HomeMy WebLinkAboutXR2024-0432 - Permits.�,E.wnoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0432
o`<.. @ Community Development Department- Building Division X R 2 0 2 4 0 4 3 2
r /N, +r; 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 02/21/2024
newportbeachca.gov/civic Final Date: 02/04/2025
"°9cicoaN�P Combination Type - SFP Permit Status: Final
Work Class -Alteration Inspection Area : 3
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 : 2312 HOLIDAY RD Legal Desc : N TR 2052 BILK LOT 2
Description: SFR CHANGE OUT (2) WINDOWS; REPAIR STUCCO ON SAME WALL AS WINDOWS' 124-0725
Owner: CARLEY WELLBANK J TR CJW TR
Address: 2312 HOLIDAY RD
NEWPORT BEACH, CA 92660
Phone:
(949)842-2267
Applicant :
CARLEY WELLBANK J TR CJW TR
Address :
2312 HOLIDAY RD
NEWPORT BEACH, CA 92660
Phone:
(949)842-2267
Owner/Builder : CARLEY WELLBANK J TR CJW TR
Address: 2312 HOLIDAY RD
NEWPORT BEACH, CA 92660
Phone: (949)842-2267
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
2022
V-B
U,R-3
Front: 15, Side: 10, Side: 10, Rear: 10
Contractor : OWNER/BUILDER
Architect
Address :
Address
Phone:
Phone:
Con State Lic : OWNERIBUILDER
State Lic
Lic Expire
Bus Lic:
Engineer
Bus Lic Expire:
Address
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT
Policy No: 0000
Designer
W. C. Expire:
Address
Phone:
Fire Sprinklers : NO
Construction Valuation
Fire Hazard Zone: NO
Added/New/Ti sq. ft. Bldg
Fire Alarms: NO
Alteration sq. ft. Bldg :
No of Units : 1
Add/New sq. ft. Garage:
No of Stories : 2
TOTAL sq. ft.
No of Basement :
R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
$2,000.00
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
is 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
'rofesslons 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 to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
n 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' Slate License Law for the following reason:
Iy 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 legall
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
',ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I 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
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,0001, IN ADDITION TO THE
DST 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:
7 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 the
erformance 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.
ignature of Applicant Dale
DECLARATION 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 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 relating to building construction.
I authorize representatives of this city or county to enter the above -Identified property for inspection purposes.
Date
ACTION I DATE BY DECLARATION OF REGULATIONS PART0MPLIANCE 61 OF TITLE 40TH CODE OF AND AOMD RULEFEDERAL FOR OFFICE USE ONLY
PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED FPA
PERMITFINAL 2 ❑ ASBESTOS NOTIFICATION 15 NOT APPUCABLE TO
CERTIFICATE OF ���25 PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: