HomeMy WebLinkAboutXR2023-3116 - PermitswPo Cityof Newport Beach ��I (I
?11 k 1 Co wit Development Department Division COMB Permit : XR2023-3116
O Y P P 9 X R 2 0 2 3 3 1 1 6
�" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0561-2022
y�. Permit Counter Phone: (949) 718-1888
Issued Date: 1110212023
newportbeachca.gov/civic
e - SFP ELEC MECH PLUM Final Date:
Combination Type Permit Status: Issued
Work Class - Other Inspection Area : 5
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: 231 POPPY AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 143 LOT 23 RESUB
Description: SFR *DECREASE SCOPE* SFR W/ATT GARAGE 4471 SF & 489 SF
Owner:
LLOYD RUCKER
Contractor:
Architect :
GOETZ ANDREW
Address :
260 NEWPORT CENTER DR, 100
Address :
Address:
2855 E COAST HWY #234 CORONA DEL
NEWPORT BEACH, CA 92660
MAR, CA 92625
Phone:
(949)463-4509
Phone:
Phone:
(949)673-3152
Con State Lic :
State Lic :
C018499
Lic Expire :
Applicant:
Bus Lic:
Engineer
Address :
Bus Lic Expire:
Address
Phone:
Owner/Builder : LLOYD RUCKER
Address: 260 NEWPORT CENTER DR, 100
NEWPORT BEACH, CA 92660
Phone: (949)463-4509
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
2019
V-B
U,R-3
Front: 20, Side: 4, Side: 4, Rear: 5
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS: REV2023-1696
Workers' Compensation Insurance Phone
Carrier :
Policy No: Designer
W. C. Expire: Address
Phone:
Fire Sprinklers :
NO
Construction Valuation :
$0.00
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
0
Fire Alarms:
NO
Alteration sq. ft. Bldg :
0
No of Units :
1
Add/New sq. ft. Garage:
0
No of Stories :
3
TOTAL sq. ft.:
0
No of Basement:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner 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.
Business 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
improvements 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
improved 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
apply to an owner of property who builds or improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' Stale License Law).
❑ 1 am exempt from licensure under the Contractors State License Law for the following reason:
By my signature below I acknowledge that. except for my personal residence in which I must have resided for al least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell a structure that I have built as an owner -builder 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
Professions Code, is available upon request when this application is submitted or at the following Web site:htlp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADDITION TO T
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTDRNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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, far
)erformance of lire 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'
rance carrier and policy number are:
Policy Number Expiration Dale
of Agent Phone N
JI 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 agrl
hat, if 1 should become subject to the vrorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant Dale_
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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
.ender'a Name Lender's Address _
Sy 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 stale laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
of
Civil Code).
Date
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
P€RMIT CANCELL FD
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EPA
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PERMITEXTI ED
PERMIT FINAL
13ASBS T05NOIFICA ION 15 NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED
SIGNATURE: