HomeMy WebLinkAboutX2021-3447 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
X 2 0 2 1 3 4 4 7COMB Permit : X2021-3447
Plan Check No : 3020-2021
Issued Date : 11/1512022
Inspection Area : 4
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 : 1700 PORT MANLEIGH CIR
Legal Desc : N TR 6938 BILK LOT 51
Description: NEW SFR & GARAGE 4415/493 SF
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Owner: LLOYD RUCKER
Contractor :
Architect
Address : 260 NEWPORT CENTER DR
Address :
Address
NEWPORT BEACH, CA 92660
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Phone: (949) 463-4509
Phone :
Phone
Con State Lic :
State Lic
Lic Expire
Applicant: CRAIG HAMPTON
Bus Lic:
Engineer : FORBES DALE L
Address : 5500 E QUARTERSAWN ST
Bus Lic Expire :
Address : 1800 E 16TH ST #B
BOISE, ID 83716
SANTA ANA, CA 92701
Phone : (949) 209-8883
Workers' Compensation Insurance
Phone : (714) 835-2800
Carrier :
Owner/Builder : LLOYD RUCKER
Policy No:
Designer : CRAIG HAMPTON
Address: 260 NEWPORT CENTER DR
W. C. Expire:
Address: 5500 E QUARTERSAWN ST
NEWPORT BEACH, CA 92660
BOISE, ID 83716
Phone: (949) 463-4509
Phone : (949) 209-8883
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $834,870.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 4,415
Occupancy Groups : U,R-3
No of Units: 1
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 493
TOTAL sq. ft.: 4,908
Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY: L�((� </ -
SPECIAL CONDITIONS: O/B FORM ATTACHED
I$WT HIy awl
t hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Ilion 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 ils issuance, also requires the a,,pllcant 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 tho Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will doKr
I of or (_) portions of the work; and the structure Is not intended or offered for sale (Section 7044,
`in s and Professions Code: The Contractors' State License Law does not apply to an ownemperty 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
ly 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),
J I am exempt from licensure under the Contractors' State License Law for the following reason
ly my signature below I acknowledge that, except for my personal residence in which I must have resldod for at least one year prior to completion of the improvements covered by this permit, I cannot legal,
oil a structure that I have built as an ownorvbuil r if III . as not been constructed in it ntiroty by licensed Contractors. I understand that a copy of the applicable law, SactLoo 7SM4 of the Business and
'rofessions Code., is available upon request when his lcafie su Vted or afollowing Web site:http:/Iwww.leginfo.ca.govlcalaw.html.
fignature of Property Owneror Authorized Agent Dat /
.ICENSED CONTRACTOR'S DECLARATIQ
hereby affirm under penalty of perjury that I am II ensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license fs In full farce
nd effect. License Class License No Date Contractor Signature
VORKERS'COMPENSATION DECLARATION
EARNING: 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 ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
erformance of the work for which this pannit is issued. Policy No.
11 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' compensatioi
Isurance carrier and policy number are:
arrier Policy Number Expiration Date
lame of Agent Phone #
]I certify that, In the perform a 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 worke e mponsaiion laws of California, and agro
tat, 1f I should become ubASTRU(
t to the workers' comp nsauon provisions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions.
i
ignalure of ApplicanDal ZO 2
�EGLARATiGN REGItl LENDING AGENCY
hereby affirm underury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil ode .
Bader's 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 rdi races and state s r sting to building construction.
I authorize representatives of this city or county t e to 1 J„�`,'(V,e�rtcvp perfy for inspection purposes. ��//q
ionature of Prooerty Owner or Authorized Agent I �� % Print Property Owner's or Authorized Agent's Nam@. %�GI /�Ui ��L to
ACTION i DATE RY ! Ortni•ARATIONOP COMPANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGUUITIONS PART 61 F TITLE 40 AND AQNID RULE
1403
PERMIT CANCELLED
....._. ... .... ........................_...._.
PERMIT EXTENDED
PERMIT FINAL
CERTIfiCATE OF
OCCUPANCY ISSUED
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