HomeMy WebLinkAboutXR2022-1997 - PermitspF?WPOR@ Community DevelopmentmDpaartment- Building Division IIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660
City of
Permit Counter Phone: (949) 644-3288
U Inspection Requests Phone: (949) 644-3255 I S P ICT
Oq,,Q-, P newportheachca.gov/inspections 9 PoI Lam
Combination Type - SFP��
Work Class - Alteration
5 � �'
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE Q=ft" ST VALID INSPBCT
NO CONSTRUCTION RELATED NOISE ON SA• Y3•AY OR SUND>� IN HIGH
Job Address : 125 VIA
Description : SF 0
NEW
Owner: DENISE SO
Address: 25 W
Phone:
Applicant: RC
Address: 111
Phone: (31
OwnerlBuilder
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
X
R-1 -
Front: 4, Side: Vie: 3
Bus Lic Expire:
Workers' Compt
Carrier:
8*e
iklers : N
rd Zo Y
XR2022-1997
PI'an Check`
Issued Date:
Inspection Area
s {t
TER THAN 3
AND NO WO
tR�9Q7 B ,K��TV289...
R GARAGE W/RELATED STUCCO REPAIR
ip
RD GARDINIER' ArchitectLAGUNA BEACH, CA Address
0 6. Of
3645 °
5�,e�
I ur ((e��O
- NO ENiRLOYEES /
ORIGINAL ISSUANCE DATE
e AND HOLIDAYS IN ALL AREAS
STRUCTURAL CHANGES' 120-1305
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Construction Valuation : $4,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
NO CONSTRUCTION NOISE
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION; RENEWING PERMIT X2020-1389 ON THE WEEKEND
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated
(Section 7031.5. 13D51POSS and Professions Code: Any city or county the( requires a permit to constructafter, improve, der the parmll to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' ' e Law { Professlons Code) or that he or she is exempt from licensure and the basis for the alleged axegtptb violatlon otSection 7..
not more than five hundred dollars ($50o),
El I, as owner of the property, or my employees With Iva es � r+pS,j�d
Business and Professions Code: The Contract 9 ,,,, ;yldtek a Compensation, will do 1_) all of or (_) )i�rtfenisf 6f the W
icon�re Law 5pes not apply to an owner party who, through a pl Impfovemen(s are not intended o r se If, howevei, the bLlgng or ire r is sold wfIt in one ye"f rir�f Improved for the pure e , t 1 , / J
LJ 1„ as owner of the ropedy, am�exclusive c nt
ra-�iply to an owner of pert �farus ' pr ves If
LJ I am exempt from ensure under the. Cc I t
Sy my signature below acknowled excv r r
sell a slruclure thatl ha bull aw' -bull if it
Professlons Code, Is av table on requ who s
Signature of Pro❑erty O ernr rh�„� ,...,.� _
hereby affirm W11W.pen ty of p ry that 1 am Iicansad �rn,
ndeffect, Litarsaf1as.=l / mar Il
or at
(Section
11110 BSitled for at least one year
by licensed contractors. I under
I lAVIIIIC ANO SHALL 5U❑JECT AN EMPLOYER TO CRIMINAL PENALTI
:OMPENSATION❑AMA 5AS OV ❑ NSEC THE LABOR CORE, INTEREST, AN❑ATTORNEYS FEE& e�
affirm rnae.p. nasty f Pe ollowing declarations: {y
Is and, Will'nlZanlain certificate Of consent 10 Self=insure for ''Nor am' ansallon, IBS a ,Clef Of Inca of the wank for w oh this permit is issued. Policy No. ��
and tvtlhtl0iitain we ors' satin qui b action 3700 of the Labor Code., fJNthe pen
e carrierand policy nu bar a
Ageri
y that, in 11S 1aertorme0 of the work for which this ermit Is Issued, 1 shot oy any person in any
houfe413amue subje h we( rs' ompensati provisic c Ion 3700 of the Labor Code
of Applicant
!retry affirm under penalty of per) ry that there is a c n ends❑ a performance of The work for which this
IdeY'S Name
my signature below, I certify{❑ s h of the Lender's Address
t am the property owner or alltho .d to act on the properly owner's behalf.
I have read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordinances and state la% ralating to building construction.
I authorize representatives of this city or county to rQPrAl//A,-�-s�gr t boy -Identified ropedy for Inspection purposes,
iature of Propert Owner or Authorized A ePrint Pro er Owner's or Authonz
NONDATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61.O€ TITLE 40 AND ACMD RULE FOR OFFICE USE
w b , r+(s)the If
placed next to the applicable ftem(s)
air any slfudfure, prior (0issuance also requires the applicant for
9or 9 (commencing with Sen 7000) of Division 3 of the Business and
�bY a ry applicant for a subjects the applicant to a civil penalty of
one rn ur�rJU1Wli or offered for $eta (Section 7044,
�s' off, builds or f proves the property, provided that the
vner-Builderwlll have the
theme b den of proving that it was not built or
Z=:
erts-Code; The Do rectors• StaLicense Law does notcto,rs' State Llcens Law). of the improvaman coverod 6Ihls permit I cannot leg the applicable law, Ilion 704of iha Business and -
he Business slid Profs
Contractor Signature '
UP
twTad for
of the work for
force
($100,000), IN ADDITION TO
3700 of the Labor Code, for
My workers'
+Ile a Workers' compensation laws of California, and agre
ose provisions. l
DOEIK O4%LS_Zzz
Is issued (Section 3097, Civil Code),
FfRMlT6Y1'ENDED
-------- —=---- r ucrn _____�� All required alarms` latches gates and fences which serve as part of a pool/spa barrier, shall
J QM6 be In place prior to,approval to fit( pool/spa R, shall remain in place & be maintained for the
PCAMI€RNM ..---.— —_—_ _.__.________.___
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
OCCUPCERDFANCYATE
OF PROPOSED DE L I f /b 1
OCNCAMCY'I53UEit SIGNATUREt (Pit ir�� '