The URL can be used to link to this page

Home My WebLink AboutXR2023-0510 - Permits��eWeoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department- Building Division X R 2 0 2 3 0 5 1 0 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9<icp 0.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0510 Plan Check No: PC2023-0422 Issued Date : 03/23/2023 Inspection Area : 8 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 : 20 CAPE WOODBURY Legal Desc : N TR 15012 ELK LOT 59 Description: SFR ALT 950 SF AND FIRE DAMAGE REPAIR. Owner: NEAL GARY A TR Contractor : Peter Black Architect : DAVID DILETTOSO Address : 20 CAPE WOODBURY Address : 32565 B Golden Lantern, 176 Address : 3090 BRISTOL ST, 4TH Ft COSTA MESA, NEWPORT BEACH, CA 92660 Dana Point, CA 92629 CA 92926 Phone: Phone: (714)612-7678 Phone: (949)204-0076 , Con State Lic : 692383 State Lic Lic Expire : 08/31/2024 Applicant: DAVID DILETTOSO Bus Lic: BT00003226 Engineer : RICHARDS GEORGE LE"Nl3 Address : 3090 BRISTOL ST, 4TH FL Bus Lic Expire : 08/31/2024 Address : 2211 MICHELSON DRIVE SUITE 450 COSTA MESA, CA 92926 IRVINE, CA 92612 Phone: (949) 204-0076 Workers' Compensation Insurance Phone: (949) 752-0601 Carrier: EXEMPT Owner/Builder: Policy No: EXEMPT Designer: , Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $300,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 950 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Upper Castaways PROCESSED BY: t SPECIAL CONDITIONS: �!i9 1� �rer•� 1hW&Ga 774o{> Quoy-?zlii5 t d as v `3 OWNER -BUILDER DECLARATION l hereby affirm under penalty of perjury that I. am exempt from the Contractors' Slate License Law far 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 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 lieensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with Wages as their sole compensation, will do L) all of or L) 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' State License Law does not apply to an owner of property who builds or improvesthereon, 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' 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 for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an ownar-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:llwww.teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ordq� penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f a' IT 3 f the Business and Profes ions Code,. license is In full force and effect License Class License No Date 2-jCbntractor Signature WORKERS' COMPENSATION DECLARATION MARNIN : PAILUSE TO, SRCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 111 have and will'ind,ntain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth uenomfance of the work for which this permit is issued. Policy No. 71.1 t.G,,e and will mglntain 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" compensatiol iq-t,rce Carrier and policy number are! rirr _ _ Policy Number Expiration Date wdmebf Agent _ - Phone # ify that, id the performance of t ork 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 G I should b�rumr subject to th compensation provisions of Section 3700 of the Labor Cade, Lshall forthwith comply with Those provisions. 3ignalure of Applicant D DECLARATION REG DING CONST UCTION LENDING AGENCY ^^ hereby affirm under.. enalty of perju that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade). _enders Name Lender's Address 3y 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 have read this application and the information I have provided is correct. I agree to comply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to or the above ntified property for inspection purposes. Signature of Property Owner or Authorized A c call. Print Property Owner's or Authorized Agent's Nam Da ACTION DATE. BY DECLARAT€O F COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY 9�4 REELLATIO SPART61 OETITLE40ANDAQMD RULE 3,403 PERMiTEXPIREO ) I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PER,b4T EXTENDED v MD PERM1Tf1NAL 2/ f SBESTOS NOTIFICA71 7APPLICABLE 70 CERTIFICATE Of PROPOSED DE OLIT OCCUPANCY ISSUED i StGNATUR