The URL can be used to link to this page

Home My WebLink AboutXR2023-0636 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2023-0636 � e Community Development Department - Building Division > n, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0506 Permit Counter Phone: (949) 644-3288 Issued Date : 03/08/2023 O Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 cq<rFoa" �P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM 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 : 22 SCENIC BLUFF Legal Desc : N TR 15818 BLK LOT 5 Description: SFR INTERIOR REMODEL OF (8) BATHROOMS, KITCHEN AND LAUNDRY ROOM 1197 SF Owner: JOSH SUTHERLAND Contractor : J L G C Architect Address : 22 SCENIC BLUFF Address : 28885 WOODSPRING CIR Address NEWPORT BEACH, CA TRABUCO CANYON, CA 92679`' Phone: (801)244-3402 Phone: (714)305-2861 Phone: Con State Lie : 903819 State Lie: Lie Expire : 09/30/2023 Applicant : JLGC Bus Lie: BT30021002 Engineer �` Address : 28885 WOODSPRING CIR Bus Lie Expire : 10/31/2023 Address : TRABUCO CANYON, CA 92679 Phone: (714) 305-2861 Workers' Compensation Insurance Phone: ` Carrier: TRANSVERSE INSURANCE COMPANY 0 Owner/Builder : Policy No: FORWC0000001630 Designer: JLGC Address : W. C. Expire : 11/1/2023 Address: 28885 WOODSPRING CIR TRABUCO CANYON, CA 92e'791 Phone: Phone: (714) 305-2861 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $650,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 1,197 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY : OO SPECIAL CONDITIONS: LANDSLIDE AREA 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) ction 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) 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 for a permit subjects the applicant io a civil penalty of more than five hundred dollars ($500), 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, Iiness 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 roverrents 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 theburden of proving that itwas not built or roved 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' State License Law does not ,ly 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). LJ 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 in 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 appl Professions Code, is available upon request when this application is submitted or at the following Web site:http:lMir^rv✓.leginfo.ca.gov/calavLhtml. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Of ision 3of the Business and and effect. License Class License. No Date -> / Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUR COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: vents covered by this permit, I cannot low, Section 7044 of the Business and Date license is In full force DOLLARS f610D,0001, IN ADDITION TO THE 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 brmance 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 Lalaor Code, for the performance of the work for which this permit is issued, My workers' compensa jjiaace carrier and policy number are: Policy Number Expiration Date of Agent Phone .# _ Certify that, in the performance of the work for which this permit is issued'.. I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California, and agre t, if I should become s bj t to the w rker ' peraation provisions of Section 3700 of the Labor Code, I shall forthwith comply w11h those provisions. / nature of Applicant A --fr Da CLARATION REGAR N ONST AGENCY areby 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 309 , C it Cade). Iders Name Lender's Address 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 slate laws relating to building construction. I authorize representatives of this city or colt/` to er r the5ave-Identified property for inspection purposes. j nature of Property Owner or Authorized AoeiftV ,Y. . Print Proaertv Owner's or Authorized Aaent's Name n l eoo Cef r edR ❑ate 3/T/z3 FOR OFFICE USE ONLY i REGULATIONS PART 51 OF TITLE 40 AND AQMD RUSE 1403 PERMtTEXPIRED I I SUBMIFfED ASBESTOS NOTIFICATION TO PERMIT G4NCELLED ... . _....._. PERMITEXTENDED �._ __ _ _.._.LU14MD _ __. .... .... PCRM7TElNAL ��z3 �L�ON SRt:$TOS NOf1FICAfION IS N0I APPLiCAHLE IO CERTIFICATE Of r,,t PRO SEO7A'�'OLITION OCCUPANCYISSUED �1 l SIGNATURHU XG�