HomeMy WebLinkAboutXR2023-2375 - Permits„cWvoRr
City of Newport Beach
O�` y 9
Community Development Department- Building Division
,,
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
”
newportbeachca.gov/civic
Combination Type - SFP
Work Class - Alteration
IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : XR2023-2375
Plan Check No
Issued Date : 08/25/2023
Final Date:
Permit Status: Issued
Inspection Area : 2
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 : 2671 BAY SHORE DR Legal Desc : N TR 1102 BLK LOT 4
Description: SFR R/R (12) WINDOWS & (5) DOORS AT (E) LOCATIONS AND SAME SIZE.
Owner: SHANNON TARNUTZER
Address : 2671 BAY SHORE DR
NEWPORT BEACH, CA 92663
Phone : (949) 861-1844
Applicant: REUTER HOMES
Address: 422 RIVERSIDE AVE
NEWPORT BEACH, CA 92663
Phone: (949)645-5824
Owner/Builder :
Address:
Phone
Contractor:
REUTER HOMES
Address :
422 RIVERSIDE AVE
NEWPORT BEACH, CA 92663
Phone :
(949) 645-5824
Con State Lic
: 760411
Lic Expire :
03/31/2025
Bus Lic :
BT30043520
Bus Lic Expire : 05/31/202$4
Workers' Compensation Insurance
Carrier: STATE COMP
Policy No : 9305837
W. C. Expire: 9/22/2023
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units : 1
Bldg Height : No of Stories : 2
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Architect
Address
Phone:
State Lic
Engineer
Address
Phone :
Designer
Address
Phone :
Construction Valuation : $52,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg
Added/New sq. ft. Garage.+ 9;
TOTAL sq. ft. B
p� �p�NRTI�UCTI(:*,�IORK
-)N SAJ ORDAYS
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 checkmark(s) I have placed next to the applicable iterate)
(Section 7031.5, Business and Professions Code: Any c'rly 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 title 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 licensors 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 ponalty of
not more than five hundred dollars ($500).
Ell, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Codes 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).
❑ 1, as owner or 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 State License Law).
❑ I am exempt tram ficensure 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, 1 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 theapplicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or At the following Web site:http:li ^ ,leginfo.ca.govlcalaw.htmi,
Signalize of Property Owner or Authorized Agent _ _ Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Div 3 of the Business and Profes' s e, and y Ii s ice
and effect, License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURETO $£CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000), IN AD.OMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE. INTEREST, "a ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
4- 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
rice 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' compensa
ranee carrier and policy number are:
is of Agent
certify that, in the performance of the
, if I should become subject to119 we
of Applicant
Policy Number
Date
employ any person in any manner so as to become subject to the workers' comp risatlon I is of California, and Agra
I of the Labor Code, I Shell forthwith comply with those provisions. CCi
Dale,,,_
reby affirm under penalty of perjury ink there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
,der a Name Lender's Address
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 applioatioi and to Information I have provided is correct,
agree to con,ply with all applicable city and county aril cos a _eta awe toting to building construction. %
I authorize representatives of rhis city or county ant X. a Iy1 tied r nspection purposes. f'A( r p 1, �=. i4 n �/% /
rnet's or Authorized Anent's Name
ACTION CAri i B7/ v OFjCLARATION Cp'-COMPLIANCE WITid CODE OF FEDERAL FOR OFFICE USE ONLY
GUTATIONS 4RT61 OF TITLE40 AND AQMD RULE
1403
PERMJi£XPdRED C3 I SUBMITTED ASBESTOS NOTIFICATION TO
P£RMIi CANCELLED ,_.... EPA
PERMIT WENDEL iJA 0 _
.... . _ ......._VAPPPCRMIT HfJRI A11Q SBESTOS NU(IF ATIU aF,0
CERTIFICATE V/PROPOSER OE�N _.
OCCUPANCY lSSLFD 3//�� / A .SIGNATURE: ✓�/