HomeMy WebLinkAboutXR2023-0820 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-U82U
Q s Community Development Department- Building Division X R 2 0 2 3 0 8 2 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0700
Permit Counter Phone: (949) 644-3288 Issued Date : 03/28/2023
U Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
cq[iFt>0.N�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
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: 409 CORTES CIR Legal Desc : N TR 1237 BLK LOT 67
Description: SFR REPAIR TO DECK & RAILING DUE TO TERMITE DAMAGE
Owner: DAVID DOWD
Address : 409 CORTES CIR
CORONA DEL MAR, CA 92625
Phone : (949) 836-1555
Applicant:
DAVID DOWD
Address:
409 CORTES CIR
CORONA DEL MAR, CA 92625
Phone :
(949) 836-1555
Owner/Builder
: DAVID DOWD
Address :
409 CORTES CIR
CORONA DEL MAR, CA 92625
Phone :
(949) 836-1555
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Contractor
Address :
Phone:
Con State Lie
Lie Expire:
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone:
State Lie:
Engineer
Address
Phone:
Designer: DAVID DOWD
Address : 409 CORTES CIR
CORONA DEL MAR, CA 92625
Phone : (949) 836-1565
Fire Sprinklers :
NO
Construction Valuation : $500.00
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg : 0
No of Units :
1
Alteration sq. ft. Bldg :
No of Stories :
1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Front: 5, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
SPECIAL CONDITICNS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of pe€jury that I am exempt from the Contractors' State license Lawfof the reason(s) indicated below by thecheckmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for
ie 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 7000) of Division 3 of the Business and
trofess ons Code) or that he or she is exempt from lieenSohs 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),
1, as owner of the property, or my employees with wages as their sole compensation, will do (_.) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Rlsiness 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
mprovements 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
mproved for the purpose of sale).
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
y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from Ifcensum under the Contractors' State License Law for the following reason
•
ly y 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, 1 cannot legally
Wa structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/fwww.leginfo.ca,gov)calaw.html,
€ignature of Property Owner or Authorized Agent __ Date _
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencng with Section 7000) pf Division 3 of the Business and Profess as n y license is in full force
ad effect. License Class License No Cattle" Contractor Signata
VORKERS' COMPENSATION DECLARATION I�
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOL s IStDD,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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
'ormance 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' compensa
Trance caller and policy number are:
Policy Number
Date
lam of Agent Phone lfI rtify that, in the performs a of the work for ich 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
1 f I should become subject the r s' m natation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.r—
Ignature of Applicant W Dater/
HECI-ARATION REGAWWG1WNVrRidCn0k £ DING AGENCY
hereby affirm under penalty of perjury that there is nstmctlon lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Cade).
ondPes Name Lender's Address
y my signature below, I cerI to each of the following:
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 ordinances d state laws relating to building construction.
I authofize representatives of this city or county to t r e aJZ, e-identified property for inspection purposes,
Signature of Property Owner or Authorized Agen. Print Property Owner's or Authorized A
ACTION DATE BY DECLA ATk N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
hPA
PERMIT EXTENDED
--T
I.JARM D
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
1 �) yt L
_
` ASBE$705 NOTIFICATION 15 Not APPLICABLE TO
`�� PROPOSED DEMOLITION
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