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HomeMy WebLinkAboutXR2023-0924 - Permits�EWPORT City of Newport Beach IIIIIIIIII IIIIIIIIIII�II III �IIIIIIIII�I�I�III� II 0� @ Community Development Department- Building Division X R 2 0 2 3 0 9 2 4 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 a.< x Inspection Requests Phone: (949) 644-3255 CqC/F00.N�P newportbeachca.gov/inspections Combination Type- SFP Work Class - Other e PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALI ECTIO NO L/� NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SU IN HIGH * TY ARE�S1 Job Address : 2572 BAY SHORE DR Description : SFR INTERIOR BATHROOM Owner: DEVERIAN GRACE Address : 2572 BAY SHOR NEWPORT H,CA Phone: tiQ' Applicant: TEDB•LL U Address : 2572 B'a1� s�'h e Dr NEWPO1 AC A Phone: (194)92Z'�25 2 Owner/Builder: DEVERI OVAC Address: 2572 BAY SHRE R NEWPORT B ACH, ruoue. IL MW Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R-3 Bldg Height: Building Setbacks : Front: 10, Froh;; 10, Flood Zone : AE, 8 FT; X `k•. Use Zone : R-1 - Single-Unit'Re (3) Legal : XR2023-0924 2040-2021 Issued Date : 04 112023 Inspection Area _nl,.te�vra 3 M / 0n- O0.. tT�O%BLK L0��095 LOT 8 POR OF LOT T P WORK 121-2587" (RENEW EXPIRED Archite G ... . A iv. zpw Compensation Ins \) Ga O`s Otws` UAL ISSUANCE DATE HOLIDAYS IN ALL AREAS MAP Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg: Added/New sq. ft. Garage TOTAL sq. ft. : 0 0 PROCESSED BY: SPECIAL CONDITIONS: O/B FORM W/ X2021-2359 #234 CORONA DEL OWNER -BUILDER DECLARATION 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 c(on 703f,5. Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair an permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter fesslons Code) or that he or she is exempt from licensurs and the basis for the alleged exemption. Any violation of Section 70 any more than five hundred dollars IWO). 1]0 I s owner of the property, or my employees with wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law does not apply to an owner Improvements are not intended or offered for sale. If, however, the building or improvement Is s improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contract construct ra�,pfy to an owner of property who builds or Improves thereon, and who co s for the projects 4J I am exempt from hcensure under the Contractors' State Lic aw for the followin or By my signature below I acknowledge that, except for m net re ' ence in whi nust hav sell a structure that I have built as an owner-builde ' as no c st In its entir Professions Code, is available upon reques h or at ll Ic Signature of Property Owner or Auth Agent LICENSED CONTRACT ECLA..RATI I hereby affirm under p y of perjury that I a. ens under isio i and effect License" I i ;nte- ®Lic o EARNING; FAILURE TO SBII ORKERS' G ION C RAG OST OF COMPENSATION.., Asf So IF SEC 'I hereby affirm under P.10 Ey f perj am of following declarat I have and will Mai In erOff t Ent to self- }� erformance of the work ipr Whl this I is is ued. 11 have and will mamtai vo k s' com sure , as r Isurance carrier and poll cy hmb are: :artier ollev Numb lame of Agent �I certify that, In. the performarrGe or e war for which this permit tat. if I should beco s !act to ghe Ekkeess' t ern (y'.nsatJ{pn�p� lionalure of Apollcant `-5-_�\'C � l neby affirm under penalty of perjury thafkareNOM4 Iders Name %4. my signature below, I certify to eacfj f th ollowing I am the property owner or authorize; ,to a on the f have read this application and the iIT ma Y�� I agree to comply with all applicable cltgnd o I authorize representatives of this city c1roun t I NFUL. AND LASOR COI all of or (_) of the work, and the structure is D ro o, Ihrou h r� Sea' or ersonal��,I(ip of non�efryeaa�,o�f`e��fet nth10w_ 0I�i@AhMI! the project � Iectitto''nt'740gq4, P�yy((sst�Ms airdd Prffofessions C with a licensed CerMRRllilrtfursuant to the Contrantersr for at least that a copy of the. I have placed next to the applicable item(s) x to its issuance, also requires the applicant for T Section 7000) of Division 3 of the Business and permit subjects the applicant to a civil penalty of with Se n 7000) of Division 3 of the Business and Pro Contractor Signature PENALTIES AND CIVIL FINES omPWMion, issued by the Direr r elf, Section 3700 of the Labor Cod faQ (n( Employ any person in any of the Labor Code; I shall agency for theyefft5r-mance of o"Tat'ing to building. construction. property for inspection purposes. work for nded proffered for sale (Section 7044, or improves the property, provided that the Ie burden of proving that it was not built or State License Law does not Law). s covered by this permit, I cannot legal Section 7 4 of the Business and Date ode, an' my license is In full force [$100,0001, IN ADDITION of the Labor Code, for My workers' o-eg-to Deco1Q@gljDjeet tot am, compensation laws of California, and comply wit ! ose ns. -� Date -- 1 ( Z 3 pth is permit is issued (Section 3097, C vll ode). ACTION DATE B AERATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ A REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403_ _ PERMIT EXPIRED I SUBM,TTcD ASBESTOS NOTIFICATION TO PERMIT CANCELLED I EaA P€RA41T EXTENDED PCR,LIIT FINAL lsd"A�SeESt�' SIN I [FICA[ ION 15 NOT APPLICABLE 'rO CERTIF�CATEE OF OCCUPANCY SUED Sl, NATLiRE:./�OLIT