HomeMy WebLinkAboutXR2022-2565 - PermitsaE�wPoR�
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP PLUM
Work Class - Alteration
COMB Permit : XR2022-2565
Plan Check No:
Issued Date : 09/26/2022
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 : 7 LA ROCHELLE
Legal Desc : N TR 9858 BILK LOT 12 UN 65TR.9858 LOT 12 UNIT 65 OF PROJECT LOCATED ON AP
Description : MFR (2) BATHROOM REMODELS 50 SF
Owner: MATHEWS FAMILY TRUST
'- Contractor: ALL PHASE CNTRCTRS & BLDRS INC
,.. Architect
Address : 7 LA ROCHELLE #68
Address�i 206 VILLA NOVA ROAD
Address
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92626
Phone:
.Phone: (714):556-5511
Phone:
Con
State Lie : 722975
State Lie:
Applicant: ALL PHASE CNTRCTRS & BLDRS INC
Lie Expire : 03131/2024
Bus Lie : - BT30079773 -.
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Engineer : `u S 17T
Address: 206 VILLA NOVA ROAD
Bus tic Expire : 09/30/2023
Address
COSTA MESA, CA 92626
Phone: (714) 556-5511
Workers' Compensation Insurance
Phone:
Carrier:
Owner/Builder:
Policy No: EXEMPT
Designer:
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $4,500.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units : - 2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
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SPECIAL CONDITIONS:
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a
t hereby affirm under penalty of pequry: 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)
,lion 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 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
fessions Code) or that he or she is exempt from licensors and the basks for the alleged exemption. Any violation of Section 7031.5by any applicank for a permit subjects the applicant to a civil penalty of
-
I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
mass and Professions Code: The Contractors' Slate License law does not apply to an owner of property who, through employees or personal effort, builds or improves: theproperty, provided that the
rovements 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 bui€t. or
roved 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 ContractorsState License Lawdoes not
€y 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 licensors under the Contractors': State:License Law for the following reason:
try signatures below I acknowledge that, except for my personal fesidence in which I most have resided for at least one year prior to completion of the improvements covered by this: permit, I cannot.1%
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: 70" of the Business and
ressiOm; Code, is available upon request when this application is submitted orat the following Web site:http:IAv w.loginfo.ca,govlcalaw.htmi.
affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Sectio _CN I ? 0Y�the Buslne's
A. License Class. License No Dat % ii �-£ontractor.
.RS' COMPENSATION DECLARATION
force
NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP' TO ONE HUNDRE��FIOUSAND DOLLARS ($100,afle). IN ADDITION TO T
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY"( FEES. (///
,by affirm under penaltyof perjury one: of the following declarations:
have and will maintaina certificateof consent to self -insure tot workers' compensation, issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
TMauee of the work for which this permit is issued. Policy No.
eve and n 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:
trice carrierand policy numbe€.are:
FBIicy Number _... Expiration Date
that,
hereby affirm un>rl5enalty of pequry thatthere is
endet's Name.
ly my signature below, I Certify to each of the folioi
I am the property owner or authorized to act on
I have read this application and the information
I agree to comply with all applicable city and cc
I authorize representatives of this city or courni
t 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
sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G� Z6 ,a
Date
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lending agency for the performance of the Work for welch this permit: is issued (Section 3097, Civi Code).
Lander's Address.
f'S behalf,
correct.
to building cc
ACTION- DATE BY REGOF COMPUANCCWrrH CODE OF UtAT LARATiQN. PART 610E TITLE 40 AND A4M4 RULE A€ FOR OFFICE
PERMIT CANCELLEDEPR • • �-
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PERMITEXTENDfD f Q�
PERMIFFINAL t� '�ti5 J 10 iN TAl IFLICABLE TO
CERTIFICATE OF oi.�l2r22 ,D .PRO. D.: 0 N
OCCtIPANCY ISSUED SIGNATUR ••s
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