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Home My WebLink AboutXR2023-2320 - Permits�EWPORT City of Newport Beach II IIIIIII II IIIIII IIIII IIII IIII III II II II COMB Permit : XR2023-2320 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 3020-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 1010512023 o-newportbeachca.gov/civic Final Date: CqG/ie0.N�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition/Alteration 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 1r1�r �—� Job Address : 1700 PORT MANLEIGH CIR Legal Desc : N TR 6938 BLK LOT 51 Description : SFR ADD ATTACHED ADU 1-BED/1 BATH 545 SF Owner: LLOYD RUCKER Contractor : Architect Address : 260 NEWPORT CENTER DR Address : Address NEWPORT BEACH, CA 92660 Phone: (949) 463-4509 Phone : Phone Con State Lie : State Lie Lie Expire: Applicant: LLOYD RUCKER Bus Lie : Engineer : FORBES DALE L Address : 260 NEWPORT CENTER DR Bus Lie Expire : Address : 1800 E 16TH ST #B NEWPORT BEACH, CA 92660 SANTA ANA, CA 92701 Phone : (949) 463-4509 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 : NO Construction Valuation: $98,100.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 545 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 545 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: REV2023-1653 OWNER -BUILDER 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 items) ulion 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 permit to file a signod 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 fessions 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 more than five hundred dollars ($500). ryer of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, fness 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 rovements are not intended cr 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). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' S poly 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 Rcensure under the Contractors' Slate License Law for the following reason: _T __....-___._.. y my signature below I acknowledge that, except for my personal residence in which I mot have resided for at least one year prior to completion of the improvements coverec all a structure that I have built as an or-builde it�5�nt-Hoe cons Led in its e iroty by licensed contmctors. i understand that a copy of the applicable law, 'on rofesslons Code, is available upon requ en this applicati Is s t d or at 1 following Web site:http:fi +w v.leginfo.ca.gov/calaw.html, ignature. of Property Owner or Author i gent _ Data ICENSEDCONTRACTOR'SDrCLA AWN License Law does not [his permit, i cannot let of the Business and hereby aff rm ur.dsr p�l,aity of perjury that am licensed under previsions of Ch ter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is In full force rid effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION rAPNINGFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AUDITION TO THE :CST OF CJMPENSATIC,J, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undu, ptr alty of perjury one of the following declarations: w I na+'e 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 370G of the Labor Code, for the orformance of the work for which this permit is Issued. Policy No ye"r 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' rare carrier ano policy number are: Policy Number Expiration Date , ,r, of D gem mono B «y-that, in a re ' rmance of fhe work [nr ich this permit is issued, shall not employ any poison in any manner so as to becnma subject to the work #s' oompensation laws of Caiifomia, and agro 'at If I should b ome sublet to e w ers' co pensallon provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. ignalure of It"."✓-_.).-.—.— ECI.ARATION COARDING CONSTTT N LENdl1NG AGENCY hereby affirm under penalty of perjury that there is a construction landing agency for the performance of the work for which this permit Is issued (Section 97, Civil Code). ender's Name lenders Address y my signature below, I cartify 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 stale laws relating to building construction. I authorize representatives of this City or cou to t/R�r a -Ida ed prop for inspection purposes. / _ ionature of Property Owner or Authorize ant giTler-N3t=a/ _._. __- Print Property Owner's or Authorized Agent' ie LLO J (i C- 4_D to U S� ACTION ' DATE BY DECLARATION PA COMPLIAiITL WITH COOS OF RULEFEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 0E ITLE 40 AND ACLNID RULE 1403 I€RMI r EXPIRED 1 1 U I SURMITTE. D ASBFSTOS NOTIFICATION TO PERMfT CANCELLED I....._.LJEPA ..-. ...... ... _....._......_.._._. L PERM7T EXTENDED I�r�-r OMD PERMIT P/NAL /JJ/fA ASBESTOS NOiIFICA ION IS NU I APPLICABLE TO CERTIFICATE OF ��Gs/ %'T PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: