HomeMy WebLinkAboutXR2023-0549 - PermitsaEwPORT City of Newport Beach III���I��������IIIIIII��IIIIIIIIIII II
0 @� Community Development Department -Building Division COMB Permit : XR2023-0549
X R 2 0 2 3 0 5 4 9
F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
' z Permit Counter Phone: (949) 644-3288 Issued Date : 02/28/2023
w Inspection Requests Phone: (949) 644-3255
C9C/F00.N`P newportbeachca.gov/inspections Inspection Area 2 :
Combination Type - SFP PLUM y
Work Class - Alteration e
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO L4JER THAN 3 Yj M ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND M W< N SUN AY AND HOLIDAYS IN ALL
Job Address: 920 VIA LIDO NORD LegaLDesc : N TR 9A7 BLK LOT 332 ® CJ
Description: SFR - PEX RE -PIPE. �,� i .s=Yt �O -44�0 1,0
Owner: HENDLER FAMILY TRUV� Qndactor : ICi CONSTRUCTION, INC ArEhitect
Address : 920 VIA LIDO NORD
2 ANA MARIA LANE A'ds�.:;,, �y
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NEWPORT BEACH, CA 92663 - a `i c. 11 n LAGUNA CA92677Phone : + 5 Ph ne : ( XV
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Con St Sta
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Applicant: CHRIS KING CONS UGTION INC ;� L 22701 T� er:
Address : 29592 ANA MARI A Li ire : 07/31/2023 (��+ ���JJJJ►►►► dre
LAGUNA NIGUEL A 92677
Phone : (949) 249-5512 orkers' Compensati n ra 9 c�ta P on.r', "
Carrier: STATE FUN Vo\(-
Owner/Builder: Policy No • 9056582 lid D '
Address : w NI7/1/2023 Addr
WIL
Phone: �pSp' Ph
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Code Edition : 2022 OCK 5kr iredle Sprinklers : Construction Valuation : $18,000.00
Type of Construction : V-B l� Fire Hazard e : NO Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3 No its : Alteration sq. ft. Bldg :
Bldg Height: o of Storie Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks: Front: 4, Front: 10, Sid'b. 4, Side: 4
Flood Zone: AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residentia
PROCESSED BY: ,
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate. License Law for the reason(s) indicated belo . the kmark(s) I have placed next to the applicable item(s)
(Section 7031-5.. Business end Professions Code: Any city or county that requires a permit to construct, alter, improve, dem repair any at ure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Lt. - aw (Chapter 9 (comme cog 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 n of Section 7031.5 by any applic t for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). t�
I, as owner of the property, or my employees with wages as their sole compensation, �) all of or �L�Of the wick, n �re not Intended or offered for sale (Section 7044,
Business and Professions Code. The Contractors' State License Law does not apply td an owner of'f� hrou�gh �e�� Sf r ersonal off ,builds or improves the property, provided that the
improvements are not Intended or offered for sale. If, however, the bulldin or improvement is sold >�Il�e fS4 n IA he -Builder w. have, the burden of proving that it was not built or
'improved for the purpose of sale). _J ,,(�0/0 0
❑ I, as owner of the property, am exclusively contracting. ' licensed Contracto onstruct the p oo 9p(5ection 7044, Business rofessions C a: The Contractors' State License Law does not
apply to an owner of property who builds or Im e5lfipreen, and who co s for the pro' is with a licensed Cant m to the Contractorsto License Law).
L_I I am exempt from RCansure undo on recto '.State Liee aw for that La n: 4
By my signature below I Ark,. a I. t, x e anal residen I t e re, Id r t least one year prior to coin (ption of the im rovements covered by this permit, I cannot legaa
soli a structure that I olt as I%� b it as not been n cto in ire sod contractors. understand thapy of the appli ble law, Section -7044 of the Business and
Professions Co available up q an this applies 's ad or Ing Web sitethttp:li"vv.leginfo.ca.gov/q mi.
Signature of Pr Illy Ownsf� I .d A nt t6 „__ ..mot- Date
LICENSED C TR.�FQR'S DE �� rt n �+
I hereby affirm un er penalty' of pe that m linens visions of Chapter 9 e gyl?t,
ctloo _70`00)) of DLv1 Nsn 35i S'tt Sines and Pro ssions m e is In lull force
and effect. Llcen Class - Li ense.No D,ata� Co VadoL�ypnatu€e aI
WORKERS' CO ENWE'
AIII
CC, \ •/���J►` j
NARNI IG FAILURE TO .CURENSATION COVERAGE V/F S L EMPLOYER TO GYCIM1IINAL PENALTIEa L ZII ONE HUNDREe T USANa aOLLAR3 (E1.De,UaO), 3N AOOrTION TOT,
COST OF COMPENSATIo AD FOR iN SE T C ERE , m ATT' RNEYIS FEES. ��` !,
hereby affirm undarp ne of i owing rat s: `S 1i,.,
I hav and will Mel ain a at f con to s ns or workers' rompensatio su b th OixEElor t Ir�i34ons a vld f action 3700 of the Labor Code, for
n
S or ante of the work r wh. i this pe I Is is cy No. (� �Q1 =-
ve and will maintai work s' co ation insurance, as requui�rg`{d b/yA1$,�yon 3700 of tt abor Co� $r the performance oft h t...' rim is Issued. My workers' compensat
^arti.nce carrier and polio um Pr lire Nue�haA 71 V'`
Fxi$�
7e of Agent
certify that, in the p(
, if 1 should become
ialure of Applicant
areby affirm under penalty of pe
rlr
)dais Name '��
my signature below, I certify to eat
I am the property owner or author
I have read this application and It
I agree to comply with all Appfieal
I authorize representatives of this
that there is a c
�S� o Ing
ad to act on the
Irrtyand cM
it or-eenty to I
Odd. I shall not amploy a. somin
of Section 3700 of.146Talpor Code, I
tlle"M—e subject to the workers' compensation laws of California, and
with those provisions.
Date Z'
of the work for which this permit is issued (Section 3097, Civil Code).
Is correct.
and state Caws relating to buildingconstruction.
ye -!dent roperty for inspection purposes.
ACTION
DATE
j By `
DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOD4D RULE
1403
PERMITEXPIRED
LI NFBESTOS NOTIFICATION TO
PERMITCANCELLED
_
�jIry$J���d_MiTTED
; iJ EPA,
PERMIT EXTENDED
Y t_I D_
PERrMITFINAL
ASBf5TO5MOTIFILATION 15 NOT ArLL:CABtE TO
CERTIFICATE OF
PROPOSED DEMOLITIOf
OCCUPANCVISSUED
SIGNATURe:_