Loading...
HomeMy WebLinkAboutXR2023-2741 - Permits2gWPpRT City of Newport Beach IIIIII III IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-2741 Community Development Department- Building Division F :I' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2400 Permit Counter Phone: (949) 718-1888 Issued Date : 11/30/2023 .,.. newportbeachca.gov/civic Final Date: Cq<IFe RN�P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 5 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 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 435 LOT 7 Description: DUPLEX- LEGALIZE ADU @ LOWER LEVEL TO COMPLY WITH "SAFE ADU" PROGRAM 497 SF Owner: ANGELO PUERTAS Contractor : Architect : PENCE MELISA Address: 423 IRIS AVE Address : Address : 322 AMETHYST AVE NEWPORT BFAC`i NEWPORT BEACH, CA 92625 CA 92662 Phone : (626) 319-3406 Phone: Phone : (949) 370-6037 - - Con State Lie : State Lie Lie Expire : , Applicant: PENCE MELISA Bus Lie: Engineer Address : 322 AMETHYST AVE Bus Lie Expire : Address NEWPORT BEACH, CA 92662 Phone : (949) 370-6037 Workers' Compensation Insurance Phone Carrier Owner/Builder : ANGELO PUERTAS Policy No : Designer Address: 423 IRIS AVE W. C. Expire: Address NEWPORT BEACH, CA 92625 Phone : (626) 319-3406 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 497 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE, O/B UTH FORM SCANNED OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exernpt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items) (Saction 7031 usiuess and Professions Code: Arty city or aounly Ihat reyuiras a permit to construct, alter, im prow, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permi file signed statement that he or she is licensed pursuant to Iho provisions of tho Contractors Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr ess' n Go ) ar that he or she is exempt from license no and the basis for the all gad exemption. Any violation of Section 7031.5 by anyapplicant for a permit subjects the applicant to a civil penalty of of rue hundred dollars ($500). rvner of the property, or my employees with wages as their sole compensation, will do L) all or or L) portions of the work; and the structure is not Intended or offered for sale {Section 7044, usiness and Professions Coae: Tha L'ortracicrs' State License Law does not apply to an owner of phDperty 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 built 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 doe's not apply 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). © I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below, I acknowledge that, except for my personal r naa to which I must have resided for at least one year prior to Completion of the improvements cover d by this permit, I cannot legall) sell a structure that I have bunt as an ownor-b or if it has n oen c struct in its entirety by licensed contractors. I understand that a copy of the applicable law. Sectlo 7044 of the Business and Professions Code., is available upon request whe This ii ubmli[ or at following rNeU site httpalWww.leginio Ca.govlcalaw.html. Z Signature of Property Owner or Authorized Agent _. D �_.�____ LICENSED CONTRACTOR'S DECLARA I hereby affirm under pen: Ity of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TODD) of Division 3 of the Business and Professions Code, and my license is In full force an,_!feet. Licensr^Clasc License No Date Contractor Signature ERS' COMPEN'iATION DECLARATION FALL RE TO S7CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($500,000), IN ADDITION TO THE LOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. heiehy affirm under pen :Ity 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 3790 of the Labor Code, for ormance of the work nor which this permit is issued. Policy No. have-nnd 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 �cicarrier and pricy number are: Policy Number of .Agent Date certify that. in we parformence, of the work for which this permit Is issued I shall note n person in any manner so as to become subject to the workers' Compensation laws of California, and ogre rat, if I should be epsubject to. the workers' compensation provisions of Section 3 of the or C e, I shall forthwith comply with those provisions. ignalure of Ap _ - a ECLARAT 10 RDING GONSTRUGTI1 N LENDIfJG AGENCY hereby 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). ander's Name Lenders Address y my signature below, I Certify 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 a Ilcabie city and countyor an state laws relating to building construction. yUCi �- V �� 1 r3 9 PY p ry 9 9 I authorize representatives of I �clty or county to t t abav ,-identified property for inspection purposes, ionatura of Prooenv Owner ar A orized ADent .�, Print Prooertv Owner's or Authorized AG is Name ACTION DATE BY DECLARATION OF COMPLIANCE VVITH CODE OF FEDERAL FOR OFFICE USE 0 REGULATION5 PART 61 OF TITLE 40 ANI] AQNID RULE PERMIT EXPIRED �{ LJI Sl1flMITT_EDASRFST05 PERMIT CANCELLED ... _.�._—.. ❑Fan .. ...... FERMITEATENDED FER�YIIT FINA! CERTIFICATE OF OCCUPANCY ISSUED TO