HomeMy WebLinkAboutXR2023-1127 - Permits�gWP04,r City of Newport Beach IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II
0 Community Development Department - Building Division X R 2 9 2 3 1 1 2 7
> - y 100 Civic Center Drive, Newport Beach, CA 92660
~ r1 Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255 ? ? r""3 r—..
c9G1 F00.N�o- newportbeachca.gov/inspections--
Combination Type - SFP ELEC MECH PLUM' --
Work Class - Alteration
COMB Permit XR2U23-1127
Plan Check No : PC2023-1004
Issued Date : 05/02/2023
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 RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2018 TAHUNA TER
Legal Desc : N TR 2813 BLK LOT 94
Description: SFR ALT (E) WINDOWS. REMODEL JACK AND
JILL BATHROOM. INSTALL WALK -IN -TUB.
R/R 2 FURNACES IN ATTIC. 100 SF
Owner: EDGAR W SPINNEY
Contractor :
Architect
Address : 2018 TAHUNA TER
Address :
Address
CORONA DEL MAR, CA 92625
Phone : (949) 673-6767
Phone:
Phone:
Con State Lic :
State Lic
Lic Expire:
Applicant: Rio Tanbara
Bus Lic:
Engineer:
Address : 422 Riverside Ave
Bus Lic Expire :
Address
Newport Beach, CA 92663
Phone : (949) 861-1846
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : EDGAR W SPINNEY
Policy No:
Designer: PHIL NIELSEN
Address: 2018 TAHUNA TER
W. C. Expire :
Address : 6131 ANACAPA DRIVE
CORONA DEL MAR, CA 92625
HUNTINGTON BEACH, CA 92647
Phone : (949) 673-6767
Phone : (714) 717-1418
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $104,000.00
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: 100
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
'
Use Zone : R-1 - Single -Unit Residential
6T
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 Item(s)
iection 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 issuanoe, also requires the applicant for
fc permit to file a ' nod 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
Tofessions e) 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 fora permit subjects the applicant to a civil penalty of
of mor an five hundred dollars ($500)..
, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
'.usiness 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. 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
nproved for the purpose of sale).
3 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
pp€y 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
'ry my signature below € 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 legail,
ell 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
Irofessions Code, is available upon request when t. Ica Io 'ae at the following Web site:http:/Ica ,w'.leginfo.ca.gov/calaw.html. %
lignahlre of Property Owner or Authorized Agent ^ Date 2_1Z E)Z3 _-
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
1ARNING: 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 t3100.,000j, IN ADDDION TO THE
DST 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:
I 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, for in
erformance of the work for which this permit Is issued. Policy No.
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 permitis issued. My workers'
rare carrier and policy number are:
Policy Number
Date
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions.
Ialure of Applicant_;__ _, „_� Data_�l2�Za Z-3
hereby affirm under penalty ,of perjury that there is a construction lending ig—ermy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 comnly with all applicable city and county ortilnancpq and state laws relating to building construction.
I authorize taoresentatives of this city or o-C"u n hR od ntooerty for inspection purposes.
'ionatur„ of Property Owner or Authorized .-- Print Property Owner's or Authorized Agent's Name
,,CTION ( DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
S REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
ASBESTOS
Fc3i,17 EXTENDED.
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