HomeMy WebLinkAboutXR2024-0370 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII II COMB Permit XR2U24-037U
'< @ Community Development Department- Building Division X R 2 8 2 4 0 3 7 0
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100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0313
= Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024
.,., newportbeachca.gov/civic Final Date:
CqG/FpftN\P Combination Type - MFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 6
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 : 10 SAN PIETRO Legal Desc : N TR 16195 BLK LOT 3 UN 29 TRACT 16195, LOT 3 OF P
Description: MFR INTERIOR REMODEL @ KITCHEN AND BATHROOM 400 SF
Owner:
LARRY R WILSON
Address :
10 SAN PIETRO
NEWPORT BEACH, CA 92657
Phone:
(949)463-2642
Applicant:
LARRY R WILSON
Address :
10 SAN PIETRO
NEWPORT BEACH, CA 92657
Phone:
(949)463-2642
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: R-2
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS: I D; VHFSZ
Contractor:
LITZ CONSTRUCTION INC
Address :
21542 NEWLAND STREET
HUNTINGTON BEACH, CA 92646
Phone :
(714) 374-5500
Con State Lie:
560451
Lie Expire:
04/30/2025
Bus Lie :
BT30008012
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: BENCHMARK INSURANCE COMPANY
Policy No : CST5025455
W. C. Expire : 5/30/2024
Fire Sprinklers :
NO
Fire Hazard Zone :
YES
No of Units :
7
No of Stories :
2
Architect
Address
Phone:
State Lie:
Engineer
Address
Phone:
Designer: CRIS ROBERTO DESICJ�NS, INC
Address: 1 VIEW POINT PLN
LAGUNA NIGUEL, CA 92677
Phone : (949) 338-6544
• - - ,
Construction Valuation :
$32,000.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
400
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
C1Vill1:1G�3ll 1][111 -U
I hereby affirm under penalty of perjury that f am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 lie 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 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
not more than five hundred. dollars ($500).
13 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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. Ir, 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
'mproved for the purpose of sale).
1, as owner of 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
!aa�pp-tlply 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).
:1 1 am exempt from licen5ure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided'forat least one year prior to completion of the improvements covered by this permit, I cannot legall,
Sell a structure that I have built as an owner -builder if it has not been constructed in its enthoty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
°rofessions Code, is available upon request when this application is submitted or at the following Yyeb site:http:tiwww.leginfo.ca.gov/ca.law.himl,
Signature of Property Owner cr Authorized Agent _ a _ Date
LICENSED CONTRACTOR'S DECLARATION --��
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect n 70 ) of Division 3 of the Bus and Professions p , a cy license is In full force
and effect. License Class License No L_ ) 1.7 y Contract Signature
NORKERS' COMPENSATION DECLARATION /////��III
YARNING: 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 t$100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV's FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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 th
�!n`lanco of the work for which this permit is issued. Policy No.
and will maintain workers' Compensation insurance, as required by $action 3700 of the Labor Code.. for the performance of the work for which this permit is issued. My workers'
carrier and DO,cy number arw
Policy Number
of Agent _
Date
JI certify that, in tr a perform of t 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
rat, if I should De Cro •.0 t or ws oo Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions �,c'
igna:Lre of Applic 1 ate 2 "�2
'Fri ORATIpN f �RDIN TRVCTIGN LENT3lNG AGENCY
here v affirm und,.r p maltyGf perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
enders Name Lender's Address
y 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 ha,,e read this application and the information I have provided is correct.
I agree to como;v with all applicable city and county ordir Bs and state laws relating to building. construction.
I authorize representatives of this city or co ly t r as e-identified property for inspection purposes.
ignature of Property Owner or Authorized Agen PrintProoeriv Owner's or Authorized ananec rr a J :�fVri % a>
ACTION DATE. EIV 'f DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQIrAD RULE
PERAWEXPIRED I i i I�IarRnnlTran ,tcRccrnc nlntmlrnrrnm rn
P€Po4ilT EXTFNDED_,. _ L_..______— LJA9
M0 NOTI CA 10 IS ABLE TO
PERMIT FINAL
CERTIFICATE Of '� Z��sf �] PRO SFD DEP
OCCUPANCyI55UED X/� Sla G IIRF-