HomeMy WebLinkAboutX2021-3009 - PermitsF��WnoaT City of Newport Beach
A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
o94�onH`r. newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
iiiiiiiiiii II COMB Permit : X2021 -3009
Plan Check No : 2618-2021
Issued Date : 05/0112023
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: 320E BALBOA BLVD Legal Desc : A TR.NEWPORT 'BAY TR BILK 3 LOT 7
Description : MFR REMODEL (E) LAUNDRY ROOM 15 SF
Owner: THE WILLIAM R DILDINE FAMILY TRUST
Address : 320 BALBOA BLVD E
NEWPORT BEACH, CA 92661
Phone:
Applicant: DAVID BAILEY
Address! 23183 LA CADENA DR, #101
LAGUNA HILLS, CA 92653
Phone: (949)573-1050
Owner/Builder :
Address :
Phone
Contractor :
BERMAN CUSTOM BUIL
Architect
Address :
2499 ANNIVERSARY LN
Address
NEWPORT BEACH, CA 92660
Phone:
(714)292-01.59
Phone;
Con State Lie
: 1030778
State Lie
Lie Expire :
Bus Lie :
05/31/2024
elr-' D a(7rJ Z p
Engineer
Bus Lie Expire! 11 a t'Zrf
Address
Workers' Compensation Insurance
Phone
Carrier :
Policy No:
EXEMPT
Designer
W. C. Expire:
Address:
Phone:
DAVID BAILEY
23183 LA CADENA DR, #101 LAGUNA
HILLS, CA 92653
(949)573-1050
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units:
2
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY: /-
SPECIAL CONDITIONS:
$1,500.00
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0
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis
ick permit to file a signed statement that no or she is licensed pursuant to the provisions of the Contractors' State License Law
rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section
of morethan five hundred dollars ($500).
1 1., as owner of the property, or my employees with wages as their sole compensation, will do L) all of of L) portions of the
•usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emir
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completi,
nproved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project {Section 7044, Bm
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu
I am exempt from llcensure under the Contractors' Stale License Law for the fallowing reason:
,y my signature below I acknowledge him, except for my personal residence in which I must have resided for at least one year
oil a structure, that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. d under
Professions Code, is available upon request when this application is submitted or at the following Web sne;http:11wvMjegtnfc.0
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION _._...__...._.
hereby affirm under penalty of perjury that I am Foonsed under provisions of Chapter 9 (commencing with Sectio. 7 0)j__of Dt
:nd effect. License Class License No Date OSOl
COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL?
AST 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:
I I have and will maintain a certificate of consent to self -insure for workers' Compensation, issued by the Director of
erformance of the work for which this permit is issued. Policy No.
71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Isurance carrier and policy number are:.
:artier Policy Number
lame of Agent
*rtify that, In the performance of the work for which this permit is issued. I shall not employ any person in any manner so
if I should became sub' ct to the omp Gtion 3700 oP the Labor Code, I shall forthwith c
Stuns of Applicant
maby affirm under partially oTJwjury that there is a construction lending agency for the performance of the work for which
liar's Name Lender's Address
My signature below, I certify to Beat) of tite folioviing:
I am the property owner or authorized to act art 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�ov{rtty ordutancas and state laws relating to building construction.
I authorize representatives of this city or eoun�y,Io $met tZ,'abCve-,den Fcperly for inspection purposes.
ACTION DATC BY V LAS TlONO� LIANCE WITH CODE OF FEDERAL FOR OFFICE
j-giEb`ifClCi NS PART 6,I bF'f17LE 40 AaV€?AQMP RULE
PERMIT EXPIRED I Ldi SUBMITTED ASBESTC
PERMIT CANCELLED— I ��CIEPA
PE'RMIt EXTENDED
PERMITPINAL - ASHE°I)$ Ni1r P 5NOTAPPLICABL£ TO
CERTIFICATE' Of .S� 05p�y,,� ��rt T�
OCCUPANCY ISSUED StGNATtI��'Ir T7� \
below by the eheclorr s) I have placed next to the applicable items)
. or repair any structure, prior to its issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
Des' or personal effort, butkds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
D Completion of the improvements covered by this permit, I cannot IegB
:hats copy of the applicable. law, Section 7044 of the Business and
calaw.html.
Date
3ofthe Business and-Profs"Ions Co �nd my Ir. 1 d full force
CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS t$100A00i, IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workRGil
' mpensation laws of California., and agre
ply with those provisions.
Da
permit is issued (Section 3097, Code).
ONLY