HomeMy WebLinkAboutXR2023-0778 - PermitsaEwaoRT City of Newport Beach III III IIIII
D4 ,: Community Development Department- Building Division X R
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U S Inspection Requests Phone: (949) 644-3255
Cq(/FOPN�P newportbeachca.gov/inspections
Combination Type - MFP ELEC
Work Class - Other
IIIII III IIIIIII III III III jj COMB Permit : XR2023-0778
2 0 2 3 0 7 7 8
Plan Check No: PC2023-0662
Issued Date : 03/24/2023
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: 2888 BAY SHORE DR, Al
Legal Desc : P BK 287 PG 11 PAR 2 IRVINE SUB LOT 171 BLK 54 POR OF LOT
Description: MFR- DRYWALL AND ELECTRICAL REPAIR
Owner: PALMO INVESTMENTS GP
Contractor :
Architect
Address : 2888 BAYSHORE DR
Address :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 874-1725
Phone :
Phone
Con State Lie :
State Lie
Lie Expire
Applicant: PALMO INVESTMENTS GP
Bus Lie:
Engineer
Address : 2888 BAYSHORE DR
Bus Lie Expire :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 874-1725
Workers' Compensation
Insurance Phone : • , ,
Carrier:
Owner/Builder : PALMO INVESTMENTS GP
Policy No:
Designer
Address : 2888 BAYSHORE DR
W. C. Expire:
Address
NEWPORT BEACH, CA 92663
Phone : (949) 874-1725
Phone
Code Edition : 2022
Fire Sprinklers :
NO Construction Valuation : $1,006.00, ,
Type of Construction : V-B
Fire Hazard Zone :
NO Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-2
No of Units :
17 Alteration sq, ft. Bldg :
Bldg Height :
No of Stories :
2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : AE, 8 FT; X; X
Use Zone: RM - Multiple Residential
NOISE
9 C
PROCESSED BY:
r> C^c)WSTRVCT�®N
SPECIAL CONDITIONS: HIGH -DENSITY ZONE:
ON "THE WEEKEND
OWNER -BUILDER DECLARATION
f 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-itern(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolishr or repair any structure, prior to its issuance, also requires the applicant for
Io 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 70DO) of Division 3 of the Business and
r fessions 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 penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
•usiness 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
nprovements 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
nproved for the purpose of sale).
*1 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
poly to an owner of property who builds or Improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law),
3 1 am exempt from licensure under the Contractors' State License Law for the following reason
ly 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 legally
ell a structure that I have built as an owner -builder if it has not been Go structad in its on I'm by licensed contractors. I understand that a copy of the: applicable law, Section 7044 of the Business and
'rofessions Code„ is available upon request when this appli or at the following Web site:hitp:/Avww.leginfo.ca.gov/calaw html.
signature of Property Owner or Authorized Agent Date ,3 -2 v/-2 3
.ICENSED CONTRACTOR'S DECLARATION�
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is In full force
nd effecL License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0014,114 ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under Density of perjury one of the following declarations-
3 1 have and Will re'rtam 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 the
e1,'cr:n=a of thn work for which this permit is issued. Policy No. i
have and will n,air.tain 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
^..ai^y that, inthe performance 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 taws of California, and
`'f I should becD,na subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rr�twe of Applicant. Date _
CZAR-ATION REGIAROING CONSTRUCTION LENDING AGENCY
_rrLy rfirm 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).
dP�sName Lender's Address__
my signaturebolow. 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enteryae above'94aRfi�id property for inspection purposes. s
Date
BY DECLARATION OF COMPLIANCE WrrQ CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS
PERMIT EXTENDED AOMD
PER'ufIP FINAL plVN" ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF so�i FN'— PROPOSED DEMOLIT I
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