HomeMy WebLinkAboutXR2023-2308 - PermitsaEWPo�T City of Newport Beach
p� d Community Development Department - Building Division
y 100 Civic Center Drive, Newport Beach, CA 9266D
0 >h ? Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C4G�FORN`P Combination Type - SFP
Work Class - Alteration
X R 2 0 2 3 2 3 0 8�� COMB Permit : XR2023-230$
Plan Check No: PC2023-2028
Issued Date : 09/13/2023
Final Date:
Permit Status: Issued
Inspection Area :2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATFda,NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address
Description :
Owner:
Address
Phone:
103 VIA LIDO SOUD
SFR DEMOLISH (E,)-
FLUTER RUSSELL E TI
2025 W BALBOA BLVD
NEWPORT BEACH, CA
(949)466-9468
Applicant: PHILEDMONDSON
Address: 305 ORANGE AV, B
HUNTINGTON BEACH
Phone: (949)675-9468
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
CA 92648
Legal Desc : N TR 907 BLK LOT 877 TRACT NO 907 LOT 877 & 878 AN
TWO SFR UNITS WITH 105 VIA LIDO SOUD AND ALT WITH (N) FACADE 15 SF. REMOVE LAND COVENANT.
Contractor:
Address :
State Lic
MICHAEL A EVANS INC
9197 NADINE RIVER
FOUNTAIN VALLEY, CA 92708
(714)963-9809
498867
09/30/2024
BT30082598
Expire : 09/30/2024
Mrkers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
2022 Fire Sprinklers :
NO
V-B Fire Hazard Zone :
NO
U,R-3 No of Units :
1
No of Stories:
2
Front:4, Front: 10, Side:4, Side:4, Front: 10, Front:4, Side: 4,'Side:4'
AE, 8 FT; X
R-1 - Single -Unit Residential
►: 9
SPECIAL CONDITIONS: AE8 FLOOD ZONE & LIQUEFACTION
Architect :
PHIL EDMONDSON
Address :
305 ORANGE AV, B HUNTINGTON
BEACH, CA 92648
Phone:
(949)675-9468
State Lic :
C018423
Engineer: MANSHADIFARHAD
Address : 1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone: (714)835-2800
Designer
Address
Phone:
Construction Valuation : $17,500.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 15
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
owNetz_ButLOER DECLARATION applicable item(s)
e uiras a pemlil Iv construct. alter, improve, dernaw ( or repair any structure, with section 7000 also
on requires3 of the Businessicant land
heTBby affirm UI1di3t penalty Df paljUfy that am exempt from the Contractors' State License Law for the reasons) indicated below repair
the structure
pri I have it placed next to the
seumn zoats. 6uslness and Profess#rots Cade Atry G6ty or opunty that Q
he permit to Rle a signed statement that ne or snc fs uconsed pursuant to the provisions of the Contractors' Slate License Lan (Chapter 9 (commencing w )
'rofessions Code) Dr that he or she is exempt from Ilcensure 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
Tot more than five hundred deters ($500) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
0 I, as owner of the properly, or my employees with wages as theft sole compensation, will do �,) all of or (_) p provided that the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees or nesonal effort, builds e Improves the property, pr
Improvements are not Intended or offered for sale. I(, however, the fiuHding or improvement is sold within one year of completion., the Owner -Builder will have the burden of proving that II was not built or
improved for the purpose of sale).
0 1, as. owner of the property, am exclusively contracting with licensed Contractors to construct the project licensed
on racto Business and Professions Code: The Contractors' Stale License Law does not
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), T
0 I am exempt from licensure under the Contraclore' State License Law for the following reason: _. _ _ corripleetion
By my signature below I acknowledge that, axe ept for my panes bOlee Slonstructod indence in itslentiroty by lihave censed contractors. I undoestaned for at least one 1 as od that a copy of othehaplpl cable law, Section 704A oftheBusiness andEjTan legall
sell a structure that I have built as an owner -builder if it has o
!Professions Code„ is available upon: request when this application is submitted or at the following Web site:http:liwvm.leginfo.ca.gav/calaw.fitmL� � Date
Ithl
ture of Property Owner or Authorized Agent
NSED CONTRACTOR'S DECLARATION Q,Q }
by affirm under penalty of perlurY that I am licensed under provisions of Chapter 9 (commencing with SecDate 7Y00r 3 - iCoBusiness
tracto S'x tons Cyd sari y IicensB is In Lull force
ffect. License Class License No l�/�
KERS' COMPENSATION DECLARATION
ING: 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 ($tee AOei, IN AODFfION TO TH
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
by affirm under penalty of perjury one of the following declarations:
have and will maintain a c0rdleate Of consent to selr-insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
rmance of the work For which this permit Is issued. Policy No.
ave 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' compensatio,
ance carrier and policy number are: Expiration Date
ier Policy Number
Phone #
of Agent
va Dry that, in the 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 iM1e workers' compensation laws of California, antl ogre
if I should become subjoct to the workers ompensaton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rPtda t _ Z3
dg(talure of Applicant. L/Z— .. "C____
rE��.--.---»------
CLARAT€ON REGNG CONSTRUCTION LENDING AGENCY Trends
hereby affirm under penalty of perjury that there is a construction lending agency for h pert Address of the work. for which this permit is issued (Section 3097, Civil Code).
Lende
endar's Name
ly my signature balowt I certl8y tQ each pf lire Following:
I am the prQPerty comer 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 apVllcabte cVty and cowtty ordinances and slate laws reefing to building construction. 9 (> _2}
1 authorize repmseniatives of this city or county rtha a e-identified property for inspection purposes. Q�l L-✓«�tS Date
signature of Pro art Owner or Authorized A en ��✓ Print Pro arty Owner's or Authorized Agent's Name
ACTION DATE I BV i DECLARAT€ON OF CON4PLIANCE WITI{ CODE OF FEDERAL FOR OFFICE USE ONLY
i RF.GLItATIONS PART 61 OF TITLE 4D ANO AOMD RUIE
j 14D3
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXPIRED j --
_�_ - .._.. ...._ ..__..._. s L�EPA
ASBES
PERivI'rFFXFENDED __ _ _ �--�'
PROPOSED
NOTIFIC I5 NOT AP t TU
PCRIN77-FINAL V' I� �,y p�'r� � PROPOSED i)EN,",p�t IT60N C/(�
occu CERTIFICATE OF
pCCUPANCY ISSUED � _ SIGNATURE*