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Home My WebLink AboutXR2023-0228 - PermitsCity of Newport Beach d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgCIF00.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration IIIII��III��III ��III�IIII��III�IIiIIIII�IIII��III��III�IIII COMB Permit : XR2O23-0228 Plan Check No: Issued Date : 01/26/2023 Inspection Area : 4 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 : 2647 ALTA VISTA DR Legal Desc : N TR 4892 BILK LOT 81 Description : SFR KITCHEN REMODEL 200 SF *CITY STANDARD" Owner: KATHRYN SPAHN Address : 2647 ALTA VISTA DR NEWPORT BEACH, CA 92660 Phone Applicant: TARGET HOME DESIGN INC Address : 12439 MONGOLIA BLVD #122 VALLEY VILLAGE, CA 91607 Phone: (866)355-7723 Owner/Builder : Address : Contractor: TARGET HOME DESIGN INC Architect Address : 12439 MONGOLIA BLVD #122 Address: VALLEY VILLAGE, CA 91607 Phone : (866) 355-7723 Phone Con State Lic : 973379 State Lic Lic Expire: 09/30/2024 Bus Lic: BT30076951 Engineer: Bus Lic Expire : 10/31/2023 Address Workers' Compensation Insurance Phone: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9244152 Designer W. C. Expire: 1/11/2023 Address: Phone: ' � y Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $21,370.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 200 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone Use Zone: PROCESSED BY: , SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law far the reason($) indicated below by the checkmark(s) I have placed next to the applicableilem(s) Section 7031.5, Business and Professions Code: Any city Or county that requires a permit reconstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that fie 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 'rofessions Code) or that he or she is exemptfrom licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, lusfness 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 -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors in construct the project (Section 7044, Business and Professions Code: The Contractors' State Licen Lai"Use not poly to an owner of property who builds or Improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractor: State License Law). l I I am exempt from ucensure under the Contractors' State License Law for the following reason: _ ,y 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 thi perm' , annot legal all 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 0 the B s' Dss and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hdp:itwww.leginfo.ca.gov/calaw.htmi. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) o Divi 'on3of the Business and Pro sions Code,4. a # nse is in full force nd effect. License Class License No Dat 2 .Contractor Signet I yORKERS' COMPENSATION DECLARATION CARNING: FAILURE TO SECURE WORKERS' OOMPE :DST OF COMPENSATION, DAMAGES AS PROVIDED hereby affirm under penalty of perjury one I 1 have and Will maintain a ccniflicale erformance of the work for which this pe n eve and will maintain workers' co pi isurance carder and policy number a le of Agent certify that, in the rmanc, , if I should beco = lect to COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS (E106,0001, IN ADDITION TO THE tCTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, following declamtionsr consent to self -insure for workers' compensabon, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for is issued. Policy No. insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Policy Number for which this permit is issued. I pompensalion provisions of Sal hereby affirm under penalty of pei(urlhat there is a construction lending enders Name Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's b I have read this application and the information I have pr vided is Corr 1 agree to comply with all applicablecity and county r ances and sl I authorize representatives of this city or county to n r the abovo-i - ionature of Prouerty Owner or Authorized Anent I . ACTION PERibNT EXTENDED DATE I fig REGULATIONS for Date any person in any manner so as to become subject to the Labor Code, I shallforthwith comply With those provisions. I3UdM1TJcD ASMr01NO_dFICAdbdTO of the Work for whichthispermit is issued (Section 3097, construction. n purposes. FEDERAL I FOR OFFICE USE ONLY RULE CEARMMIVIII AOF /r3 i r BESTO TIFICA' I PCICARI.F TO CERTifrCATE OF N 47 J p OSEDO OLITiO OCCUPANCY I5SUED SIGN TURF: ' of California, and