The URL can be used to link to this page

Home My WebLink AboutXR2023-1801 - Permits��EWPORT City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllll �� COMB Permit xR2o23-1 so1 D A� Community Development Department -Building Division X R 2 0 2 3 1 8 0 1 y 100 Civic Center Drive Newport Beach, CA 92660 �. Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 06/30/2023 O ems. newporibeachca.gov/civic - f '-_i R Inspection Area : 8 C9CIFO0.N�P Combination Type - SFP 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 Job Address : 3017 CLAY ST Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 21 LOT 8 Description: SFR BATHROOM REMODEL PER CITY STANDARD PLANS 45 SF Owner: STAFFORD ANGELA R TR Address : 453 LENWOOD CIR COSTA MESA, CA 92627 Phone Applicant: Andrew Bigalke Address : 1835 Whittier Ave. A-1, A-1 Costa Mesa, CA 92627 Phone : (949) 683-4442 owner/Builder: Address : Phone Contractor: COSTA INSTALLATIONS INC Address : 1835 WHITTIER AVE, A-1 COSTA MESA, CA 92627 Phone: (949) 683-4442 Con State Lic : 1031869 Lic Expire: 05/31/2024 Bus Lic: BT30080169 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY & CASUALTY CO Policy No : CWC00120200 W. C. Expire: 8/23/2023 Architect Address Phone: State Lic Engineer: Address Phone : Designer: COSTA INSTALLATIONS INC Address: 1835 WHITTIER AVE, A-1 COSTA MESA, CA 92627 Phone: (949)683-4442 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Added/New/TI sq. ft. Bldg : $47,000.00 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : 45 Occupancy Groups : R-3 No of Units : No of Stories : 1 Added/New sq. ft. Garage: 0 Bldg Height: TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1-SASingle-Unit Residential K PROCESSED BY: _ . , .. • - SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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 hems) (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 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7T31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1:1I, 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, 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). ❑ 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from Ileensure under the Contractors' State License Law for the following reason: By my signature below f 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 parmit, 1 cannot lagall, 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:http:l/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section TOOT of Qivision 3of the Business and Professions Code, and my license is In full farce and effect. License Class License No Date O Z Contractor Signatur NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, Me ATTORNEYS FEE& hereby affirm under penalty of perjury one of the following declarallons: 1 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 th )erformance 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 this permitis issued. My workers' Fence carrier and policy number are: ler 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. of Date_/ o Z� 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, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read thi'; r1lication and the information I have provided is correct. I agree to comply wish all applicable city and county ordinances and state taws relating to building construction. , dLY iorize rerrrsentatives of this city or county to enter the above -identified property for inspection purposes. nature of Prcvenv Owner or Aulhonzed A en' Print Property Owner's or Authorized A ent's Name Aha; )7 6<r $44Q21rcl Date 71r1N DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TFFLE 40 AND AQMD RULE TO i reKMVPINAL 5,-7-6) l7SIASBE5TO5 NOTINCAPON 15 NOT APPLICAFILE 10 y f7PTIFICATE OF OPOSED OEMOLfT40 007W ANCYISSUED SIGNATUR