HomeMy WebLinkAboutXR2023-1375 - PermitsSEW PORT City of Newport Beach COMB Permit: XR2023-1375
O� =i Community Development Department- Building Division X R 2 0 2 3 1 3 7 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
u .ram S
Permit Counter Phone: (949) 718-1888 Issued Date : 05/24/2023
"a+ newportbeachca.gov/civic Inspection Area :S
�qC/Fe0.N\P Combination Type - SFP ELEC PLUM
Work Class - Alteration
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 ALLiwigAS
Job Address : 449 SEAWARD RD
Legal Desc : N TR 1237 BLK LOT 10
Description: SFR REMODEL 2 BATHROOMS 111 SF *CITY
STANDARD*
Owner: MARLYN & GRADY HOWE
Contractor :
Architect
Address : 4601 CORTLAND DR
Address :
Address
NEWPORT BEACH, CA 92625
'
Phone: (949)338-2522
Phone:
Phone:
Con State Lie :
State Lie
Lie Expire
Applicant : MARLYN & GRADY HOWE
Bus Lie:
Engineer
Address : 4601 CORTLAND DR
Bus Lie Expire :
Address
NEWPORT BEACH, CA 92625
Phone : (949) 338-2522
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : MARLYN & GRADY HOWE
Policy No:
Designer
Address : 4601 CORTLAND DR
W. C. Expire :
Address
NEWPORT BEACH, CA 92625
Phone: (949)338-2522
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $18,000.00
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 :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-2-6000 - Two -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM ATTACHED
i
t hereby affnn under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnarke) 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 no 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o',
QO ore than five hundred dollars ($500).
as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 70",
uslness 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
O,r,i
vamenis are not Intended oroffered forsale. If, however, the building or improvement is soldwithin one year o1 completion, the Owner -Builder will havethe burden ofproving that Itwas not buitt or
vod for the purpose of sale).
as owner of'th4 property, am exclusively contracting with licensed Contractors to construct the project(Section 7044, Business and Professions Code: The Contractors' State License Law does not
to an owner o� property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
exennn &Dn, l+censure under the Contractors' State License Law for the following reason:
By my signalur,) below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit, I.cannot legally
sell a srructure that I have built as an owmor-builder il'" has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sect! 44 of the Business and
Professions Coda. is a, enable upon request whe t.' at' 's i. ed or a ISfollowin Web site;Mtp:liwww.leginfo.ca.govlcalaw.litml,
S'.gna:ure of PrJpar,y Gwner or Authorized Agent _ Da
_IC_NSED CONTRACTOR'S DECLA.RATI
h ! rrnhy affirm url penally of perjury that I am licensed under provisi s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Glass _ _._ License No Date Contractor Signature
RKERS' COMPENSATION DECLARATION
'AkNING' FAILURE TO "EC9RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS IE100A001, IN ADDITION TO THE
OST OF COMPENM'J ON, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm u: rider Nenal€y of perjury one of the following declarations:
a I have and will maintain a oertiflcate 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
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 issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the 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
t, if I should become ct to the workers rompers Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G n
nature of Applicant 9 , GC AaL!LAPI,,cc�� Dale V a /-
CLARATION REG Ol ON5TRl1Cr{Fl N LENDI AGE CY
areby affirm under penalty of perjury tha�lfUJtthere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil ode).
rder'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.
I agree to comply with all applicable city and con ordinances and state laws relating to building construction. /� ,(�// /-�
I authorize roprosentatives of this city or county i�gth]A abq%jdentifieq JUerty for inspection purposes. / j A A' r w/r I o. iw 1 1 /_ ✓1 .IL i
Signature of Property Owner or Authorized Agent Y V ' n t Property Owner's or Authorized AGent's Nam %6 Y LY11Y It a "L
ACTION DATE By DECL4RATION. COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS RT 61 OE TITLE 40 AND AQMD RULE
1403
PERMI EXPIRED I I € U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
r� BEST 5 IFI AI'IpN 15 NOT ANPLICABL£
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