The URL can be used to link to this page

Home My WebLink AboutXR2023-2369 - PermitsEWPo�T�. City of Newport Beach IIIIIII I I I II I IIII IIIII IIII III II I II COMB Permit : XR2O23-2369 Community Development Department -Building Division X R 2 0 2 3 2 3 6 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2075 Permit Counter Phone: 949 718-1888 u pis, 2 I I Issued Date : 96/28/2023 .� newportbeachca.gov/civic Final Date: c9trcoaNea^' Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 : 1600 DOROTHY LN Legal Desc : N TR. 1973 BLK LOT 33 Description: SFR (N) SKYLIGHT AT (E) BATHROOM d- Owner: THEODORE LI TRUST Contractor : Architect : BARRY WALKER Address : 1600 DOROTHY LN Address : Address : PO BOX 11658 I IEWPORT BEACH, CA NEWPORT BEACH, CA 92660 92658 ' Phone 246-4085 Phone : (949) 874-6418 Phone : : (949) Con State Lie : State Lie : C019637 Lie Expire : ' Applicant : BARRY WALKER Bus Lie : Engineer Address : PO BOX 11658 Bus Lie Expire : Address NEWPORT BEACH, CA 92658 Phone: (949) 246-4085 Workers' Compensation Insurance Phone Carrier Owner/Builder: LISA Michelle LI Policy No: Designer Address : 1600 DOROTHY LN W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone : (949) 874-6418 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: C-1 CI SPECIAL CONDITIONS: O/B AUTH ISS W CR2023-2020 I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkinark(s) I have placed next to the applicable ftem(s) 3ecl on 7031.5, Business and Professions Code: Any City or county that requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensad 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 Icensure 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), 3 1, as ownerof the property, Ormy employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, alsiness and Professions Code: The. ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Doveineiits 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 p vod for the purpose of sale). ias owner of the properly, 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' State License Law), 3 1 am exempt front licensure under the Contractors' Stale License Law for the following reason' _---- y my signature below 1 acknowledge that, except for my personal residence in which I must have resided forest least one year prior to completion of the Improvements coveredby this permit I cannot legal ell a structure that 1 have built as an owmor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 044 o the Bu mess and 'rofessions Code, is available upon request wh-&q thisLijtPphkation Is submitted or at the f Iowing,JYeb sitethttp:lf"iv,leg'info.ca.gov/calaw.html, signature of Property Owner or Authorized Agent,._.... __.__.�,�.. .ICENSED CONTRACTOR'S DECLAF k 10 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio 0) of Division 3 of the Business an rofessions Code, aril my license is in full farce nd effect. License Class _ License No Dat Contractor Sig Lure PORKERS' COMPENSATICIA LECLARATION IARNING: FAILURE TO SECURr. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE H NDRED THOUSAND DOLLARS 1E100.000). IN ADDITION TO TH' OST OF COMPENSA71C a, LAMA3ES AS FROVIUEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following doclaratlons: I I have and will m31nt4i:l a cerofCafa of consent to self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for if erformance of the we r'. for which this permit is issued. Policy No. have and will mamleim worker:' .; ropensadon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensafiol Trance carrier and policy number Pro: Tier Policy Number Expiration Date ne of Agent Phone # iS het. inthdperfcrm.anc� cf She work for which this permit is issued., I shall not. employ any person in any manner so as to become subject to the worker ' compensation laws of Califomia, and Agra if I should c I v5lect to the workers compensation provisions off Section 3700 of the Labor Code, I shall forthwith comply with those provisions, p 5� �� 2 nature of Ap I ant __ _ �/l. _ Da y,0 CLARA7tO I R GARPING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this penult Is issued (Section 3097, Civil Code). Idar's Name _ Lender's Address my signature below, I certify io each of tha following:__��v I am Ole properly 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, pop I authorize representatives of this city or county t0irriter the aentified property for inspection purposes. nature of ProDerty Owner or AulhorizeMAaent \ i`Z bPont ProDertv Owner's or Authorized ADork/Name to Id�O ACTION DATE Imo/ 13Y DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61, OF TITLE 40 AND AO.MD RLILF. PERMIT EXPIRED i L_I I SUBMITTED ASBESTOS NOTIFICATION TO --. .... .. PFRMrT CA NCFILL ED PERivliT EA7ElVDED PCR,b1ri FINA! jt��31/L3 T NOT1FICAT'ION IS NOi'APPLICABLE TO CERTIFICATE OF PR OSE OE'.Mtt,,'LION OCCUPANCY ISSUED m SIGMA R : 1/K—� \ A