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Home My WebLink AboutXR2024-0412 - Permits�Pokr City of Newport Beach II COMB Permit : XR2024-049 2 o� @m Community Development Department- Building Division X�II�II�II�II�Ii0I�ll�ll� wFE 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No; PC2024-0345 2 Permit Counter Phone: (949) 718-1888 Issued Date: O'i123/2024 1 aM newportbeachca.gov/civic r 0 4 � 7^ Final Date: C44LORN�P Combination Type - SFP ELEC PLUM y , ', ;3 :�— Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 4 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 : 509 AVENIDA LADERA Legal Desc : N TR 5692 BLK LOT 16 TR 5692 (L.L.84-214027) PAR 1 Description: ATT SFR REMODEL LIVING ROOM 165 SF/MASTER'BATH ENLARGED 72 SF Owner: BRADBURNE RICHARD H TR Contractor: HOMEKEEP BUILDERS Architect: EDWARD NOVAK Address : 509 AVENIDA LADERA Address.- 5206SAN JOAQUIN PLZ Address : 849 E STANLEY BLVD, 406 LIVERMORE, NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 CA 94550 Phone: Phone: (949) 945-4621 Phone: (714) 323-8396 Con State Lie : ,1053406 State Lie Lie Expire': 05131/2025 Applicant; KERRY SMITH Bus Lie: BT30072162 Engineer: VOLPE ROBERT M Address: 251 E 22ND ST. Bus Lie Expire : 06/30/2024 _ Address: 20321 LAKE FOREST DR STE D-6 COSTA MESA, CA 92627 LAKE FOREST, CA 92630 Phone: (949) 322-1210 Workers' Compensation Insurance Phone: (949) 305-4700 x1 Carrier: 'STATE COMPENSATION INSURANCE FUND OwnedBuilder. Policy No: 9312388 Designer: Address : W. C. Expire : 2/3/2025 Address Phone: Phone. Code Edition : 2022 Fire Sprinklers,. NO Construction Valuation : $200,000.00 Type of Construction : V-B Fire Hazard Zone: NO Added/New/TI sq. ft Bldg : 72 Occupancy Groups c U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 237 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. It.: 72 Building Setbacks: Flood Zone: - X ee•s Use Zone: R-1 - Single -Unit Residential e•ee a ese e e a • e eoe•ee • e PROCESSED BY: �� ee e s e e • s e SPECIAL CONDITIONS: HAULER: ROBERTS WASTE e• e e o o •e •e o e o 0 0 o e s e • ee ee eases e e eeeeo •• • • e • ssesee s e e s e s ease ••es 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 item(s) (Section 7031.5, Business aril 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 he or she is licensed pursuant to the provisions of the Contractors' Stale 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 (11500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sate (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). 111, 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). ❑ 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 legaly 'sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and '.Professions Code, is available upon request when this application Is submitted or at the following Web site:httpltwww.ieginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent —__ Date _ ------- LICENSED CONTRACTOR'S DECLARATION 1 / /// I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 pf D' r i n 3 of the Business and Profess ode,y license is in full force and effect License Class License No Date �L Contractor Signature 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 (S100,006), 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: ❑ 1 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, for th, 'Iperformance 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' trance carrier and policy number are: to of Agent certify that, in the performance , if I should become subject to}I ialure of Applicant it Policy Number Date 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 agrer leers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II ------ _Data_-J J 23I Z� hereby affirm 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). ondeis Name Lenders Address y 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 1 have provided is correct. I agree to comply with all applicable city and county 0 di aces and state laws relating to building. construction. I authorize representatives of this city or county to entVih abo Qq-*tihed property for inspection purposes. (� _ ACTION PE- Mif_fXPIREO PFPpMT FINAL CERTIFICATE OF OCCUPANCY ISSUES Owner or Authorized DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AONID RULE SUBMITTED ASBESTOS UASBESIOS PROPOSED OEMOLffVOI(I/ N((5 NOT TO FOR OFFICE USE ONLY