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Home My WebLink AboutXR2022-2223 - PermitsaEWPogT City of Newport Beach II III I I I II I II I III II II III II COMB Permit:XR2022-2223 Community Development Department- Building Division 1"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2072 6 s Permit Counter Phone: (949) 644-3288 Issued Date : a. Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 r4G/pppN�P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM 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 - JobAddress: 7-CHATHAM CT__ _-.---- --- - -------Legal _- -. rs1=BtK=LOT"FUNf—TR1'1-5`FLO-T-1=UNIT=t-O0 ROJEC LE)CWTED—ONA^.. --- Description : MFR REMODEL KITCHEN 295 SF Owner: RENATE ACKERMANN Address : 27 CHATHAM CT NEWPORT BEACH, CA 92660 Phone Applicant: ARISTIDES LOPEZ Address : 10100 VENICE BLVD CULVER CITY, CA 90232 Phone: (310)621-0212 Owner/Builder: Address: Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 V-B R-2 X PC - Aeronutronic Ford SPECIAL CONDITIONS: Contractor: REGENCY CONSTRUCTION GROUP Address : 21110 NASHVILLE ST CHATSWORTH, CA 91311 Phone: (818)424-3514 Con State Lie : 998993 Lie Expire: 12/31/2022 Bus Lie: BT30079713 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY & CASUALTY CO INC Policy No: 1 ATCA1 6005649 W. C. Expire : 6/4/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 5 No of Stories : 2 Architect Address Phone: State Lie Engineer: CZAJKOWSKI MACIEJ W. Address : 2702 HARBOR BLVD COSTA MESA, CA 92627 Phone : (714) 928-6220 Designer: Address : Phone: Construction Valuation : $23,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 295 Added/New sq. ft. Garage: 0 DNS . �C3 i OWNER -BUILDER DECLARATION 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 applicable items) (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' State 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 licansure 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, army employees with wages as their sole compensation, will do I-) all of or (_) portions of the work; and the structure is not intended or uffered for sale (Section 7044, Business 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 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 of proving that it was not built or improved for the purpose of sale). 0 1, 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 pumuont to the Contractors' State License Law). El I am exempt from Ilcensure 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 legalll sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:httpl/www.leginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peg'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 4 'v,1' ion 3 of the Business and Professions Code and my license is in full force and effect. License Class License No Date ( Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSANO DOLLARS 1E100,000L IN ADDRION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to seffAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Obrkrmanee of the work for which this permit Is Issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work for which this permit 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 if I should become subject to thq^rk^r!�po>�nsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. of Dat7- /ZZ t L,AKA I IV N KtUTAKUNN'e 0V Nu I KU411 V N LtNUIINU AUtINU T areby 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 )der's Name Lenders Address my signature below, I certify to each of the following: I 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couptynto to oth trove-identifled property for inspection purposes. ` / < 1 nature of Property Owner or Authorized Agentl( Print Property Owner's or Authorized Aaent's Name V )� OTIt ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED PERMIT EXFENOED PFF7(uy4MM 0'3 _� ONOiFICAi'ION IS NO7 APPUCANO CERECA�EOF PROPOSED ppE,MOLIjF9f�j� OCCUPANCY ISSUED t SIGNATURE - Civil Civil Coda). p / Z Date I/U