HomeMy WebLinkAboutXR2023-2513 - PermitsCity of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
S
Permit Counter Phone: 949 718-1888
cg-
newportbeachca.gov/civic
Combination Type -
Work Class - Addition
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2023-2513
Plan Check No : PC2023-1106
Issued Date : 09/08/2023
Final Date:
""j, atePermit Status: Issued
� " Inspection Area : 5
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 : 616 BEGONIA AVE, 1/2 Legal Desc
Description : DELTA 1 REVISION & ADD'L SCOPE TO ADD 30 SF LOFT
Owner: LISA SAPON
Address : 616.5 BEGONIA AV
CDM, CA 92625
Phone :
Applicant: MICHAEL STEVEN RING
Address : 14236 ALLEMAN PLACE
SANTA ANA, CA 92705
Phone : (714) 920-1558
Owner/Builder
Address :
Phone :
Contractor: RCS BUILDERS
Address : 14236 ALLEMAN PLACE
SANTA ANA, CA 92705
Phone:
(714) 920-1558
Con State Lie
: 1023770
Lie Expire :
02/28/2025
Bus Lie:
BT30082093
Bus Lie Expire : 07/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units : 2
Bldg Height : No of Stories : 2
Building Setbacks : Front: 18, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: {5
SPECIAL CONDITIONS: REV2023-1776
Architect
Address
Phone :
State Lie
Engineer: ANDREW KASHE
Address: 17011 INDEPENDENCE WAY
YORBA LINDA, CA 92886
Phone : (909) 610-5409
Designer: OSCAR VEGA
Address: 534 W LINCOLN AV
ANAHEIM. CA 92805
Phone : (714) 499-1247
Construction Valuation : $5,400.00
Added/New/Ti sq. ft. Bldg : 30
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. 0
OWNER-BUILUtK uer,LHKMI IUry
I hereby of h n under penalty of perjury that I am exempt from the Contractors State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable item($
;Section 7031.5. Business and Professions Code: Any city or county that requires a permitto construct, alter, improve, demolish. or repair any structure, prior to its issuance, also requires the applicant for
:ho 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 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 penally of
'Tot more than five hundred dollars ("$500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 or Improvement is sold within one year Of completion, the Owner -Builder will have the burden of proving that it was not built 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' Stale License Law does not
apply to an Owner of properly who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)
❑ I am exempt from licensure under the Contractors' Stale License Law for the following reason - _ . _ .--.-.-_-_ . _.-_._ ._... ....... .... ..... .---------
By 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
sell a structure that I have built as an owner -builder if it has not been constructed 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 this application is submitted or at the following Web site:http:Viwww,leginfo.ca..gov/cataw.htmi.. Date
Signature of Property Owner or .Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perilry that I am licensed under provisions Of Chapter 9 (commencing with. Section 7000) of Qivision 3 of the Business and u—Professions Code, and - +s irrfofl'f6C
land effect. License Class � License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 IIn 00,0001, IN ADDITION TO TF
COST OF CCMPENSATGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE„ INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following dociarations:
❑ 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, for I
performance of the work for whichthis permit is issued. Policy No.
1:11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for wh€ch this permit is issued. My workers' compensati
Insurance carrier and policy number are:
Policy Number
Date
ame of Agent _--
!Fcertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and afire
lal, if I should become subject to the workers' cornpensatiori visions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
.gnalure of Applicant ..,_,
Dale �J Z
._.._..... - .
IECLARAfirm der penalty,
L DNSTRUCTION is a RING 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 Cade), v
enders Nante Leader's Address-
iy my Signature below, 1 certi y [o each Of the following:
I am the property owner or,authoriSed to act on the property owner's behalf.
I have read this application aou .h„ information I have provided is correct.
I agree to comphr with all applicable city and county ordinances end stale laws losing to building construction.
I authorize mpr suntulives or this '.fy or county to enter the above -identifier) pro for inspection purposes. �1 /
;icnature of ProoerN owner or Authorized Agent Pont Properly Owners or Authorized Agents Name / � few, /G Date I 0
ACTION I DAT, BY
PFWIdrTE%AIRED 1
PFRMIT CANCEU ED--
PERMIT EXTENDED
PERMIT FINAL (2-(J-Z41
CERTiFtCATE OF r
OCCUPANCY iSSUE0 II
.RATION OF COMP LIANCE WITH COOS OF FEDE RAL FO(i OEFICE USE ONLY
RE GUI.ATIONS PART' 51 OF TITLE 40 AND AQMD RU Lf.
1403
El I SURMITTFO ASBESTOS NOTIFICATION TO
2.ASBES'fOS NUIIFILATION.IS NOT APPLICABLE T'U
PROPOSED DEMOLITION ��r��