HomeMy WebLinkAboutXR2023-1817 - PermitsaEWPORT City Of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII COMB Permit : AR2023-1817
p� b Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
` S Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic Issued Date :
c,</FORN�P Combination Type - SFP ELEC MECH PLUM Inspection Area : 2
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 : 46 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 46
Description: SFR BATHROOM REMODEL *I23-2062* CITY STANDARD
Owner: CLIFFORD DOWNS
Address : 46 LINDA ISLE
NEWPORT BEACH, CA 92660
Phone: (949) 287-1155
Applicant:
TEAM DELTA
Address:
580 N CALIFORNIA AVE
BEAUMONT, CA 92223
Phone:
(951)769-3005
Owner/Builder
:
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
Contractor: TEAM DELTA
Address : 580 N CALIFORNIA AVE
BEAUMONT, CA 92223
Phone:
(951)769-3005
Con State Lic
: 1047513
Lic Expire :
12/31/2024
Bus Lic:
BT30082052
Bus Lic Expire : 07/30/2024
Workers' Compensation Insurance
Carrier: BENCHMARK
Policy No: CST5024499
W. C. Expire : 11/16/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
2
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone:
<, f .q< lei' A I
Construction Valuation : $7,500.00
Added/NewlTl sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
SPECIAL CONDITIONS: !A f,r�
j s V -
Y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the . improve indicated below repair
the checkmarkp i I have phoned next to the applicable pplica.
ction 7031.e, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure,. prier to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to ilia provisions of the Contractors State License Lew (Chapter 9 (commencing with Secermit s 7000) of Division 3 the Business and
Ifessions Code) or that he or she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 703i.5 by any applicant for a permit subjects ins applicant to a civil penally of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
sinass 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 or offered for sale. If. however, Ole 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).
1, 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
aly 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).
n+�
I 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 at least one year prior to completion of the improvements coverE
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section
Professions Code,, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiongoo of ivision 3 of the Business and Prof ions de,
and effect. License Class License No DatContractor Signature
ECLARATION
this permit, I cannot
of the Business and
license is In full force
WORKERS CCMP„ENSAIION D
COST IOP COMPENSATION;TSECURE
WOS As PROVIDED FOR IN SECTION AGE IS OPT AWFUL. AND CODESHALL SUBJECT
T, AND ATTORNEYS TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS [Sf0D,S00j, IN ADDITION TO THE
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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, for th
pe ormance 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' compensatie
I.IrbiRce carrier and policy number are:
Carrier Policy Number Expiration Dale
Phone #
Name of. Agent
I Certify that, in the Care mence 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 agre
that, if 1 should became u fect the orke comp satlon previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7l3/�
Signature of Applicant Da
DECLARATION REGA I ONSTRUGTION LENDING AGENCY
I hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI I Code).
Lender's Name Lenders Address
'.. By 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 co my rdinancas and state laws relating to building construction.
I authorize representatives of this city or county ter ov d led a m
for inspection purposes. C�„V , ate
Si mature of Propertyt n
Owner or Aulhorzed Agent Print Pro a Owner's or Authorized Agent's Na
ACTION DATF BY DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
. REGULATIONS PART 61 OF TT1F. 40 AND AOMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED -- EPA _
_..._..._.......___.._._._.__—..__. --
U61VI —
PERMiFEXTENDEO �AOMD _ _
PERMIT FINAL I ASBESTOS NOTIFICATION I NO PPLICRBLE TO
CERMTCATE OF �f, PROP
IV OSED E OLIT,f f
OCLUPANCYISSUED pI SIGNATURE. �L�l