HomeMy WebLinkAboutXR2022-2597 - Permits�WPORT
City of Newport Beach
0
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u r
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9C/pppN�P
newpodbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
II IIII I I III II I III III II II II COMB Permi R202,2-2597
Plan Check No : PC2022-
Issued Date : 09128/2022
Inspection Area : 6
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 : 2714 HILLTOP DR Legal. Desc : N TR:8787 BLKtLOT 4 UN 50 TR:8787 LOT 4 UNIT 50 50A, 50P, 50 D OF PROJECT
Description: MFR INTERIOR BATHROOM ALTERATION 286 SF
Owner:
ROGER MCGONEGAL
Contractor: .HOME RENEW 360
Architect
Address :
2714 HILLTOP DR #55
: Address : 3711 LONG BEACH BLVDISTE 201
<Address
NEWPORT BEACH, CA 92660
LONG BEACH, CA 90807
Phone :
Phone ;.: (714) 884-2063
Phone
Con State Lic : '982343
State Lic:
Lic Expire : 03/31/2023
Applicant:
DIKLA SHECHORI
Bus Lic: BT30079788
Engineer :
ESMAILI OMID
Address:
23414 ERWIN ST
Bus Lic Expire : 09/30/2023
Address :
79 CLOUDCREST
WOODLAND HILLS, CA 91367
ALISO VIEJO, CA 92656
Phone:
(818) 220-9452
Workers' Compensation Insurance
Phone:
Carrier`: STATE FUND
Owner/Builder
:
Policy No : 9144686
Designer
Address :
W, C. Expire : 10/1312022
Address
Phone: Phone:
Code Edition :
2019
Fire Sprinklers : -
NO
Construction Valuation :
$22,000.00
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 :
286
Bldg Height:
No of Stories c
1
Added7New sq. ft. Garage :
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Harbor View Hills
PROCESSED BY:
5 A b
Y�J
SPECIAL CONDITIONS:
3 E 9
„
J4 `J
p' a
e
O
I hereby affirm under penalty of perury that I am exempt from the Contractors State License Law for the reason(s) indicated below bythe :checkrnark(s) I have placed next to the applicable ftem(s)
ciion 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 lls-issuance,:also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exemptfrom licensors and this basis forthe alleged exemption. Any violation of -Section 7031'6 byany applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars 1$500),
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (section 7044,
>iness and Professions Code: The Contractors" State License Law does not apply to an owner of property who, through employees';orpersonal effort; builds or improves the: property, provided that the
irovements are not intended or offered for sate. If, however, the building or Improvement is sold within one-year of completion, the Owner -Builder will have the burden of proving that itwas not builtor
iroved for the purpose of sale).
L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' State License Law does not
)ly 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).
am exempt from licensure under the Contractors'State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the Improvements covered by this: permit, I cannot let
a 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
,fessions Code,. isavailable upon request when this application is submitted or at the following Web site:httpiJfwww.leginfo.ca,gov/calaw.htmi.
nature of ProDertv Owner. or Authorized.Adent Date
with Section 7000)of Divistpn 3 of
Data -Z - 22
e
and my license is In full force:
DOLLARS ($100,000), IN ADDITION TO
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 th,.
rmance of the work for which this permit is issued, Policy No.
91 va 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' eompensatior
isu nce carrier and policy number are:
policy
54ct iC Ctau.i� Policy Number 9/44 (;SG Expiration Date C) - 22
lame of Agent Phone #
11 cortify that. in the performance of the work for which this permit is issued. I shall not employ any person in any mannerso as to become subject to the workers' compensation laws of California, and agro,
iat, If I should becomesubjectto the workers' compensation provisions of Section 3700 of the Labor Code, I -shalt forthwith comply with those provisions..
ignaiure of APPlican� _ Da J'ge-2Z
IECLARATION REG Rt'9tNG CONSTRUCTION LENDING 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,.Avil .Code).
enders Name. Lender's'Address
iy my signature below, I ceriify to each of the. following:
f 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
f agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the at o� denti5ed property for inspection purposes.
1403
PERMITEXTENOED
CERTIFICATE OF t tI
OECUPANCYISSUED
AND AQMD kU I
NOTAPPLICABLE TO
••• • la • ••• ••
e • e' o
e
ono oc a:, o o coo c�