HomeMy WebLinkAboutXR2023-0318 - PermitsCity 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 ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-0318
Plan Check No : PC2023-0248
Issued Date : 02/0,9l/2023
Inspection Area : 1
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: 242 HARTFORD DR Legal Desc : N TR 11604 BLK LOT.6 UN 127 TR 11604 LOT 6 UNIT 127 OF PROJE CT LOCATED ON AP
Description: MFR BATHROOM REMODEL 15 SF "123-0410`
Owner: EASTON JOHN A TR EASTON FAMILY TR
Address : 38313 PLACER CREEK ST
MURRIETA, CA 92562
Phone:
Applicant: John McNeely
Address : 242 Hartford Drive
NEWPORT BEACH, CA 92660
Phone : (949) 233-3435
Owner/Builder :
Address :
Phone:
Contractor:
DECLARK CONSTRUCTION
Address :
206 NORTH BLUEROCK STREET
ANAHEIM, CA 92807
Phone :
(714) B15-0293
Con State Lie:
1009871
Lie Expire :
12/31/2023
Bus Lie:
BT30069812
Bus Lie Expire: 06/30/2023
Workers' Compensation Insurance
Carrier: PREFERRED PROFESSIONAL
Policy No: ON1171801
W. C. Expire : 9/1/2023
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: John McNeely
Address: 242 Hartford Drive
NEWPORT BEACH, CA 92660
Phone: (949)233-3435
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$3,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units :
1
Alteration sq. ft. Bldg :
15 -
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone:
X
Use Zone:
PC -
Aeronutronic Ford
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PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
(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' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 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 (_) all of or C_) portions of the work; and the structure is not intended Dr offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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 or proving that it was not built or
improvedfor the purpose of sale).
El 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 property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
F1 1 am exempt from licensure under the Contractors' State License Law for the following reason:
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, I cannot legally
soil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. j understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginte.ca.gov/calaw,html.
Signature of Propertyy Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION \
I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0' 'v" f6 J of the Business and POISE Cod , and y ce s to 11 crcp
and effect. License Class License No Date // //� Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEVe FEES.
hereby affirm under penally of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workem' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
Derformlr Iwe-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 ibis permit is issued. My workers`
rance carrier and policy number are:
Policy Number
Ie of Agent
certify that, in the p<
if I should become
lature of Applicant _
Date
I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
3700 of the Labor Code, I shall forthwith comply with those provisions. --�j _
Date L�
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code)..
Ider's Namo. - Lendefa Address
my signature, "Iyw, I certify to each of the following:
I am the pn,peny owner or authorized to act on the. property owner's behalf.
I have read Eta application and the information I have provided is come
I Egree to co -lply with all applicable. city and coi�n ord an an t eta g t building construction.
I authorize -ea-esentatives of this city or County'tor th tiov 'i nti a p. fo inspection purposes.
iratJre of Prccs 7i Owner or Authorized Anent �� M��M� Print Property owner's or Aothnrized Anent's Nama
ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT CANCEL-*
PERMTEXTEADED
PERMIT FINAL
CERTIFICATE (IF
OCCUPANCYISSUED