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HomeMy WebLinkAboutXR2022-2320 - PermitsCity of Newport Beach COMB Pertrlt:XR2U22-232U Community Development Department -Building Division 04'. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1833 Permit Counter Phone: (949)644-3288 Issued Date : 09/01/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 newportbeachca.gov/inspections Combination Type - MFP ELEC MECH 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 ALL AREAS Job Address : 719 LARKSPUR AVE Legal. Desc : A TR CORONA DEL MAR BLK 737 LOT 19 Description: MFR ALT: REMODEL MASTER BED & BATHROOM .... Owner: Ralph Emerson Contractor : Architect : ...... Address : 719 Larkspur Corona del Mar, CA 92625 Address: Address: Phone: (714) 296-5326 Phone : '.` Phone: " Con State Lic : State Lic Applicant: Ralph Emerson Lic Expire : sees • • ° Address : 719 Larkspur Corona del Mar, CA 92625 Bus Lic: Engineer: Phone : (714) 296-5326 `' Bus Lic': Expire : Address Workers' Compensation Insurance Phone: Owner/Builder: Ralph Emerson Carrier::'. Address : 719 Larkspur Corona del Mar, CA 92625 Policy No: Designer: Ralph Emerson Phone: (714) 296-5326 W. C. Expire: Address : 719 Larkspur Corona del Va pm A 926`25 " Phone: (714)296-5326 Code Edition : 2019 Fire Sprinklers : NO 0 0. Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 65 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear. 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential NO CONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: ONTHE WEEKEND i ECT malty of perjury that I. am exempt from the Contractors' State License Law for theresson(s) Indicated below by the chackmark(s) I have placed next to the applicableitem(s) and Professions Code: Any city or county that requires a permitto construct, after. improve; demolish, or repair any structure, poor to Its issuance, also requires the: applicant for tatement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3,of the Business and is or she Is exempt from licensors and the basis for the alleged exemption, Any. violation of Section 7031:5 by any applicant fora permit subjectstheapplicant to a civil penalty of Zi, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portionsofthe work, and the structure Is not intended of 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, providedthat 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 burdenofproving that It was notbuilt or Im roved for the purpose of sale). LJ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct tits project (Section 7044, Business and Professions Code: The Contractors State Lfeenso Law does not apply loan 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 licensors under the Contractors' Stale License Law for the following reason: By my signature below I acknowledge that, except for my persona) residence In which I must have resided for at least one year prior to completion of the. improvements covered bythis permit, . I: cannot legall, sell a structure that I have built as an owner -builder i L it has t been constructed in its entirely by licensed contractors.:I understand that a copy of the applicable law, Section 7044 oft B siness, and Professions Code, Is available upon request who th ap adonis submitted or at the following Web altehttpa/www,ieginto.Da.govlcslaw.html. �� /� ,Z�. Signature of Property Owner or Authorized Agent Date .�; f LICENSED (;0lgTRJACTOR'S DECLARATI I hereby affirm iRi6EI'penalty of perjury that I amII Dosed under provisions of Chapter.9: (commencing with Section 7000) of Division 3 of the Business and. Professions -Code, .and ;my license is id full force onel-94ect. License Ciess License No Date Contractor Signature NjOR9ERS' C1DMlPENSATION DECLARATION -- - ARNINO: FAILURE R7 SECUREwORHERS' COMPENSATION COYERAOE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND: DOLLARS ($100,0001, IN ADDITION TO THE COST TiF COMPENVIIQrf; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. liprety affirm tipftr dbnaity of perjury one of the following. declarations: f 6ve and will maintain a Certificate of consent to self -insure for workers' compensation; issuedby the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for p'eFfSlfrsance olfhewbjk for which this permit is issued. Policy. No. 1 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' compensntiol nsurance carriesandpoiicy number are: Carrier • • • : Policy Number Expiration Date •••• �t{ame of Agent • • • Phone iE L.11 certify that, Riche dertormance of the work for which this permit is Issued, i shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and agre that, If I should become. subject to the workers' compensation provisions of Section 3700ofthe 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),. Lander's Name: - Lender's Address By my signature below,. i certify to each of the following; I Am the property owner or. authorized to act onthepropertyowner's behalf. I have read this application and the information I have provid COrreCt„ I agree to comply with all applicable city and court ordinen�nd slate laws relating to building construction. 1 I authorize representatives of this city or couptyyf nter ih ab e-identified property for inspection purposes: n ..a 1 rv. �.��,.) l .� uj, h-7 LE ryn, All required alarms; latches gates and fences which serve as part of a pool/spa barrier, shall q ID be In place prior to approval to fill pool/spa &shall remain in place & be maintained for the I life of the pool. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO Y rvnneen aim,eni r,nni