The URL can be used to link to this page

Home My WebLink AboutXR2023-0298 - Permits��EWPp�x City of Newport Beach p 9 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r1 Permit Counter Phone: (949) 644-3288 U T Inspection Requests Phone: (949) 644-3255 cq<rcp R��p newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111111111111111111111�11111111111111COMB Permit : XR2023-02ss Plan Check No : 1728-2021 Issued Date : 02/01/2023 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 : 2481 BAY SHORE DR Legal Desc : N TR 1140 BILK LOT 79 Description: RENEW EXPIRED - SFR CREATE LIFT FROM FIRST TO SECOND FLOOR, BATHROOM AND BEDROOM REMODEL 250 SF (X2021-1974) Owner: LEWIS J DEREK TR Address : 2481 BAYSHORE DR NEWPORT BEACH, CA 92663 Phone Applicant: J M I AND ASSOCIATES INC Address : 2046 MEYER PLACE COSTA MESA, CA 92627 Phone: (714)350-9527 Owner/Builder : Address : Contractor: J M I AND ASSOCIATES INC Address : 2046 MEYER PLACE COSTA MESA, CA 92627 Phone: (714)350-9527 Con State Lie : 951957 Lie Expire : 09/30/2024 Bus Lie: BT30069739 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier: SIRIUS AMERICA INSURANCE COMPANY Policy No: WC7400101 W. C. Expire : 4/29/2023 Architect: EDMONDSON PHILIP LEE, Address : 2600 NEWPORT BLVD #114�NEWPORT BEACH, CA 92663 Phone: (949)675-9468 State Lie Engineer: MANSHADI FARHAD Address : 1600E 16TH ST UNIT B SANTA ANA, CA 9270.E Phone: (714)835-2800 . Designer: Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 - - - --:: NO �,t, NZEi Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ON THE $335.40 0 0 0 SPECIAL CONDITIONS: 7 u OWNER -BUILDER DECLARATION i hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable-item(s) action 7031.5, Business and Professions Code: Any city or county that requires a permit to consl uct, 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 9 (commencing with Section 7000)of Division 3 of the Business and fessions Code) or that he or she is exempt from l censure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L portions of the work, and the structure is not intended or offered for sale (Section 7044, Oness 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 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 rly 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 licansum under the Contractors' State License Law for the following reason: — -- 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 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 theapplicable law, Section 7044 of the Business and Ifassion , Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leglnfo.ca.govlcalav+.html. nature of Prope.ty 0,An r or Authorized Agent _ Date.` TENSED CONTRACTOR'S DECLARATION :-eby affrm under pctiety of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Div' ij 3 of the Business and Profee ens de, and my lie rise is I f force i effect License (.lass License. No Date Contractor. Signature COMPENSATION DECLARATION NARN'NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAF(D DOLLARS ($100,000), IN ADDITION TO THE ODE O.- COI.:PENSATIC I, CA -MOSS AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under pena,"y of perjury one of the following declarations: ha,,P 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, for inane of the work for which this permit is issued. Policy No, aid will nalnrei6 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 anu policy, number are: Policy Number ie of Agent certify that, in the performance of the work for which this permit is issued, I shall not , if I should become subject to L)Pjworkers' compensation progisionspf Section 3700 Date any person in any manner so as to become subject to the workers' compensation laws of California, and .apor Code, I shall forthwith comply with those provisions. ignalure ofApplicant Q Date_ 2 — iwCLARATfON REGARDING C N T C1'tON kENDING 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 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 this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws r ti g to building construction. \1 I authorize representatives of this city or county enWthe above. Idegtifled�r pe for inspection purposes. ACTION DATE BY �CIfARATION OF COMPLIANCE WITH CODE OF FEDERAL E LA'TIONS PART 6t DF TITLE 40 AND AQMO RULE 1403 FOR OFFICE USE ONLY NI �f PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED —1 tEP_A LIAit.MO PERMiTFINAL CERTIFICATEOF /�.Zj / pfAS ASBESTOSNOTIIFICATIONISNOI'APP CAOLE TO PROPOSED DEMOTION y �)