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Home My WebLink AboutXR2023-1726 - PermitsaEW�ar City of Newport Beach p� @ Community Development Department- Building Division X R 2 0 2 3 1 7 2 6 COMB Permit: XR2023-1726 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 2023-1523 : PC Nv Z Permit Counter Phone: (949) 718-1888 Issued Date : 0111 PC e�. newportbeachca.gov/civic Cq<IFO0.N`P 024 Final Date: Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 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 : 2318 PORT CARLISLE PL Legal Desc : N TR 7845 BLK LOT 67 Description: SFR ADD 103 SF TO KITCHEN AND REMODEL KITCHEN AND BATHROOMS 323 SF. R/R EXT GUARDRAILING. RELOCATE FAU TO GARAGE. Owner: DAVID & MICHELLE A LIPTZ Address: 35747 RAPHAEL DR PALM DESERT, CA 92211 Phone: (714) 856-6600 Applicant: WAYNE M RIZZO, AIA Address: 484 PROSPECT ST NEWPORT BEACH, CA 92663 Phone: (949) 285-7447 Owner/Builder : Address: Phone: Contractor: MCM Address : 2238 PORT CARLISLE PL NEWPORT BEACH, CA 92660 Phone : (714) 803-9204 Con State Lic : 869498 Lic Expire: 12/31/2025 Bus Lic: BT30042113 Bus Lic Expire : 01/31/2025 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone: NO Occupancy Groups: U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Architect Address : Phone: State Lic : Engineer: MAYER JAMES SCOTT Address: 22231 CRYSTAL POND MISSION VIEJO, CA 92692 Phone: (949)280-5476 Designer: WAYNE M RIZZO, AIA Address : 484 PROSPECT ST NEWPORT BEAC ,, CA 92663 Phone: (949)285-7447 Construction Valuation : $45,000.00 Added/New/Ti sq. ft. Bldg : 103 Alteration sq. ft. Bldg : 323 Add/New sq. ft. Garage : 0 TOTAL sq. ft. : 103 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 le 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 'rofessions 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 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 nproved 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). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: 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 legalll oil 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, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gmlcalaw.html. lignature 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 and effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), 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 th performance of the work for which this permit is issued. Policy No. ]I 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' compensatio lsurance carrier and policy number are: Policy Number Date 1e Of Agent nwun rr 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. signature of Applicant Date_ )ECLARATION 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). .ender's Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQI, RULE PERMIT EXPIRED I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELL£D EPA PERMITEXTENDED _ _ 4M0 PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED , ZZ Z ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: