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Home My WebLink AboutXR2023-3073 - PermitsaEWPORT City of Newport Beach IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII II p� d Community Development Department -Building Division X R 2 9 2 3 3 9 7 3 �y 100 Civic Center Drive, Newport Beach, CA 92660 Yl+ ? Permit Counter Phone: (949) 718-1888 e« newportbeachca.gov/civic, .,---� ,.=., P---- Y'^"'^ Combination Type - SFP 9 Z Work Class - Alteration 3 - '' COMB Permit: XR2023-3073 Plan Check No Issued Date : 1013012023 Final Date: Permit Status: Issued Inspection Area : 8 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 : 1001 NOTTINGHAM RD Legal Desc : N TR 3031 BLK LOT 68 Description : SFR BATHROOM REMODEL LIKE -FOR -LIKE PER CITY STANDARD PLANS Owner: SHARON M FERGUSON Contractor: RL CONSTRUCTION & DESIGN INC Architect Address : 1001 NOTTINGHAM RD Address : 719 E BUFFALO AV Address NEWPORT BEACH, CA 92660 SANTA ANA, CA 92706 Phone : (949) 278-1390 Phone : (949) 395-4841 Phone Con State Lie: 558404 State Lie Lie Expire : 07/31/2025 Applicant: RICHARD ALAN CLAPP Bus Lie : BT30082915 Engineer Address : 173 S CYPRESS ST Bus Lie Expire : 10/31/2024 Address ORANGE, CA 92866 Phone: (949) 395-4841 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 1896615 Designer: RL CONSTRUCTION & DESIGN IN Address : W. C. Expire : 6/1/2024 Address: 719E BUFFALO AV SANTA ANA, CA 92706 Phone: Phone: (949) 395-4841 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $37,000.00 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 : 72 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 , Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) B� PROCESSED BY: SPECIAL CONDITIONS: I hereby affirmunder penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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, 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 forthe alleged exemption. Any violation. of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penatty 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 U portions of the work. and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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 withinone year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). u 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 a ply 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). I am exempt from licensure under the Contractors' Slate 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 covered by this permit, I cannot legali! 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web she:http://w .leglnfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _.,_,-______ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of [)' 'on the Business and Profe ode, an v li se i 4fll o e WORKERS' COMPENSATION DECLARATION and effect. License Class License No Date _/p _ Contractor Signature 1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOTON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]Tee OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued_ Policy No. have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: na of Agent certify that, in the performance of the wl for if I should become sub' to the)ttor s' c nature of Applicant Policy Number Date is issued, I shallnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre .ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 Date�� 7 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf- ] have read this application and the information I have provided is co ct#091 I agree to comply wrt all applicable city and county ordinances a alg to building construction. I authorize representztives of this city or court.•A,ev/� r the abo cy for inspection purposes. / of Prooe:t: 0 Yner or Authorized Agent / /(/iti_. Print Property Owner's or Authorized Agent's Name ,PLC-1q"P C. ACTION DATE BY DECLARATION OF COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION$ PART 61 OF TITLE 40AND AQMD RULE 1403 _ _ P�RA.11T i,':PIRFD 0 1 SUBMITFED ASBESTOS NOTI FICA hON TO PERW CANCELLEC PFRNlTF TFNOED _EPA QMO P,EPPIIT FINAL (=R'NFICITE OF _i qq� `ASBESTOS NOTI F ICAI'I ON 15 AP LE T PROPOSED DE ON OCCUPANCY ISSUED 1a'P r SIGNATURE: _ Date