HomeMy WebLinkAboutXR2023-2376 - Permits�EWPOaT City of Newport Beach IIIIIIIIIIIIIIIIIIIIII�IIIIIIIII II COMB Permit XRZO23-237s
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@ Community Development Department- Building Division X R 2 0 2 3 2 3 7 6
F- •t .I n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2077
,Z. Permit Counter Phone: (949) 718-1888 Issued Date : 08125/2023
a. newportbeachca.gov/civic Final Date:
Cq�IF00.N�P Combination Type - MFP Permit Status: Issued
Work Class - Alteration Inspection Area : 4
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
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Job Address : 2423 VISTA NOBLEZA
Legal Desc : N TR 7D52 BILK LOT 11
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Description: MFR REPLACE UPSTAIRS BALCONY RAILING W/ IRON
Owner: DAVID L CARLISLE
Contractor:
Architect:
Address : 2423 VISTA NOBLEZA
Address :
Address
NEWPORT BEACH, CA 92660
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Phone : (213) 379-3944
Phone :
Phone
Con State Lic :
State Lic
Lic Expire
Applicant : DAVID L CARLISLE
Bus Lic :
Engineer
Address : 2423 VISTA NOBLEZA
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92660
Phone : (213) 379-3944
Workers' Compensation Insurance
Phone
Carrier:
Owner/Builder : DAVID L CARLISLE
Policy No:
Designer: DAVID L CARLISLE
Address : 2423 VISTA NOBLEZA
W. C. Expire:
Address : 2423 VISTA NOBLEZA
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
Phone: (213)379-3944
Phone: (213)379-3944
Code Edition: 2022
Fire Sprinklers : NO
Construction Valuation : $4,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-2
No of Units : 4
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks:
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
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 checkrnark(s) I have placed next to the applicableitem(s)
'section 7031.5, Business and Professions Code: Any city or county (hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
�rofossions Code) or that he or she is exempt from licensors 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
t more than five hundred dollars ($500).
as owner of the property, or my employees with wages as their sole compensation, will d4,111
of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
uslness and Professions Code. The Contractors' State License Law does not apply to an ownoperty who, through employees' or personal effort, builds or improves the property, provided that the
nprovemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Suilder 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' State License Law does not
Only 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).
J 1 am Exempt from Iicensure under the Contractors' State License Low for the following reason: ...
.—_._...--
:y 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 ponlilt, I.cannot legally
ell in structure that I have built as an Gwnor-builder if' has not been constructed in its entirety by licensed contractors. I understand that a copy' of the applicable law, Section 7044 o€ tho Business and
'rofesslons Code, is available upon request when v apphcatio su mit[ed eft th fpllowing Web site:http:/lwww.leginfo.ca.govlCelavv.html.
signature of Property Owner or Authorized Agent ��"'.-. oat i Z_
.ICENSED CONTRACTOR'S DECLA.RATI _
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda, andmy license is In full force
nd effect. License Class License No Date Contractor Signature
VORICERS' 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 f$11)0A00i. IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
I 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 fir
Grformance 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'
rare carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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 agre
t. if I should become subipct to the : ers' compensation Wrovisfons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant _,Date
CLARATION REG "" 'G STRUC'f16N LENDING AGENCY
areby 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, Civil Code).
ider's Name Lenders Address
my signature below, I Ded'.ffy to each of the following: Y
I am the property 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 oridirldnces and state laws relating to building construction.
I authorize representatives c tlr� aty or county tr ert th ab�-dentff' ilir any for inspection purposes. Drfv lb -* P+LI
nature of Prooenv Owner or Aulhor,zed Aueml s Print Procertv Owner's or Authorized ADeot's Name Voatav s I•Y
ACTION CA-[ ai VICLARATPON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
4 REGULATIONS PART 51 OFTITLE 4C AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED n Mr
PERMIT PERMIT EXTENDED LJAQMD _
PEAIWTF/NAi l� SBE5T0 N TI(IC IONISNOI"APPL ABLE TO
CERTIFICATE Of ,t 1�fr•p'. 1 RO OSEOD OLITI
OCCUPANCY ISSUED 4� v `SIGNATURE:.
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