HomeMy WebLinkAboutXR2023-1310 - Permitsof Beachmnt
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XR2023-1310
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Community Development - Building Division
COMB Permit :
100 Civic Center Drive, Newport Beach, CA 92660
Counter Phone: 718-1888
Plan Check No:
Permit (949)
_
Issued Date : 05/1812023
newportbeachca.gov/civic��:.
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Inspection Area : 6
Combination Type - MFP
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: 301 HARBOR WOODS PL
Legal Desc : N TR 11935 BLK LOT 3 UN 100 TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP
Description: MFR R/R 3 SLIDER DOORS TO FRENCH
DOORS AT (E) BALCONIES. NO CHANGES TO SIZE.
Owner: VINCENT GULLOTTO
Contractor :
Architect
Address : 2549 EASTBLUFF DR #257
Address :
Address
NEWPORT BEACH, CA 92660
Phone : (714) 369-3987
Phone :
Phone
Con State Lie :
State Lie
Lie Expire :
Applicant: VINCENT GULLOTTO
Bus Lie:
Engineer
Address : 2549 EASTBLUFF DR #257
Bus Lie Expire :
Address
NEWPORT BEACH, CA 92660
Phone : (714) 369-3987
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : VINCENT GULLOTTO
Policy No:
Designer:
Address : 2549 EASTBLUFF DR #257
W. C. Expire :
Address
NEWPORT BEACH, CA 92660
Phone : (714) 369-3987
Phone
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $5,0Q6.00'
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : U,R-2
No of Units : 1
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories: 3
Added/New sq. ft. Garage: 0 -
TOTAL sq. ft. 0 '
Building Setbacks :
A • • -
Flood Zone : X
Use Zone : RM - Multiple Residential`
-
PROCESSED BY:
SPECIAL CONDITIONS
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 T031.5, 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 provistons 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 %a hundred dollars (S500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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
impro ments 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
impAved for thepurpose 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' Slate License Law does not
a ply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from ucensure under the Contractors'St ate lice e Law toEe,�h
ng reason
y y Signature bolovr I acknowledge that, except tqr my personal widen .a imust have resided for at least one year prior to completion of the Improvements covered by this permit I cannot legalt!
B m
soil a structure that I have built as an owner-buildor T it h not a cons ruc ntirety by licensed contractors. I understand that a copyof the applicable law Section 7044 of the B mossand
Professions Code, is available upon request when 1 s ppVtca f -fo log.Yµebsiha:http:/iwvnvaeginfo.ca.govlcalaw.html. �� i��� 7 '�
Signature of Property Owner or Authorized Agent ___ __„__ Date Jl
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, andmy license is In full force
and effect. License Class License. No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING. 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 tsiriSoarn, IN ADDITION TO THE
OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm underpenalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
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' compensatior
Isurance carrier and policy number are:
R
Po ` y Number Expiration Date
t
phcanf bale
I hereby affirm under pen&:ty 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 Nnme Lender's Address.
By my signature below, I oadify to each of the following:
I am Ina property Owner or authorized to act on t e pro. erty ow er s shelf,
I have read this application and the info ation have vided s .reef.
I agree to comcgwith all applicable city If unt o di nc a aws relating to building construction. L /�
I buthudze representatives of this city or u tg t to b -id property for inspection purposes.
Signature of Propel Gagner or Authorized Ag- t Print Property Owner's or Authorized Agent's Name �/ CJU6 Date
ACTION' DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
_ 1403
PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOT]FICATION TO _
PEriMlF CArYCELLELFINAL
_EPA
CERTIFICXTE OF
Zy/PRO 23 � SI NPOSUHD t] l ___ -..
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