HomeMy WebLinkAboutXR2023-1357 - PermitsWPo
City of Newport Beach
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XR2023-1357
CommunityDevelopment Department Division
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COMB Permit :
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
N'S S
Permit Counter Phone: (949) 718-1888
Issued Date : 0512312023
c r
newportbeachca.gov/civic
Inspection Area : 2
9</F00.P`
Combination Type- SFP ELEC MECH PLUM•
Work Class - Alteration
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 : 729 VIA LIDO SOUD
Legal Desc : N TR 907 BLK LOT 27
Description: SFR REMODEL KITCHEN AND BATHROOMS
ONLY. 400 SF *CITY STANDARD PLAN* aii favor�
123-(6ZO
Owner: SUNSETS FOR LIFE TRUST
Contractor: EAGLE DEVELOPMENT
& Architect:
CONSTRUCTION INC
Address : 729 VIA LIDO SOLD
Address : 23679 CALABASAS ROAD #724
Address
NEWPORT BEACH, CA 92663
CALABASAS, CA 91302
Phone: (310)819-3250
Phone: (818)597-1326
Phone:
Con State Lie : 800756
State Lie
Lie Expire : 10/31/2023
Applicant: MIKE JOHNSON
Bus Lie : BT30073754
Engineer
Address : 31352 VIA COLINAS STE 101
Bus Lie Expire : 12/31/2023
Address
WESTLAKE VILLAGE, CA 91362
Phone: (949) 662-4443
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT -NO EMPLOYEES
Owner/Builder :
Policy No: EXEMPT
Designer : EAGLE DEVELOPMENT &
CONSTRUCTION INC
Address :
W. C. Expire:
Address : 23679 CALABASAS ROAD #724
CALABASAS, CA 91302
Phone:
Phone: (818)597-1326
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $40,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg : 400
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 : X
Use Zone : R-1 - Single -Unit Residential
:5
PROCESSED BY:
NO CONSTRUC TION
NOISE
,,•
SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACTION
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, dernoltsh, or repair any structure, prior to its issuance, also requires the applicant for
1s permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Yofessions 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
rosiness 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)-
3 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
poly 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
iy my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements Covered by this permit, I Cannot legally
ell a structure that I have built as an owner-buildor if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and
'rofossions Code, is available upon request when this application is submitted or at the following Web site:http:/1w, ,w.leginfo.ca,gov)calaw.html,
signature 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 Profession ode, and my ices Is n u force
nd effect. License Class License No Date e.S=23 '23 Contractor Signature
VORKERS' COMPENSATION DECLARATION
rARNING: 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 (6100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE I 011 CODE, INTEREST, AND ATTORNEYS FEES_
hereby affirm underpenally 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,
orformance of the work for which this permit is issued. Policy No.
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'
ranee carder and policy number are:
Policy Number
1a of Agent
codify that, in the performance
, if I should become subject ty/
Iature of Applicant._..
Date
ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date.____, o T `2-3 - '7-3
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, Civil Code)
Nees Name Lender's 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 ordin rites a ws r ire to building construction.
I authorize representatives of this city or county to Ent the eve-identifi operty f r in
purposes.
nature of PlODarty Owner or Authorized Adent _ _ Print Property Owner's or Authorized Agent's Name NIL K�F_. 3v,tq
ACTION I DATE BY DECLARATION OF CON7PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
f REGULATIONS PART 61 OF TITLE AO AND AQMD RULE
PERMITEXPIRED LI I SUBMITTED
CEAI-017A.DE OF - 41-8 �•� flh•��" PROPOSEDD
OCCUPANCYISSUEO I SIGNATURE;
Dale