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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,�