HomeMy WebLinkAboutXR2024-0723 - Permits (3)�EWPORr City of Newport Beach II IIIII I I IIIII I IIIII III II IIIIIIIIIII I) COMB Permit : XR2024-0723
QF @ Community Development Department -Building Division X R 2 0 2 4 0 7 2 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
H� = Permit Counter Phone: (949) 718-1888 Issued Date : 03/21/2024
a.. newportbeachca.gov/civic Final Date:
C'r�1Fp0.N�P Combination Type - SFP Permit Status: Issued
Work Class - Other 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 : 8 COLLINS ISLE
Description: SFR YARD DRAINAGE *CITY STANDARD*
Owner: DENISE SKOVSETH
Address : 8 COLLINS ISLE
NEWPORT BEACH, CA 92662
Phone: (714)932-9460
Applicant:
ERIK SKOVSETH
Address :
8 COLLINS ISLE
NEWPORT BEACH, CA
Phone:
(949)631-3121
Owner/Builder: DENISESKOVSETH
Address : 8 COLLINS ISLE
NEWPORT BEACH, CA 92662
Phone: (714)932-9460
Legal Desc : N TR 1723 BLK LOT 7
Contractor: OWNER/BUILDER
Address :
Phone :
Con State Lic : OWNER/BUILDER
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U
No of Units :
0
Bldg Height:
No of Stories :
0
Building Setbacks :
Front: 7, Side: 4, Side: 4, Rear: 4
Flood Zone :
AE, 8 FT; X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address
.Phone:
Construction Valuation :
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
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 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 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 Iicensure 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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
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).
❑ 1, 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
apply to an owner ofpropertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
t_A I am exempt from Iicensure 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 legal)
sell 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 taw, Section 7044 of the Business and
'..Professions Code, is available upon request when this application is submitted or at the following Web sde:http:/twww.leginfo.ca.govlcalaw.html.
'Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirn under penalty of perjury that 1 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
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 thf
performance 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 permit is issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
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, I shall forthwith comply With those provisions.
'signature of Applicant Date_ _
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of 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
Iy 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -Identified property for inspection purposes.
Date
ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED U SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED PA
PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF 7f�./I�% ��� I PROPOSED DEMOLITION
OCCUPANCYISSUED I SIGNATURE:
SEW PoRT
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address:
V� C4.311CAtS rz(,5 /J - a
Permit Number: X K_ 2 v 2Z l- o 7 2
Property Owner:
Licensed Contractor:
5lcovs
Lic #:
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that
existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors.
CRC Section R314.3, CRC R315.3 defines required locations.
Both boxes below must be checked:
�0 Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
sleeping area in the immediate vicinity of bedrooms or in each hallway outside of
the rooms, and each level of the dwelling. Detectors are also required in
bedrooms with gas fired appliances
�0 Smoke Alarms: Installed in each room used for sleeping purposes, outside
each sleeping area, and on each level of the dwelling unit.
Retrofitted detectors may be battery operated for buildings where no alterations are
performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms)
shall comply with all applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturer's specifications.
k4
I, the undersigned, hereby certify that I am the(�peritftteor homeowner of the
project. I further certify that smoke alarms anmonoxide alarms are
present and tes,*d to be functional in all the following locations:
Signature. ��� Date:
NOTE This self -certification is only used for projects to the exterior of the structure where access to the
interior of the dwelling by the City of Newport Beach Building Inspector is not achieved during the course of
construction.
Forms\SmokeDetectorandCarbonMonoxideSelfCert 08/12/16