HomeMy WebLinkAboutXR2024-1100 - PermitsagwroRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-1100
p4 - p Community Development Department- Building Division X R 2 0 2 4 1 1 0 0
r �( 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0819
Permit Counter Phone: (949) 718-1888 Issued Date : 04/23/2024
u S newportbeachca.gov/civic Final Date:
Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class -Alteration 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 - INTERIOR ALT, ADD WET BAR @ THE HALLWAY, SINK @ THE MSTR BDRM, ADD (2) TANKLESS WATER HEATERS, SHOWER REMODEL@ GUEST
BATH
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
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
2022
V-B
U,R-3
Front: 20, Side: 3, Side: 3, Rear: 5
X
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: REZIDENTIAL DEVELOPMENT INC
Address : 3020 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone:
(949)232-5550
Con State Lie
: 801670
Lie Expire :
12131/2025
Bus Lie:
BT30083685
Bus Lie Expire: 02/2B/2025
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9264624
W. C. Expire: 11/22/2024
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
3
Architect
Address
State Lie: I N S Y L—C• O
Engineer:
Address
Phone:
Designer: REZIDENTIAL DEVELOPMENT INC
Address : 3020 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone: (949)232-5550
Construction Valuation : $23,000.150 `
Added/New/Ti sq. ft. Bldg: 0
Alteration sq. ft. Bldg : -
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
I hereby affirm under penalty 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 hem(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 applicantfor
he 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
Irofessions Code) or that tie 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 to a civil penalty of
tot more than five hundred dollars ($500).
1 f, as owner of the property, or my employees with wages as their sole compensation, will do (_.) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law noes not apply to an owner of property who, through employees' or personal effort,. builds or improves the property, provided that the
Tiprovements 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
riproved for the purpose of safe)..
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
I fy 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),
I am exempt from 6eensom under the Contractors' Stale License Law for the following reason: _ __ _ __ __
ly my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by -this permit, 1 cannot legali;
,elf 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
'rofessions Code, isavailable upon request when this application is submitted orat the following web site:http:/i*ww.teginfo.ca.gov/,alaw.html.
iignatura of Property Owner or Authorized Agent Date
.IGEt1SED CONTRACTOR'S DECLARATION Iw
he,cby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S,e,.�cti�tioon/n 7000) of Division 3 of the B sin s and Profession AdP my license is Ir ull force
Il rC effect. License Class L€cense. No ��7��7,rare 6a4 — Contra rSir�tatidgL /
VOP.KERS' COMPENSATION DECLARATION ll �\
fARNiNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO, NE HUNDRED THOUSAND DOLLARS (1000,000). [N ADDITION TO THE
.VS- T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOBNEY'S FEES.
hereby affirrh under penalty of perjury.ohe of the fotewing daclarations:
I I have and will maintaina 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, forth
4r emance 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 permitis issued. My workers'
carrier and policy number are'
Policy Number
m of Agent
certify that, in the performance of the work for which this
if I should become s ttott r cers gipensatia
ugureofAn an ET-L
Date
issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
as. at Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
aereby affirm unuer 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).
endar's Name Lender's Address
y my signature be'ow, I certify to each of the following:
I am the pre Jrty -tuner or authorized to act on the property owner's behalf.
I have read thin application and the information I have provided is correct.
I agree to c-)mply with all applicable city and county ordinances and state taws relating to building construction.
I au:horize'epreseadatives of this city btmunly_to_pn4j4&eboveidenglicoroperty for Inspection purposes. T> A ^ V)
Sionafure of Pro erty Owner or Authorized A 2 V f t _ Print Property Owner's or Authoriz
AC ilON DATE i BA
DECLARATION OF'COMPUANCE WITH CODE OF FEDERAL I FOROFFiCEUSE
I I REGULATIONS PART 51 OF IFtLE 40 AND AQMD RU'tE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOT] FICATION TO
PERMIT CAR'CFiLEO
EPA.
PERMITEXTENDED
_Ai7jvID
PERMiY FlNp1._______
O9IZ6IZ4 hL OL"
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CA$BE TCis NOTVF4CATION€S NGt APf'OCABCE TO
CERT(RCAT'E Of
OCCUPANCY iSSUED
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