HomeMy WebLinkAboutXR2024-1106 - Permits�£WPo�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2024-1106
4 e Community Development Department- Building Division X R 2 0 2 4 1 10 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0819
Permit Counter Phone: (949) 718-1888 Issued Date : 04/23/2024
�,. newportbeachca.gov/civic Final Date:
Combination Type - ELEC PLUM Permit Status: Issued
Work Class - Other Inspection Area : 5
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: 3020 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 136 LOT 3 RESUB O
Description : SFR REMODEL EXTERIOR BBQ (OVER 36" H)
I&ISP�CTU�i
Owner: BEN & JUDITH LIPPS
Address : 930 TAHOE BLVD, 802-545
INCLINE VILLAGE, NV 89451
Phone :
Applicant: REZIDENTIAL DEVELOPMENT INC
Address : 3020 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone: (949)232-5550
Owner/Builder :
Address :
Phone
Contractor: REZIDENTIAL DEVELOPMENT INC
Address : 3020 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone:
(949)232-5550
Con State Lic
: 801670
Lic Expire :
12/31/2025
Bus Lic:
BT30083685
Bus Lic Expire : 02/28/2025
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9264624
W. C. Expire : 11/22/2024
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: 20, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone : R-1 - Sin le -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer: REZIDENTIAL DEVELOPMENT INC
Address: 3020 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone: (949)232-5550
Construction Valuation : $2,500.00, ,
Added/New/Ti sq. ft. Bldg : 0 _
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. % 0 _ -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law fur the reason(s) indicated below bythe checkmark(s) I have paced next io the applicable item(s)
Chou 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' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and
fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or (_) patens of the work, and the structure is not intended or offered for sale (Section 7044,
.iness 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
rovements 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 builtat
roved for the purpose of sale).
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
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),
J I am exempt from ticensureunder the Contractors State License Law for the following reason:. _ . _. _ - ,_,.. _...._.-------_....w_---___ m___-__ __rt_mm—_----- —
ly 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 Iegall}
till a structure that I have built as an ovrc4or-budder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Irofessions Code., is available upon request when this application is submitted or at the fallowing VVeb site:http:li%ww.ieginfo.ca.govtcalaw.htmi.
>ignature of Property Owner or Authorized Agent _ _ Date
LENSED CONTRACTOR'S DECLARATION
hereby affirm Binder penalty of perjuryfhat I am licensed under provisions of Chapter 3 (commenc€rig with S cGoa\ n 7000) of Division of the Bustin and P my liven;e is j�fuli force
and effect License Class License No Bnb�ib��o ee��ilr../p 2,/A Contra r SignaClTe,__ L J� /
4ORKERS' COMPENSATION DECLARATION °?"— -iT�
iARNING: FAILURE TO SECURE wORNfR3 COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PTO NI
HUNDRED THOUSAND DOLLARS TStOUADU), IN ADDnION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION IMM OF THE LABOR CODE, INTEREST, ANO ATTORNEY's FEES.
noreby 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 th,
eqgymance of the work for which this permit is issued. Policy No
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'
carrier and policy number are:
Policy Number Expiration Data
of Agent
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 ogre
if I should
become subject to the cdmpensBIGG rovenons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
torture of Apil,
ha,say affirm unjcrpenalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 309�, Civil Code).
_Cinder'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 property owner's behalf.
I have read his application and the information I have provided is correct.
i agree to comply with all applicable City and county ordinances and state la relating to building construction.
I authorize ali.ase .tatives of this city or ccun �aoove-I tT property for inspection purposes,
i_iyuatore of P22ort Owner or Au n d A of ' IPrint PropertyOwner's or Author i ad A rrfs Name EZ r)
4C*ION DA�VBY j D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FCR OFFICE USE LY/
I REGULATIONS PART SA OF TITLE 40 AND AQMD RULE
_A
_ 1403
Fe,7, AT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERA,RT EXTENDED
P'E IVNT FINAL
CERTIFICATE OF
L._IASBESTOS NOTIFICATIONTS NOT APPLICABLE TO
PROPOSED DEMOLITION