HomeMy WebLinkAboutXR2024-0382 - PermitseW?p City of Newport Beach
ispFa ?Te Community Development Department- Building Division _ II"III �IIIII'I �I�II��I�I III��II'IIIIIII (I COMB Permit : XR2024-0382
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2479
„� Permit Counter Phone: (949) 718-1888 -
newportbeachca.gov/civic Issued Date: 0312912024
Combination T '< coap e - SFP ELEC MECH PLUM Final Date:
'"°�-�•°"� YP Permit Status: Issued
Work Class - Alteration 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 : 206 VIA LIDO NORD Legal Dese : N TR 907 BLK LOT B59
Description: SFR -INTERIOR REMODEL 500 SF & R/R ROOF 1500 SF
Owner:
LEBORY HOLDINGS LLC
Contractor: SC HOMES INC
Architect :
RYAN OLDHAM
Address :
4533 MACARTHUR BLVD, A5196
Address : 22431 ANTONIO PKWY, 490
Address :
680 LANGSDORF DR, 202B FULLERTON,
NEWPORT BEACH, CA 92660
RANCHO SANTA MARGARITA, CA 92626
CA 92831
Phone:
Phone: (714)926-5761
Phone:
(714)482-8296
Con State Lie : 828216
State Lie :
Lie Expire: 12/31/2025
Applicant:
RYAN OLDHAM
Bus Lie : BT30002421
Engineer :
LOTHROP SHAWN DUANE
Address :
680 LANGSDORF DR, 202E
Bus Lie Expire: 03/31/2024
Address :
29970 TECHNOLOGY DR, STE 212
FULLERTON, CA 92831
MURRIETA, CA 92563
Phone:
(714) 482-8296
Workers' Compensation Insurance
Phone:
(951) 600-0032 x204
Carrier: STATE FUND
Owner/Builder :
Policy No: 1763760
Designer:
Address :
W. C. Expire : 1/7/2025
Address:
Phone: Phone:
Code Edition : 2022 Fire Sprinklers: NO Construction Valuation : $50,000.00
Type of Construction . V--B Fire Hazard 4ane : NO Added/New/Ti sq. ft. Occupancy Groups: U,R-3 No of Units: 1 Alteration sq. ft. g Bldg : .
Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3
Flood Zone: AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: REV2024-0286
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate LicnnSe Law (oi th.�. reasons) indicLled below by the checkmarkp i i have placed next to the quires he items)
action 7031.5, Business and Professions Code: Any city or county that requires a permit to con.A,Lct, vier. Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
e 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
-ofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant tD a civil penalty of
rt more than five hundred dollars ($500).
I I, as owner of the property, or my employees with wages as their sole compensation, v'iI' do I_) ail of or (_) portions of the welt, and the structure is not Intended or offered far sale (Section 7044,
usiness and Professions Code: The Contractors Slate License Law does not apply to an owner J property who. Through emnlovaes' or personal effort, builds or improves the property, Provided that the
iprovemenls are not intended or offered for sale. If, however, the building or improvement is sold within bare yc:er of completion, the Cwner-Builder will have the burden of proving that it was not built or
iproved 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
3ply 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 I am exempt from licensure under the Contractors' Slate License Law for the following reason: ____ __— — ----- ---- —
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ono year prior to completion of the Improvements covered by this permit, I cannot legally
311 a structure that I have built as an owner-buildar if it has not been constructed in its entirely 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:http:f/www.legtnfo.ca.govlcelaw.html, Date
ignature of Property Owner or Authorized Agent —
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 i o) Divi �on he Business and Professions my license is In full force
nd effect License Class License No Date ZIT 3 of tode, and 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 (3100,0001. IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES ASPROVIDED FOR IN SECTION 0103 OF THE LABOR CODE.INTEREST, AND ATTORNEY'S FEES.
hereby 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, forth
errormance of the work For which this permit Is issued. Policy No.
I h ve 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' compensafiOI
uur ce carrier and policy number are:
a r Policy Number Expiration Date
ne of Agent
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 agre
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant L1% _ _, _ Dalap��,5 I L�
CLARATION REGA DING CONSTRUCTION LENDING AGENCY CI `
Ireby 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, lull Code).
Iders Name Lenders Address
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 slate laws relating to building construction.
I authorize representatives of this city or county ten er the above= denlified property for inspection purposes. I ifs j� 3/Zr1/u
nature of Property Owner or Authorized Agent 7i 4v1L✓ to I_ }C 5 Print Property Owner's or Authorized Agent's Nan Date/\
ACTION DATE I f BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFiCE
; REGULATION5 PART 61 OF TITLE 40 AND AQMD RULE
PERMIT FINAL UA BES'TOSNOTIFICATION IS NOT APPLICABLE 't0
CERTIFICATE OF 2I2� Zi YN— PR OSED DEMOLITION
OCCUPANCY155UED S NATURE: X li,�