HomeMy WebLinkAboutXR2023-2960 - PermitsWPo� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
D� .. 1 Community Development Department- Building Division X R 2 0 2 3 2 9 6 0
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
U > T newportbeachca.gov/civic m.
cyycr Combination Type - SFP 4., .� r �-""
Work Class - Alteration �? ,-,,, r 4^--
COMB Permit: XR2023-2960
Plan Check No
Issued Date : 1011912023
Final Date:
Permit Status: Issued
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: 423 FULLERTON AVE
Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 19
Description: SFR R/R 3 WINDOWS AND RE -STUCCO AT FRONT.
Owner: THOMAS & LARAH TELESCO
Contractor: R G GENERAL CONTRACTING INC
Architect
Address : 423 FULLERTON AVE
Address : 30251 GOLDEN LANTERN, E-353
Address
NEWPORT BEACH, CA 92663
LAGUNA NIGUEL, CA 92677
Phone : (317) 439-4274
Phone : (949) 456-0362
Phone
Con State Lic : 937382
State Lic
Lic Expire : 08/31/2025
Applicant : R G GENERAL CONTRACTING INC
Bus Lic : BT30082834
Engineer
Address : 30251 GOLDEN LANTERN, E-353
Bus Lic Expire : 10/31/2024
Address
LAGUNA NIGUEL, CA 92677
Phone: (949) 456-0362
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT- NO EMPLOYEES
Owner/Builder:
Policy No : EXEMPT
Designer
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $39,000.00
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: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
BY:
PROCESSED
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARA
1 hereby affirm under penalty of perjury that I For exempt from the Contractors' State License Law for the reasons) indicated below by the checkmarl I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Anv city or county that requires a permll to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the appl"'ant for
the permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from ilcensure 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 penally of
not more than five hundred dollars ($500).
11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contrnc:tnrs' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the
Improvements are not Intended at 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
improved for the purpose of sale).
El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
[] I am exempt from licensors under the Contractors' Slate License Law for the following reason
By my signature below I acknowledge that, except for my personal residence in which I must have resided -for at leas; one year prior to completion of the Improvements covered by this permit, I cannot legally
soli a structure That I have built as an owner-buildor if it has not bean constructed in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:tiwww.legfnfc.ca.gov/calaw.htm).
Signature of Property Caner or Authorized Agent _ ��..,..,._ Date,—
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di isian 3 of the Business and Prate signs de, Y d. my license is In full farce
and effect. License Class License No Date I Contractor Signal e _
WORKERS' COMPENSATION DECLARATION
WARNING: 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 f61011,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
El 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 Ihl
performance of the work for which this pormit Is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued. My workers'
farce carrier and policy number are:
is of Agent _
certify that, in the p,
. if I should become
Policy Number
Date
Park Of the work for which 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 afire
to erwEYrk,*s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant(" V Date ✓ i za
. . _
CLARAT€ON REGA ING CONS71-1167ft7TCT�i G AGENCY _.____._-.__
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097
Ider's Name ....._._—_..�__..�-_._..._._._ Lender's Address _
illy signature below, 1 certify to each of the following:
I am The property owner or authorized It) act on the properly 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 51margasis and slate laws relating to building construction.
I authorize m,=.iuntatives of this city or county to 9filervie ova denitfied property for inspection purposes.
31cnat ire of PfoDertv Owner or At
ACTIOV I DATE I BY
PER-MrT EXFIRLC
FF,04r7 CANCELLER
ncrp6yT EXTEND'_D
°rr'�1!IT FINAL
CERTIF'CATE OF
0CLUPA,Ky ISSUED
WITH CODE OF FEDERAL
RECLIFATIONs PART al OFTITLE 40 AND AOMD RULE,
SUBMITTFD ASRFSTOS NOTIFICATION TO
PROPOSED
APPLICABLE 'I'0
rears or Authorized Agent's Name
FOR OFFICE USE ONLY
Civil Code).
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