The URL can be used to link to this page

Home My WebLink AboutXR2024-0563 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-o563 D� d Community Development Department - Building Division y ccnn 100 Civic Center Drive, Newport Beach, CA 02660 Plan Check No : PC2024-0458 iPermit Counter Phone: (949) 718-1888 Issued Date : 03/07/2024 newportbeachca.gov/civic Final Date: �'qC/FOR�`P Combination Type - SFP ELEC PLUM 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 Job Address: 421 VISTA ROMA Legal Desc : N TR 6996 BILK LOT 55 Description: SFR -RELOCATE WASHER/DRYER TO 2ND FLR Owner: VISTA ROMA LLC Contractor: GROUND TO GABLE INC Architect Address : 1807 PORT TIFFIN PL Address : 23151 ALCALDE STE C-8 Address NEWPORT BEACH, CA 92660 LAGUNA HILLS, CA 92653 Phone : (949) 500-6546 Phone : (949) 395-8333 Phone Con State Lie : 888721 State Lie Lie Expire : 12131/2024 Applicant: KEN BAILEY Bus Lie : BT30080636 Engineer Address : 23151 ALCALDE SUITE C-8, SUITE C-8 Bus Lie Expire : 02/28/2025 Address LAGUNA HILLS, CA 92653 Phone: (949) 395-8333 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INS CO Owner/Builder: Policy No: 7600020526231 Designer Address : W. C. Expire : 6/1/2024 Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $750.00 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 : 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : 0 Building Setbacks: Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 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) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 Professions Code) or that be or she is exempt from l certi and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ❑ I, as owner of the property, or my 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, Business 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 Improvements 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 bulll or Improved for the purpose of sale). ❑ 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: ------------- coot -comp-- - -- By 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, !.Cerro[ logall, soil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Cade„ is available upon request when this applicationissubmitted or at the following Web site:http://w y.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION —! - �— I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q ) DyKs n 3 of the Business and Profess! • Code d re II ense is In full force and effect. License Class License NoiLq,;'"-�J. J. Contractor Signature �J WORKERS' COMPENSATION DECLARATION NARNING: 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$100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3T0S OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to salt -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )srfomlance 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' compensatio ranee carrier and policy number are: 'ler Policy Number Expiration Date 1e of Agent Phone # certify that in the performance. of the vork for hich 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 if 1'should become Su `'^ t to the w r ers' c pensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — lature of Applicant Date 3 - 9 � hereby affirm under penalty of periury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code). ende,'s Name Lenders Address y my signature below. I certify tc Bach of lha followilig: 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 Corr t. I agree to comply with all applicable city and county ordlnan and st a laws relating to building construction. I authorize representatives of this city or county county tha ve-Id ified property for inspection purposes. ACTION I DATE. BY I DECLARATkON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY It EGULAtI R4U PERMIT EXPIRED 1�SUBMOITTED ASRFSTOS NOTIFICATIONOTOD RULE PERMIT CANCE[LED� PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED )5 LJASBESTOSNOT IFICATION 15NOT APPLICAeLE 10 PROPOSED DEMOLITION SIGN;.TCRE: Date