HomeMy WebLinkAboutXR2023-0924 - Permits�EWPORT City of Newport Beach IIIIIIIIII IIIIIIIIIII�II III �IIIIIIIII�I�I�III� II
0� @ Community Development Department- Building Division X R 2 0 2 3 0 9 2 4
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
a.< x Inspection Requests Phone: (949) 644-3255
CqC/F00.N�P newportbeachca.gov/inspections
Combination Type- SFP
Work Class - Other e
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALI ECTIO NO L/�
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SU IN HIGH * TY ARE�S1
Job Address : 2572 BAY SHORE DR
Description : SFR INTERIOR BATHROOM
Owner:
DEVERIAN GRACE
Address :
2572 BAY SHOR
NEWPORT H,CA
Phone:
tiQ'
Applicant:
TEDB•LL U
Address :
2572 B'a1� s�'h e Dr
NEWPO1 AC A
Phone:
(194)92Z'�25 2
Owner/Builder: DEVERI OVAC
Address: 2572 BAY SHRE R
NEWPORT B ACH,
ruoue. IL MW
Code Edition :
2019
Type of Construction :
V-B
Occupancy Groups:
R-3
Bldg Height:
Building Setbacks :
Front: 10, Froh;; 10,
Flood Zone :
AE, 8 FT; X `k•.
Use Zone :
R-1 - Single-Unit'Re
(3)
Legal
: XR2023-0924
2040-2021
Issued Date : 04 112023
Inspection Area
_nl,.te�vra
3
M
/ 0n- O0..
tT�O%BLK L0��095 LOT 8 POR OF LOT
T P WORK 121-2587" (RENEW EXPIRED
Archite G
... . A
iv.
zpw
Compensation Ins \)
Ga
O`s Otws`
UAL ISSUANCE DATE
HOLIDAYS IN ALL AREAS
MAP
Construction Valuation :
Added/New/Ti sq. ft. Bldg
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage
TOTAL sq. ft. :
0
0
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM W/ X2021-2359
#234 CORONA DEL
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the
c(on 703f,5. Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair an
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter
fesslons Code) or that he or she is exempt from licensurs and the basis for the alleged exemption. Any violation of Section 70 any
more than five hundred dollars IWO).
1]0 I s owner of the property, or my employees with wages as their sole compensation, will do
Business and Professions Code: The Contractors' State License Law does not apply to an owner
Improvements are not intended or offered for sale. If, however, the building or improvement Is s
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contract construct
ra�,pfy to an owner of property who builds or Improves thereon, and who co s for the projects
4J I am exempt from hcensure under the Contractors' State Lic aw for the followin or
By my signature below I acknowledge that, except for m net re ' ence in whi nust hav
sell a structure that I have built as an owner-builde ' as no c st In its entir
Professions Code, is available upon reques h or at ll Ic
Signature of Property Owner or Auth Agent
LICENSED CONTRACT ECLA..RATI
I hereby affirm under p y of perjury that I a. ens under isio i
and effect License" I i ;nte- ®Lic o
EARNING; FAILURE TO SBII ORKERS' G ION C RAG
OST OF COMPENSATION.., Asf So IF SEC 'I
hereby affirm under P.10 Ey f perj am of
following declarat
I have and will Mai In erOff t
Ent to self- }�
erformance of the work ipr Whl this I is is ued.
11
have and will mamtai vo k s' com
sure , as r
Isurance carrier and poll cy hmb are:
:artier
ollev Numb
lame of Agent
�I certify that, In. the performarrGe or e war
for which this permit
tat. if I should beco s !act to ghe Ekkeess'
t ern (y'.nsatJ{pn�p�
lionalure of Apollcant `-5-_�\'C
� l
neby affirm under penalty of perjury thafkareNOM4
Iders Name %4.
my signature below, I certify to eacfj f th ollowing
I am the property owner or authorize; ,to a on the
f have read this application and the iIT ma Y�� I agree to comply with all applicable cltgnd o
I authorize representatives of this city c1roun t I
NFUL. AND
LASOR COI
all of or (_) of
the work, and the structure is
D ro o, Ihrou h r� Sea' or ersonal��,I(ip
of non�efryeaa�,o�f`e��fet nth10w_ 0I�i@AhMI!
the project � Iectitto''nt'740gq4, P�yy((sst�Ms airdd Prffofessions C
with a licensed CerMRRllilrtfursuant to the Contrantersr
for at least
that a copy of the.
I have placed next to the applicable item(s)
x to its issuance, also requires the applicant for
T Section 7000) of Division 3 of the Business and
permit subjects the applicant to a civil penalty of
with Se n 7000) of Division 3 of the Business and Pro
Contractor Signature
PENALTIES AND CIVIL FINES
omPWMion, issued by the Direr r elf,
Section 3700 of the Labor Cod faQ
(n(
Employ any person in any
of the Labor Code; I shall
agency for theyefft5r-mance of
o"Tat'ing to building. construction.
property for inspection purposes.
work for
nded proffered for sale (Section 7044,
or improves the property, provided that the
Ie burden of proving that it was not built or
State License Law does not
Law).
s covered by this permit, I cannot legal
Section 7 4 of the Business and
Date
ode, an' my license is In full force
[$100,0001, IN ADDITION
of the Labor Code, for
My workers'
o-eg-to Deco1Q@gljDjeet tot am, compensation laws of California, and
comply wit ! ose ns.
-� Date -- 1 ( Z 3
pth is permit is issued (Section 3097, C vll ode).
ACTION DATE B AERATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ A
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403_ _
PERMIT EXPIRED I SUBM,TTcD ASBESTOS NOTIFICATION TO
PERMIT CANCELLED I EaA
P€RA41T EXTENDED
PCR,LIIT FINAL lsd"A�SeESt�' SIN I [FICA[ ION 15 NOT APPLICABLE 'rO
CERTIF�CATEE OF
OCCUPANCY SUED Sl, NATLiRE:./�OLIT