HomeMy WebLinkAboutXR2023-1090 - PermitsPO City of Newport Beach
1111111111111111011Q11111111111E11111�1�1111 COMB Permit:XR2023-1090
Community Development Department - Building Division
.100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0561-2022
Permit Counter Phone: (949) 644-3288 Issued Date: 0412712023
Inspection Requests Phone: (949) 644-3255 z;Inspection Area: 5
FO 9, newpDrtbeachca.govlinspeCtiDns
Combination Type - SFP
Work Class - Demolition
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
Description: DEMO SFR& GARAGE 2029 SF. 3 BEDROO
Owner:
LLOYD RUCKER
Address :
260 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone
(949) 463-4509
Applicant:
LLOYD RUCKER
Address :
260 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone
(949) 463-4509
OwnerlBuilder: LLOYD RUCKER
Address: 260 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone (949) 463-4509
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone :
2022
V_13
DEL MAR LOT 23 BLK
C(
Address
Aaaress
Phone
Phone
Con State Lie :
State Lie
Lie Expire
Bus Lie:
Engineer:
Bus Lic.Expire
Address
Workers' Compensation Insurance
Phone
Carrier
.Policy No:
Designer:
W. C. Expire:
Address
Phone:
Fire Sprinklers
No
Construction Valuation $10,000.00
Fire Hazard Zone
NO
Added/NewM sq. ft. Bldg 0
No of Units
Alteration sq. ft. Bldg
No of Stories:
1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Front: 20, Sid0e/d)Side: 4, Rear: 5
X
R-- Single -Unit ResiW
01111
U,
PROCESSED BY:
SPECIAL CONDITIONS: JD DEMO TO EBRIS
ZDP
I hereby afRun.under penalty of perjury that I am exempt from the Contractors' Skate License Law for the re:ascsri(s) indicated below by the ch.eckmark(s) t have ;placed next to the appticatate item( )
wt orr t , Stls tiers ar�d Professions Coda; Ar cify gar unity that �ectu€rep a :permit t rr�slr c�. aif�r; ��prcva, derr�c�3 ski, cr ra aaz ar�y �pacture, �cl�"t�.ti� i�sunoe; also requires the applicant �t for
permit to fita a signed statement that he or she is 11detiscd pursUant to the proofs€tans Of the C0ntraCt0rS` State License Law (Chapterrnrn S (coencTng.rlvith Sectita, 7000) oaf. Oivisiq 3,6f the Buusiness and
afa som Code) car th8t he or she is exempt from t'reens re and the basis 'tcr the alleged exemption. Airy violation of Section 7031. by any applicant for a pertrait sub acts the api�%ant to ci��t penalty Of
more thanfive hundred dollars ($5001,a
t, ae ov�nerof the pr p , m y employees with tva a as their sole cr rrtpensai%crn, t1I Ito ati caf or portions of the worK and the structure is not intahtled or offered f€xr sale {Bastion Tfi7 ,
siness and i rofessk-m met The or tractors' State License Law does not apply tca an O ner cif property who, through employees' or personaleffort, builds or Improves th p 3� '. provided that the
)rovenients are not intended''orI offered for sate. If, however, tho buildfn ,or Improvement ds sold within orie year of completion, the 6wrier Builder will have the burden of proving that it. was not built or
�S)Ved W the purpose or salmi.
1, as owner c,& the properly, m axelusively contracting with licensed Contractors to construct the project {Section TO44, Business and Profession8 Code;Code7i The Contractors' State License Law does not
pty to an caw"r of property Who builds far irriproves thereon, and who contracts for the projects vWith alictmsed Contractor ctor pursuant to the C ontractors' Mate License Law).
I am exempt from llcenvure under the Contractors' State License Law for the following reasor=
r€1}P signature below f ackbowledge that. except for rqy personal resid nce ire which 1 rauat bane resisted #or at, least on ;rear prior to completion of the improvements ered bythis perml4 l cannot 1�i
i �a structure that I have bu911 as an I�v.�r�3r buitdtr if it h not treen c�arstr: ed i i?ratir�tf by licensed confira�tssrs;.t I�ncfers amd tfaata copy of fhe.appfic6ble laws, Sectic p _� oaf the .. psiress s
afesions Made, is aaclabie ucart repuest vvhe,^ "'ub prat fotfQrng tA'e site:h.JaK�r.fInfo.osWgoRltvr.htrnE:
hereby affirm under 15 rl ill+ of per irry sat i am licensed under pr tvision :ef Gt plet 9 (Oornmertcin9 W tit S tion 7 9� of Division 3 of the Sr insst land 1'rofbsewna Code, � mt I€ rrse IS in full force
rnd etffect. I icertse Class tic rrse ftiao Date GantractorSl nature
"CORKER ' OMPEN A't"itPif DECLARATION
MRNINGr: FAILURE To SEC WORKERS, C63MPENSA7' M COVERAGE M UNLA UL1,:Ar�ra $K ALL Sint SOT AN 'EMPLOYER To CR11� N AL PENALTIES AND CN FINES Dry tOONE 14UNDRED T14OUSAND DOLLARS (5'100,000) M AV1Dil lE}N TO THE
U T Of COMP fSArioN. DA.°,y AGE s_'AS PROVIDED FOR iN sa Unity 371MOF THE. LABOR CODE, CE4TMIeST, AND ATTORNEYS Feer.
hereby affirms under penalty of perjury one of the following declarations:
i haver- and will maintbin a certificate of consent to ,seif4rrsure for worke-W rnp"satrdn, issued icy. the Director of 1ndustriat klelaillons •as provided for y Sectirtrl 3100 of the Labor Made, for tit
)erformance of the work for ail rch this perrm it is 1 sued. Prifloy Na.
3I Have and wilt rmainttairt woAeere compensation insurance as required by Section 00 of the Labor Code, for the peribrmance of the work k for which this permit is issued, y workers' compens4or
'isu nce carrier and policy num er arw.
rrier L Pot€cy Number xpiration Date
da of Agent, ?hone
1 ce Ufy that, in the purr rance of the work for wh1oh this, p it. isiSSued. 1 strati not employ any person it`s any manner so as to become subject to the workers' compensation av s of California„ and agro
hat,if should bacorrte, ubf'It.to ` ertsatron rovr51On5 ta# Sectlran Se p of the Labs r tsde, I'shall fort rvvI h comply With those provisions.
atLire ofAppllca Da'
)ECLARATION ICE : D � D,0N TiCN � NDt Ca AGENCY
hereby.affirm under penaI4 of perjury that there is a c "rastrtrcti€an lending agency for the performanc cf the :work for which this permit is issued (Section 3097, Cl,If Code).,
_anc3erfs Nana: i �' Lertdee 'Address.
5y my.signature batons°, Ice tifiy id ea(f of the follo %:n
I arm the property ovinier or authorized to act on the property owner S behalf;
I have read this appFicatisah arttf the lrrformaii€ n t have waded is correct.
1 agree to comply with akt.applicable city and oaun ordinances and state Ia rt�latin td building construction.
I autlar�rle repro serftatives• of this city tar u,Xt�te{I rtif` d grape { f13r lrrpectldn purposes.
i11fUre of Facrapar of ..All#lasrizad Age Pltrti Froarty toner's or Autlrtrietf Agent's Gc v� L`� gate 7
2-
ACTION DATE BYf aa' ss CLALA790FCMF�ANC ITH CODE 05 FEDERAL FOR OFFICE USE ONLY
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