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HomeMy WebLinkAboutXR2023-2884 - Permits"EWPOR� City of Newport Beach jai IIIIIIII 1111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-2ss4 04 I Community Development Department- Building Division X R 2 0 2 3 2 8 8 4 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2502 G >+^ = Permit Counter Phone: (949) 718-1888 Issued Date : 10/18/2023 newportbeachca.gov/civic Final Date: C9��FOFN`P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition/Alteration 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 : 817 VIA LIDO NORD Description: SFR ADD 149 SF REMODEL 1012 SF Owner: WOOLLARDSCOTTJ/WOOLLARDEVELYN Address : 306 ALVARADO PL NEWPORT BEACH, CA 92661 Phone Applicant: ATP BUILDERS INC Address: 201 SHIPYARD WAY #1 NEWPORT BEACH, CA 92663 Phone: (949)863-9099 Owner/Builder: Address : Phone Code Edition : Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone Use Zone: 2022 V-B U,R-3 Front: 4, Front: 1.5, Front: 10, Side: 4 X R-1 - Single -Unit Residential Legal Desc : N TR 907 BLK LOT 377 Contractor : ATP BUILDERS INC Address: 201 SHIPYARD WAY #1 NEWPORT BEACH, CA 92663 Phone: (949)863-9099 Con State Lic : 1013886 Lic Expire: 05/31/2024 Bus Lic: BT30056365 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 PROCESSED BY: SPECIAL CONDITIONS: HAULER: JD DEMO HIGH DENSITY ZONE; LIQUEFACTION - ,•-«, s.1 c + Architect Address Phone: State Lic Engineer: CARDOSO MICHAEL Address: 3317 RAMONA DR SANTA ANA, CA 92707 Phone: (714)926-6250 Designer: KIM DUVAL Address : 41 TUCKEN ST LENOX, MA 01240 Phone: (413)276-5378 Construction Valuation : $200,000.00 Added/New/TI sq. ft. Bldg : 112 Alteration sq. ft. Bldg : 812 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 112 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checklnark(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 statemant that no or she is licensed pursuant to the previsions 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).. Ell, 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 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 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). El 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 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). El 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 covered by this permit, I.cannot legally sell a structure that I have builtas an owner -builder if it has not been constructed in its rimiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Businoss and Professions Code., is available upon request when this application is submitted orat the following''A"eb site:http:liwwvr.leginfo.ca,gDNIcalav+.html, Signature of Property Owner or Authorized Agent ._.__�_� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (Commencing with Section 700 df iv' i n 3of the Business and Professions and my license is In full force and effect. License Class License No Date / Contractor Signature S i WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.,000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will melntam 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 thi performance of the work for which this permit is issued. Policy No. Ieand 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' compensatior once carrier and policy number are: Frier Policy Number Expiration Date me of Agent Phone # I certify that, in the performance of the we r 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, t, if I should become subject to the wore compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, ..nature of Applicant Date__.__ CLARATION REGARDING CONSTRUCTIONLENRING AGENCY ?reb'y affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whlch this permit Is. issued (Section 3097, Civil Code). ider's 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 application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinpIces and state laws relating to building construction. I authorize representatives of this city or county to ante above -Identified propery for inspection purposes. mature of Property Owner or Authorized Agent _. Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITS{ CODE OF FEDERAL FOR OFFICE USE ONLY r REGULATIONS PART 61 OF TITLE 40 AND HQMD RULF. 1 3403 PERMiTEXPIRED i 'ISIJIF 'ED A58ESTOS NOTIFICATION TO PERMIT EXTENDED t.IgO PCRMIT FINAL pjpjpj ASaEST05 NOTIFI A`rION IS NOT'APPLI ". LE TU CERTIFlCATE OF 24''Z� -PROPOSEO DE OLITI N OCCUPANCYISSUED ` GNAT'JR_: