._
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