HomeMy WebLinkAboutXR2023-0806 - Permits�EavoRT City of Newport Beach
D� Community Development Department- Building Division X R 2 0 2 3 8 g 0 g
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
q��voaN� newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Other
COMB Permit:XR2023-0806
Plan Check No : 1403-2020
Issued Date : 03/28/2023
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 : 1005 GRANVILLE DR
Legal Desc : N TR 14839 BLK LOT 2 UN HOLD
Description: MFR REMOVE EXIST'G CMU BLOCK WALL AND CONCRETE SLAB OUTSIDE PROPERTY LINE
(REV2023-0558)
Owner: KATHLEEN MCINTOSH
Contractor :
Architect
Address : 1005 GRANVILLE DR
Address :
Address
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone: �.
Con State Lic :
State Lic
Lic Expire
Applicant: KATHLEEN MCINTOSH
Bus Lic:
Engineer
Address : 1005 GRANVILLE DR
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92660
Phone :
Workers' Compensation Insurance
Phone
Carrier
Owner/Builder: KATHLEEN MCINTOSH
Policy No:
Designer
Address : 1005 GRANVILLE DR
W. C. Expire :
Address
NEWPORT BEACH, CA 92660
Phone:
Phone: '
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $2,750.09.'..'
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 15, Front: 3
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY: T I
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori indicated below by the cheGkmark(s) I have placed next to the applicable iteirl
'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 applicant for
Ie 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
rofessions Code) or that he or she is exempt from licensors 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
of more than five hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usleess 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
nprovemartts 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
n oved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
poly 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).
I am exempt from licensors under the Contractors' State License Law for the following reason.
,y 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 legal
all a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu mess and
'rofesslons Code, is available upon request when this ap at n Is su mi or a th ollowing Web sitethtip:hwww.leginfo.ca.gov/Qalaw.html. 1 % let L j
ignahure of Property Owneror Authorized Agent -�J �� Date r
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that 1 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
nd effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
ARNING; FAILURE C CE_URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS L$I D0,000), IN ADDITION TO THE
DST OF COMPENSATION. LAMADES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and AT nTintain 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
erform,^nce of the work for which this permit is issued. Policy No.
11 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' compensation
lenience carrier aid pnlicy number are:
:artier Policy Number Expiration Date
area oS Agent Phone #
It certify that, in ins 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 agre
la,, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Igre.l,rca of Applicant_ Date-
19;'_'ARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
Goner's Name Lender's Address M
1y 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 applicable city and county ordinances and slate laws relating to building construction.
i authorize representatives of this city or count. to enl the above -identified property for inspection purposes. ' I
li nature of Property Owner or Authorized Agen Print Pro ere Owner's or Authorized Agent's Nam uG� 3 Date /
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
PERMIT EXPIRED L 1 I SURMITTED ASBESTOS NOTIFICATION TO
PEAM17C4NCELIED I EPA
_ -_._ .TENDS.--_ ._ .. 11111177T777'''�� _
PERMIT FNTENDED �OMD
PERIvI1T E AL ASBESTOS NOTIFICATION 15 Nor APPLICABLE TO
CERTIFICATE Of q PROPOS_?EMOLIjkON
OCCUPANCY ISSUED 7I ,W i $iGNA'lSRQ'14a li /� L