HomeMy WebLinkAboutXR2024-0111 - PermitsaEWPo�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0111
CF @ Community Development Department- Building Division x R 2 9 2 a 0 1 1 1
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1478-2017
Permit Counter Phone: (949) 718-1888 ,� Issued Date : 0111112024
newportbeachca.gov/civic n Final Date:
°gticoaN�° Combination Type - MFP e ` = Permit Status: Issued
Work Class - Other Inspection Area : 6
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 : 602 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 4
Description : DESCRIPTION CHANGE DUPLEX TO CONDO
Owner: WOLVERTON RICHARD
WOLVERTON FAMILY TR
Address : 704 ACACIA AVE
CORONA DEL MAR, CA 9262E
Phone: (714)493-0434
TR R & D Contractor :
Applicant: WOLVERTON RICHARD TR R &
WOLVERTON FAMILY TR
Address : 704 ACACIA AVE
CORONA DEL MAR, CA 92625
Phone: (714)493-0434
Owner/Builder : WOLVERTON RICHARD TR R & D
Address :
Phone:
Con State Lic
Lic Expire:
D Bus Lic:
Bus Lic Expire :
Workers' Compensation Insurance
Carrier :
Policy No
Architect: ANDRADE STANLEY
Address: 2880 S COAST HWY LAGUNA BEACH
92651
Phone: (949)715-7474
State Lic :
Engineer: JOHN DINH TRAN
Address: 11251 GARDENAIRE LN
GARDEN GROVE, CA 92841
Phone: (714)815-2356
Designer :
WOLVERTON FAMILY TR
Address: 704 ACACIA AVE
W. C. Expire:
Address
CORONA DEL MAR, CA 92625
Phone: (714)493-0434
Phone:
Code Edition : 2016
Fire Sprinklers :
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units :
2
Alteration sq. ft. Bldg : ,
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage: 0 ,
TOTAL sq. ft. : 0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
CA
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 checkmark(s) I have placed next to the applicable items)
Election 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolah, or repair any structure, prior to its issuance, also requires the applicant for
IB permit 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 71 of Division 3 of the Business and
professions Code) or that he or she is exempt from llcensure 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).
5 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of Or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usiness 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
nproved for the purpose of sale).
7 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
pply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
q 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 legall
ell a structure that I have built as an owner -builder if it has not been nstructad in its entirety by licensed contractors. I understand that a copy of theapplicable law. Section 7044 of the Business and
'rofessl ns Code., is available upon request when this application i s tted trait t lowktg Web site:http:liw iw.leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date. Z T
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty 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 ContractorSianatu€e
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 I$100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have and will maintain 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 permit is issued. Policy No.
have and will maintain 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'
rance carrier and policy number are•.
of Agent
.Drill that, in the performance Of
if I should become subject to the
iture of ADolicant
Policy Number
Date
for hick 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 agm
co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date— Z
IrTn Arscur•v
hereby affirm under penalty of pe�ury th there is a construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code).
enders Name Lenders Address
y my signature La:c A, I certify to each of the fallowing:
I air the prOD�rty owner or authorized to act on the property owner's behalf.
I have read this -IpTlication and the information I have provided Is correct.
I aq. as to connly with all applicable city and county "Dances and slate laws relating to building construction.
I authorize rewese,tatives of this city or county to itri a above -Id " e6-pmoorty for inspection purposes.
igoatu, a of Property Owri or Authorized Agent Print Property Owner's or Authorized Aaertt's Name
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PER7v41-TEXPIRED.
nFF.%4h EYTENJLL LJA[.tMD_
PERAN FINAL 0931NOT IF'tl "ION IS NOT APPLICABLE '10
CERTIFICATE OF PROPOSED OEMCII f 1
OCCUPANCY ISSUED SIGNAruRE: 7
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