HomeMy WebLinkAboutXR2022-2253 - PermitsO��EWPOR� Cirty of NhCOMB Permit : XR2O22-2253
Development
ewport Deparent Division II IIII I I III II I III II IIIII II
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2095
,T Permit Counter Phone: (949) 6443288
}ate Issued Date : 08/22/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
5�/FORTS newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
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 : 4443 COAST HWY W LegalDesc : N TR-7530 BLK LOT UN HOLD
Description : MFR INTERIOR KITCHEN ALTERATION 50 SF
Owner: PRAKASH KABRE Contractor : Architect
Address : 9551 CASTINE DR HUNTINGTON BEACH, CA. Address : Address
92646
Phone: Phone :. Shone
Con State Lie : State Lie
Applicant: PRAKASH KABRE Lie Expire
Address : 9551 CASTINE DR HUNTINGTON BEACH, CA Bus Lie: Engineer
92646
Phone : Bus Lie Expire : Address
Workers' CompensationInsurance Phone
Owner/Builder : PRAKASH KABRE Carrier'
Address: 9551 CASTINE DR HUNTINGTON BEACH, CA" Policy No: Designer: PRAKASH KABRE
92646
Phone: W. C. Expire: -- Address: 9551 CASTINE DR HUNTINGTON BEACH,
CA 92646
Phone:
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $17,000.00
Type of Construction : V-B Fire Hazard Zone No Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-2 No of Units: 7 - Alteration sq. ft. Bldg : 50
Bldg Height : No of Stories : 2 Added/New, sq. ft. Garage: 0
Building SetbacksFlood : C
Use Zone: RM $Multiple Residential �t p VON 01SF �� ����
t4® 0® � 1J� 5 �4�I Nil
PROCESSED BY :�
SPECIAL CONDMOIIS:
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i herebyaftimn under Penalty of per ury that I am exempt from the Contractors' State License Law forthe reasons) indicated below by the checkmark(s) I have placed next to the applicable ftemjs)
ction 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
permit to file a Signed statement that heor she is licensed pursuant to theprovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3,nf the Business and
cessions Code) or that he or she is exempt from ticensure and the basis for theallegedexemption, Any violation of Section 703t.5.by. any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500):
I,.as owner of the property., or my employees with wages as their sole compensation, will do :U all of or U portions of the work'; and the structure Is not intended or offered for sale (Section 7044,
:mess 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
nprovements are not intended or offered for sale. If, however,the building or improvement is sold within one year of completion, the Owner-Sullderwill have the burden of proving. that It was not built or
nprovedfor 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 Coder The Contractors' State Lioense Law does not
ppl o an owner of property who builds or Improves thereon, and who contracts for the projectswitha licensed Contractor pursuant to the Contractors State License Law).
t a exempt from Ucensure under the Contractors' State License Lawy`y�� f .lowing reason:
ty my ignature below I acknowledge that, except for my personal resin N hich I m at have resided for at least one: year prior to completion of the improvements covered by this permit, I.cannot leg<
Dll a rudure that I have built as an owner -builder if it 8s&s not boon d In its irary by licensed contractors, 1 understand that a copy of fhe applicable law. Section 7044 of ih Busin as and
'r esslons Code,. is available upon request when th application ed o t folowing Web site:httpllI .leginfo.ca.gov/calaw:html. �]
dgrlature of Property Owner or Authorized Agent Date l5
JCENSED CONTRACTOR'S DECLARATI
hereby affirm under penalty of perjury that..I am licensed under provisions of Chapter g {commencing with Section 7000).of Division : of the Business and Professions Code,. and my license is In full force
nd. effect. License ClassLicense No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
AND SHALL SUEJEDT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE
hereby affirm. under penalty of perjury one of the following 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
artormance of the work for which this permit Is issued. Policy No.
11 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
Isurance carrier and policy number are:
Number
of Agent
Date
c rlifythat, in the performance of the this permit' slued. I shall not employanyperson in any manner so as to become subject to the workers' compensetto ws of California, and agre
t, i I should become subjectt the wr ra om arise prov', one f Section 3700 of the Labor Code. I shall forthwith compfy with those provisions.
nature of Applicant Date' 21
CLARATION REGARDING CON TRU"ON LENDING AGENCY
neby affirm under penalty or perjury thatthere is aconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Iders Nama.. - Lenders Address
my signature below, I certify to each of the folfowing: / /'
I am the property owner or authorized to act on the property owner's behalf. / / - /45 J2�_
1 have read this application and the information I have provided is correct. v
I.agree to comply with all applicable city and county ordinances and state laws relating to building construction,
t authorize representatives of this city or county to entgr the above-Identifled property for inspection purposes. 7
DATE I BY IVEC"TION OF COMPLiANCEWIT11 CODE OF FEDERAL I FOR OFRCE USE ONLY
OCCUPANCY ISSUED I SIGN
All required alarms, latches gates atdferc$swhZ: seweaspaftAfapool%spabarrier,.shall
be inplace iprior toapproval toflapoolillsp3$,,shallFemain4 pi3c4&be tiaintafnedfor the
life: of the pool. ,• -.e 0.9'
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