HomeMy WebLinkAboutXR2024-5487 - Permits�E.wPoR;A11
City of Newport Beach II
�F: Community Development Department- Building Division x R 2 0 2 4 5 4 8 7 COMB Permit:XR2024-5487
F s�':, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : XR2024-5487
.+5_. Permit Counter Phone: (949) 718-1888
Issued Date : 11/20/2024
newportbeachca.gov/civic Final Date:
c9c....... Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
__- Work Class - ADDITION/ALTERATION Inspection Area : 1
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 : 117 36TH ST Legal Desc : A TR RIVER SECTION BLK 36 LOT 22
Description: SFR CONVERT (E) BONUS ROOM TO (N) ADU 1-BED WITH 1-BATH 784 SF. INFILL DOOR TO ROOFTOP DECK. NEW WINDOW. *ADU SAFE* PROGRAM
Owner: BASIL JOHN HUTCHINSON
Contractor: OWNERIBUILDER
Architect
Address: 117 36TH ST
Address :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 463-6416
Phone:
Phone
Con State Lic : OWNER/BUILDER
State Lic
Lic Expire
Applicant: BASIL JOHN HUTCHINSON
Bus Lic :
Engineer
Address : 117 36TH ST
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 463-6416
Workers' Compensation Insurance
Phone
Carrier: EXEMPT
Owner/Builder :
Policy No: 0000
Designer: KEITH BONGARD
Address:
W. C. Expire:
Address : 28251 ESTIMA
MISSION VIEJO, CA 92692
Phone :
Phone : (949) 300-6923
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $13,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NewlTl sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 2
Alteration sq. ft. Bldg : 784
Bldg Height:
No of Stories : 2
Add/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 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 he 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 of
not more than five hundred dollars ($500).
❑ I, 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,
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
Ira roved for the purpose of sale).
1, 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
Iapply 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).
LJ 1 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 1 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 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:http:!/www.leginfo.ca.gov/calaw.html.
.Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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, and my license is in full force
and effect. License Class License No Date 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 I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
xmance 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' compensa
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
, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I 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).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I 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 enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED I 1 1 L-I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LJAOMD
PERMIT FINAL
EIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
,l`, .9y
PROPOSED DEMOLITION
OCCUPANCY ISSUED
rrD I�!
SIGNATURE: