HomeMy WebLinkAboutXR2022-2037 - Permits4 �EwP T City of Newport Beach II III I I I II I II I III I IIII II II q
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Community Development Department- Building Division COMB Permit : XR2O22-2037
Fi Sri l`"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1868
tV > -- )y�.'' Permit Counter Phone: (949) 644-3288 Issued Date : 07128/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
� newportbeachca.gov/inspections p
Combination Type - MFP ELEC 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
Description
Owner:
Address
Phone
: 505 VISTA FLORA Legal Desc : N TR 5740 BLK LOT 20 TR 5740 (L.L.84-214028) PAR 20
STOP WORK 122-1913 * MFR KITCHEN AND BATH REMODEL, DRYWALL REPAIR
MAXWELL DAUBNER Contractor
505 VISTA FLORA NEWPORT BEACH, CA Address
92660
Applicant: MAXWELL DAUBNER
Address: 505 VISTA FLORA NEWPORT BEACH, CA
92660
Phone
Owner/Builder: MAXWELL DAUBNER
Address: 505 VISTA FLORA NEWPORT BEACH, CA
92660
Phone:
Phone:
Con State Lic:
Lic Expire
Bus Lic:
Bus Lic Expire :
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
R-2
No of Units :
Bldg Height :
No of Stories
Building Setbacks
Flood Zone:
X
Use Zone :
R-1 - Single- nit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone:
NO Construction Valuation :
Y Added/New/TI sq. ft. Bldg
4 Alteration sq. ft. Bldg :
AddedlNew sq. ft. Garage:
.moo
$110,000.00 ,
0
600
$110,000.00 ,
0
600
OWNER -BUILDER
I hereby affirm under penally 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
To porrnit 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
1r roved for the purpose of sale).
`1 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
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
7 I am exempt from licensure under the Contractors' Slate License Law for the following reason:
ty 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 tegall,
ell 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 70" of the Business and
'rofessions Code, is available upon request whe is a i tion f970b ed rat the following Web site:http://www.leginfo.ca.gov/calaw.html. V
lignalure of Property Owner or Authorized Agent -SAL +� Die
.ICENSED CONTRACTOR'S DECLARATION P
hereby affirm under penally 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
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: 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 1$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
' hi, e and w'II minl9in 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
erformance of the work for which this pernit is issued. Policy No.
have and will mitmain 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'
ranee carrier and pclf:y number are:
Policy Number
of Agent
Date
-1I s4rtrfy 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 agre
rat. if I should beco,ne subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
iynature of Applicant _ Date
Ff9 PPC.TION REGARDING CONSTRUCTION LENDING AGENCY
herebv a,firm 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).
ender'% 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 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 enteythea abov z daat[ 01property for inspection purposes. l�
vner's or Authorized Ac
ACTION DATE By r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
T
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & he maintained for the
NOTIFICATION IS NOT APPLICABLE TO life of the pool.
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