HomeMy WebLinkAboutXR2022-1937 - Permits�EWPoRT City of Newport Beach
C� 6 Community Development Department.titlildino Division
100 Civic Center Drive, Newport Beach, CA 92660
rt Permit Counter Phone: (949) 644-3288
J Inspection Requests Phone: (949) 644-3255
cggs'Op��P newportbeachca.gov/inspections
II II III II II COMB Permit : XR2022-1937
Plan Check No:
Combination Type: SFP
Work Class : Alteration
Issued Date : 07/15/2022 _
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSIT ARE
Job Address : 1525 HIGHLAND DR
Description: SFR CHANGE OUT (1) WINDOW
Owner: LISA FOIGELMAN
Address : 1525 HIGHLAND DR N
92660
Phone: (949)836-3289
Applicant
Address
Phone:
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
BLK LOT
Bus C . i
ork m t Insu nce
arrie
[icy
. C. Expire
2019 PNo
t: \
re ar
6 of UQ' C� 1
of Stories
Front: 20, Side: 6, Side: 6,
X
R-1-6000 - Single -Unit Re
3 YEARS F�QQM ORIGINAL ISSUANCE DATE
NOggWOR t TdC IAY AND HOLIDAYS IN ALL AREAS
Public Works Approval:
Plan Check By:
Approval To Issue:
Address
Phone
s
11�g1er: +eCll
pane:
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5. Business and Professions Code: Any city or county that requires a period to construct, alter, improve, demolish, orrepair S,fystn lure, poor to its issuance, also requires the applicant for
the permit to fife a signed statement that he or she is licensed pursuant to 1110 provislons of the Contractors' Stale 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 licensure 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 than five hundred dollars ($50D).
❑ 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 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 at Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Irnp)Oved for the purpose of sale).
as owner or 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
ly to an owner of property who builds or improves (hereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
El I am exempt from licensure under the Contractors' Slate License Law for the following reason:
By my signature below I acknowledge tha(, axceplfor my personal residence in which I must have resided for at least one year prior to completion of erad by this permit, I.cannot legalh
sell a structure that I have built as an owner -builder it It has not son constructed in its entirety by licensed contractors, I on e. applicable law, Secool of the Business and
Professions Code, Is available upon request when this app' tionis submit[ at,the follow! . agm o.ca.gov/calaw.html.
Signature of Property Owner R Authorized Agent Date/��
LICENSED CONTRACTOR'S DECLARAT j a(� '
I hereby affirm under penalty of perjury am licensed under fi wns of(Ctya. e. gf{ In wi 00) of Division 3 of the Busi¢ess fer�(�y e d my license Is in full force
and effect. License Class License No I Dale r p t E
ilif
WORKERS' COMPENSATION DE R � IJJ INARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND LL S CT E Ol�'TQ"(}'w L AlAND CIVIL FINES VP TO ONE HUNDRED THOUSANQ DOL S (6100,000), IN ADOPTION TO THE
COST OF COMPENSATION, DAMAGES AS Pit IO FOR IN SECTIO T060FT CO TER,N NEY S FE� Whom:---�—
hereby affirm under penalty of perjury o of t o own actor ons. itl 7 t t0
6 s' =;yexa,� e3
i have and will maintain a cerliflcate T co ant to . '-insur�Y�(a, r(,rs ro�p�satl�' , issued by the Director of Industrial Relations as provided for by Section 37 of the Labor Code, for th
jerformance of the work for which III per it is su y No _
�y
-1I have andwill maintain workers comp nsation insurance as required b Se o ` for pe L mane of the work for which this permit Is issue My workers' compel
nsurance carrier and policy number are: 'p,+
Darter P -' umb,+ y^_'n j' `I'* v l5'""" Expiration Date _
'Jame of Agent. Phone #
-1I certify that, in the performance of thew k for fmit Is sued, I shalt not employ any person in any manner so asto become subject to line work nsaton 11 ws bf California, and agre
hal, If 1 should become subject to the works '' corn nsation provisions of Section 3700 of the Labor Code, I shall t I'. with ply th s.+ i
31gnalure of Applicant _ _ ate
DECLARATION REGARDING CONSTRUCT N LE A�S T �� 1' ,,} tt--}}pp(({{ _
hereby affirm under penalty of perjury that t re is on ruc dI s4""�' to - a e of the work for which t� MK9r"0,,ku0Ny�8biflSli )097, Civil Code). �}
anc s Name _ _ _ er's Address \
3y my signature below, I certify to each of the oilo n�ta�{e
I am the property owner or auulorized to a t. o the property o Ir e sit. "
I have read this application and the inform ion I have provided is correct.
I agree to comply withal] applicable city an county ordlinances and state laws eel CgnSlruOtign. '�$�j. initial g.
I authorize representatives of this city or cc n ct ed property for Inspection purposes. ----"' �-' ��j
SI nature of Property Owner or Authorized A ei wner's o ame r 3 `' 1 - t `-v Sn Dale 2
ACTION DATE '( B LANC6w FOR OFFICE USE ONLY
p l RFGU LE GO ANU AQr✓ID RULE
PERMIT EXPIRED
PERMIT EXTENDED
PERMET FINAL
CERTIFICATE OF
OCCUPANCYLSSUED
I SURMITTFn A56FSTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
D be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the
)S NOTIFICATION IS NOT APPLICABLE TO life of the pool,
DEMOLITION