The URL can be used to link to this page

Home My WebLink AboutXR2023-3429 - Permits (3)�EvuPoRr City of Newport Beach II11I111miIIill IIIIIjjIIjI��IIIIII�I�I��III��I��IIIII Plan Pkimit : XR2O23-3429 04 dm Community Development Department- Building Division tL(RE�1.b Y 100 Civic Center Drlve, Newport Beach, CA 92660 Issued Date Permit Counter Phone: (949) 716-1888 Final Date: ,may„ newportbeachca.gov/civic Permit St2tus"lrp1166a CgC�FO RN`P Combination Type - SFP ELEC MECH PLUM Inspection Area : 4 Work Class -Alteration 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 : 2233 ARBUTUS ST Legal Desc : N TR 4705 BLK LOT 102 Description: SFR INTERIOR ALTERATION - REPIPE, R/R SEWERLINE, KITCHEN, 3 BATHS, CITY STANDARD Owner: DONLEY WAYNE DE GROTE Address : NEWPORT BEACH, CA 92660 Phone : (714) 357-6082 Applicant: DONLEY WAYNE DE GROTE Address: NEWPORT BEACH, CA 92660 Phone: (714)357-6082 owner/Builder: DONLEY WAYNE DE GROTE Address :. NEWPORT BEACH, CA 92660 Phone : (714) 357-6082 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: " o a Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area PROCESSED BY: — — -- SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address : Phone: Designer: DONLEY WAYNE DE GROTE Address P. NEWPORT BEACH, CA 92660 Phone : (714) 357-6082 Construction Valuation : $30,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: U TOTAL sq. ft. vvunttt-13U11.DER 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 checkmark(s) I have placed nett to the applicable tennis). (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish,. or repair any structure, poor to its issuance, also requires the the permit to Ole a signed statement that he or sheis licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing With Section 70D0) of Division ir of the Business or Professions Code) or that he or she is exempt from ilcereure and the basis for the alleged exemption. An violation of Sed' e applicant for not more than five hundred dollars ($500). Y bon 7C3t,5 by any applicant for a permit subjects the applicant to a civil penalty of i as owner of the property, or my employees With wages as their sole compensation, will do (_) all of or portions of the work, and the structure is not. intended Or offered for sale (Section 7044. Business and Professions Cotle. 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 bulb or improved for the purpose of sale). es 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 Y o an owner of property who builds or improves. thereon, and who &Istorojects with a licensed Contractor pursuantto the Contractors' State License Law). oxernm from Iicensure under the Contractors'State Ll ng ra' m C I have built. as an owner -builder ifr my pots na esr- — ^--------------____i ytr cturo t at I h i a built as an thatexcept fo PLLtst have resltled for at least one of the improvements covered by thispermit I cannot legally oil structure the it has b n ssions Code, is available upon request wh thls a licensed contractors. I understand that a copy of the applicable law, Section 7044 of i o au moss and Signature of Property Owner or Authorized Age p owing Also site:hitp liwwnv legmte.ca..gov/dalaw.html. LICENSED CONTRACTOR'S DECLAF I N--"---- Oate I hereby affirm under penalty of pequry 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 is IE�orce and effect. License Class License No WORKERS' COMPENSATION DECLARATION Date Contractor Signature 'WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIRES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), iN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 31410 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one or the following declarations: 111 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 performance of the work for which this parmit Is issued. Policy No. :1I 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 workars' Compensatio nsurance carrier and policy number are: farrier Policy Number a�e�of Agent n Expiration Date .¢fie �Ty that, in. the parforl o d f r Phone a fiat if I should become sub h-d'n PO t is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra mpensation prov! 'Dns of Section 3700 of the Labor Code, I $hail forthwith comply w'i(h those provisions. lure of Applicant tECLARA7iON REG -. TO . CY Data., hereby affirm under pe anury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3fl97, Civil Code). ender'$ Name y my signature below, I Certify to each of the fallowing - _� Lenders Address. I am the property owner or authorized to act on the I have read this application and the information I ha I agree to comply with all applicable city and a t} I authorize representatives of this city or count. ignalure of Property Owner or Authorzed A ent CTIb DATE j BY CET(ICTE RFAOF OCCUPAN"15SueD kK relating to building construction. )pert} for inspection purposes. 1NCE W17H CODE OF FEDERAL T[TLE 40 AND AgMD RULE TO FOR OFFICE USE ONLY 121