HomeMy WebLinkAboutXR2024-0685 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-oss5
Community Development Department- Building Division X R 2 0 2 4 8 6 8 5
r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0556
Permit Counter Phone: (949) 718-1888 Issued Date : 03/19/2024
U S newportbeachca.gov/civic Final Date:
cg4/FURH�P Combination Type - SFP Permit Status: Issued
Work Class - Alteration 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 : 1110 GRANVILLE DR
Legal Desc : N TR 14839 BILK LOT 7 UN 64 TRACT 14839, LOT 7 OF P
Description : SFR - RETILE 2 SHOWERS *TILE ONLY*
Owner: DAVID SHIFFMAN
Contractor: CAPO BEACH CONSTRUCTION INC
Architect
Address : 1110 GRANVILLE DR
Address : 32452 OUTRIGGER WY
Address
NEWPORT BEACH, CA 92660
LAGUNA NIGUEL, CA 92677
Phone: (617) 290-3459
Phone : (949) 433-5629
Phone
Con State Lie : 764395
State Lie:
Lie Expire : 10/31/2025
Applicant : CAPO BEACH CONSTRUCTION INC
Bus Lie : BT30083165
Engineer
Address : 32452 OUTRIGGER WY
Bus Lie Expire : 12/31/2024
Address
LAGUNA NIGUEL, CA 92677
Phone: (949) 433-5629
Workers' Compensation Insurance
Phone:
Carrier: NO EMPLOYEES
Owner/Builder :
Policy No: EXEMPT
Designer:
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
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: 10, Rear: 10
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
DECLARATION
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 ttem(s)
(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
the 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 penalty of
not more than five hundred dollars ($500).
El 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_j 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. It, however, the building or improvementis 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).
1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' state License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' Slate 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 legall,
(sell a structure that 1 have built as an avmcr-builder if it has not been constructed in its Dntirety 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:fiwvnv.leginfe.ca.govlcalaw,html
�.�Signature of Property Owner or Authorized Agent.� _Date
LICENSED CONTRACTOR'S DECLARATION
�I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Di on of the Business and.Protessl ,.n nd my license is in full force
�and effect. Licenso Class License No Date Contractor Signature /7
IiWORKERS' COMPENSATION DECLARATION
(WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1570,00i IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
'l hereby affirm under penalty of perjury one of the following declarations:
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, forth
'Performance of the v:ork for which this permit is issued. Policy No.
01 have and will maintain workers' compensation insurance, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone t!
❑I certify 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 the workers' compensation laws of California, and agre
thal, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� LJ
Signature of Applicant — -- --- Cate____ J ii�
,
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penaltyof perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address _
By my signature below. I certify to each of the following:
I am the property owner or authorized to act on the properly 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 to enter the Bove -identified property for inspection purposes,
Signature of Propel Owner ar Authorized Agent
Print Property Owner's Authorized Agent's Name
ACTION OAT€. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 51 OF TITLE 40 AND AONID RULF
_ s 1403
PERMIT EXNIPED I SUBMITTED ASBESTOS NOTIFICATION TO
PER'MtTCtIA¢ELLED i L'iE'RA
PERMIT EXTIND!'C
❑hQMD ___ _
PERMITFINAL r}�7I
IJASBESTOS NO] 'IFICA" Nf NOT ANpCICAatE t0
CERTIFICATE OF PROPOSED DE6ACLIT Pi
OCCUPANCY Ii _SIGNATURE:.
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