HomeMy WebLinkAboutXR2024-5210 - Permits (3)aEWPORT City of Newport Beach 111111p11111111111111111111111111111111111111111111111111jj COMB Permit: XR2024-5210
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 05/15/2024
U newportbeachca.gov/civic Final Date:
cpFH�P Combination Type - MFP Permit Status: Issued
Work Class - ADDITION/ALTERATION 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 : 122B RUTLAND RD, 4 Legal Desc : N TR 8638 BLK LOT 1 UN 1 TR 8638 LOT 1 UNIT 1 OF P
Description: MFR INSTALL DRYWALL AND INSULATION 15 SF *WORK IN PROGRESS* (CHANGE TO CONTRACTOR)
Owner: REBECCA POWER
Address : 1242 RUTLAND RD, 6
NEWPORT BEACH, CA 92660
Phone: (760)250-6195
Applicant: REBECCA POWER
Address : 1242 RUTLAND RD, 6
NEWPORT BEACH, CA 92660
Phone: (760)250-6195
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2022
V-B
R-2
Front: 20, Side: 4, Side: 4, Rear: 0
X
RM - Multiple Residential
�v
SPECIAL CONDITIONS: 124-1474
Contractor: TRES GENERAL CONSTRUCTION
Architect :
Address : 13109 DESMOND ST
Address
LOS ANGELES, CA 91331
Phone: (323) 707-7474
Phone
Con State Ltc : 1088185
State Lie :
Lie Expire : 03/31/2026
Bus Lie: BT30084353
Engineer:
Bus Lie Expire: 05/31/2025
Address
Workers' Compensation Insurance
Phone:
Carrier: CLEAR SPRING PROPERTY
Policy No: CWC01882501
Designer:
W. C. Expire : 4/14/2025
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$0.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 6
Alteration sq. ft. Bldg :
0
No of Stories : 2
Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checklnark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a pemfll to construct, alter, improve, demolish, or repair any structure,. prior to its issuance, also requires the applicant for
in 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
'rofessions Code) or that he or she is exempt from llcensure, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil penalty, of
of more than five hundred dollars ($500)..
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
nprovements are not Intended or offered for sale. 11, 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
mroved for the purpose of sale).
11. 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
pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ry my signature below I acknowledge that, except for my personal rosidence m which I must have resided for at least one year prior to Completion of the improvements covered by this permit, I cannot legall)
all 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
rofessions Code., is available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.ca.gov/calaw.html,
ignature of Property Owner or Authorized Agent _ Date,___________________
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 f iuis'rp 3 of the Business and Professi od el in full force
nd effect. License Class License No Date � / Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I h ve and will maintain 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, for th
e rnnance of the work for which this permit is issued. Policy No.
I have 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` compensatiol
Isurance carrier and policy number am:
Policy Number
of Agent
Date
It 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
rat, if I should become subject to the workers' c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
ignature of Appiicanf Date ..__
IECLARATION REGARDING C NS`TRBD'P1-GN tE ING AGENCY
hereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Bader's Name Lenders Address
y 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 pd state laws relating to building. construction.
I authorize representatives of this city or County to ent abov = peiti pection purposes. ,� (o, n
ACTION DATE BY ? DECl28dS�`AA WMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATQUNS PART 6.1 OF TITLE 40 AND AQMD RULE
PERMITEXF REJ
PERMIT G41-CE LE0 —�- -
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PERMiTEXTENDED i
i SUBMITTFD ASBF5TO5 NOTIFICATION TO
PERMIT FINAL {,-,//1yr/r� ��///S %APSBESTO5 NOi IHCA � 15 NOT APPLICABLE TO
CERTIFICATE OF '(7—VV—L/— YX— p"NATSEDUR DEMM�C LkTfON—J�
OCCUPANCY i55UftI � SIGNATURE: J