HomeMy WebLinkAboutXR2024-0821 - PermitsCity of Newport Beach 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2O24-Os21
0 A� Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date: 0410112024
newportbeachca.gov/civic Final Date:
cq;OR�,P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 3
- 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: 1801 SANTIAGO DR Legal Desc : N TR 3976 BILK LOT 1
Description: SFR INTERIOR ALTERATION OF 2 BATHS + DRYWALL IN HALLWAY APPROX;110 SF TOTAL *CITY STANDARD* R/R FRONT ENTRY DOOR
Owner: JOHN RAYMONT
Address : 1801 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone : (949) 630-8344
Applicant:
JOHN RAYMONT
Address:
1801 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone:
(949)630-8344
Owner/Builder
:
Address :
Phone
Contractor: OWNER/BUILDER
Address :
Phone:
Con State Lic : OWNER/BUILDER
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer:
Address :
Phone :
Designer: JOHN RAYMONT
Address: 1801 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone: (949)630-8344
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
$20,000.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
Alteration sq. ft. Bldg :
0
110
Occupancy Groups : U,R-3
No of Units :
1
1
Added/New sq. ft. Garage:
0
Bldg Height :
No of Stories :
TOTAL sq. ft. :
0
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITION:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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, eftar, improve, demolish, or repair any structure,prior to its issuance, also requires tha applicant. for
to permit to file a signed statement that lie 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 for the alleged exemption. Any: violation of Section 7031.$ by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars (l500),
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 empleyees' 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-BuOder will have the burden of proving that it was not built or
nproved for the purpose of sale)-
1 1, as owner of lire property, ant exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law dues not
poly to an owner of property who builds or improveslthereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I I am exempt from licensure under the Con(ractom' State License Law for the following reason:
,y 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}
ell a structure that I have builtas an Owner -builder if if has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and
Tofessions Code, is available upon request when this application is submitted prat the following Web site:http:/! w v.leginfo•ca.govlcalaM/,html.
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70.00) of v'sidn' 3 of the Business and Prue$$ = C and '.y'license-is it full force
nd effect. License Class License No DhM Contractor Signature G7
PORKERS' COMPENSATION DECLARATIONIJ
'ARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM uAL Find TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (StngDeeJ, IN ADOPTION TO THE
DST OF COMPFNSATIONI DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COnE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following declarations,
I 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, forth
erformance 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 issoed. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
de ify 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 laws of California., and agre
that, if should becomef ubject to the workers' com ensatidn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
re or Applicant Date ry/l �� r"f
DECLARATION REG R NC Ctl ST"t1CTItlN LENDIN G.ENCY�
I hereby affirm underpenaity o Brie that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Ci '1 Code).
Lendei s Name Lendar'.sAchim,"
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 applicablecity and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or county t Ent hB bve-1 tified pro erty for inspection purposes. _
Signature of Property Owner or Authorized Agent - Print Property Owner's orAtlthorized Agent's Nam ^S O�r� Date
ACTION DATE RY It LA T[ON OF COMPL aNCE WITH CODE OF FEDERAL FOROFFICE USE ONLY
EGJLATIONS PART 51 OF TITLE 40 AND AQM0 RULE
1403
PERMITEXPIRED I 1 II U tSUBMITTED ASBESTOS
PERMITCANCELLED
PEP+W Ti jTENDED
PERMir FINAL /ja/L'j (�L }Ov ASBESTOS NOfIFI "ATION' IS NOTAPPUCA9UE TO
CEROCCUPANCYFICATE OF Im R ?OSf.O"1J,fIV L Q
OCCUPANCY ISSUED '', J' I NATURi� /'�'-,