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HomeMy WebLinkAboutXR2023-1897 - PermitsF�� J'oRr City of Newport Beach II IIIIIII II IIIII I IIII IIIII III III I II II COMB Permit : XR2O23-1897 D Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1673 N'^ ? Permit Counter Phone: (949) 718-1888 Issued Date : 07/12/2023 .� newportbeachca.gov/civic Final Date: cq//coaN�P Combination Type - MFP PLUM Permit Status: Issued Work Class - Alteration 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 : 2 CHATHAM CT Legal Desc : N TR 11451 BLK LOT 1 UN 1 TR 11451 LOT 1 UNIT 1 OF� Description: MFR REPLACE SHOWER PAN AND TILE AROUND* MATTE-rz6Pcr�t Owner: DANIEL WHELAN Contractor: COASTLINE TILE AND SHOWER Architect Address : 12 CHATHAM CT Address : 1671 W ARROW ROUTE Address NEWPORT BEACH, CA 92660 UPLAND, CA 91784 Phone: (949)248-1098 Phone: (800)313-1548 Phone: Con State Lic : 837001 State Lic Lic Expire : 04/30/2024 Applicant: David DiGiorgio Bus Lic : BT30082089 Engineer : ... . Address : 1671 W. Arrow Rte. Bus Lic Expire : 07/31/2024 Address Upland, CA 91786 Phone: Workers' Compensation Insurance Phone: Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY Owner/Builder : Policy No : FLA01568202 Designer: David DiGiorgio . Address : W. C. Expire: 11/9/2023 Address: 1671 W. Arrow Rte. Upland, CA 91786 Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $650.1 0 Type of Construction : V-B Fire Hazard Zone : NO Added/Newts sq. ft. Bldg : 0 Occupancy Groups : U.R-2 No of Units : 1 Alteration sq. ft. Bldg : , , Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury that I Are exempt from the Contractors' State License Law for the reason(s) indicate( 'Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, dernolls he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law Professions Code) or that lie or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section S tot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do t_,) all of or U portions of the v BLISIrr P.SR and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp mprovements are not intended or offered for sale. if, however, the building or improvement Is sold within one year of completl( mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Sue apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pur 1 am exempt from licensum 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under, Professions Code, is available upon request when this application is submitted or at the following Web site:hl1p:1(www.1eginfo.c. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Dh and effect. License Class License No D to t COMPENSATION DECLARATION below by the checkmark(s) I have placed next to the applicable items) or repair any structure, prior to. its Issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )31.5 by any applicant for a permit subjects the applicant to A civil penalty of k, and the structure Is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built. or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, 1 cannot let that a copy of the applicable law, Section 7044 of the Business and of the Business and f rofnK ns Co516, ad y Ilcerisg is In full force Contractor Sig tore (�� NARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES }1NO CIVIL FINES UP TOONE RUMORED THOUSAND DOLLARS ($100,000),1N AOOr10N TO THE COST OF COMPENSA710N, DANACES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEVS FEES. hereby affirm under penalty of perjury one of the following declarations: LJ I have and will maintain a certificate of consent to sSINnsum for workers' compensation, issued by the Director of lot RE ante or tha work'or which this permit Is issued. Policy No. n and will ma+n�ein workers' compensation insurance, as required by Section 3700 of the. Labor Code, for the perfor mce carrier aria policy number are: Carrinr Policy Number Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date ne of Agent Phone # certify that, in the pe f ante of a work r wh1 this permit is issued. I shall not. employ any person in any manner so to become subject to the workers' compensation laws of California, and agre I, it I she erne �dbjecttot workers' o nsatlD sions of Secllon 3700 of the Labor Code, shall forthwith co ply with !hose provisions.�; A licant _ .,_,T__ DatJd�� %CLAAIATION REGARNS CT ..ENDING AGENCY / uaby affirm une:er pa,:.alty of perjury that there is a construction lending agency for the performance of the work for which thi, permit is issued (Section 3097, Civil Code). rder's Name Lender's Address _ nay si0nalere. below I certify to each of the following: I am the prohPoy owner or authorized to act on the property I have read this application and the information I have,prI I agree to comply with all appl,cable ity an unl rdinan I authorize representatives of this Ci y o ount. O enter the of Procertv Owner behalf. laws r lating to buildingconstruction. ad ope on., pettier, purposes. / Print Procertv Owner's or It I ACTION I DATE 6Y RUIF 4 3 LAr1 OAR ATiTLE 40 ANO AQMD FEDERAL FOR OFFICE iJS¢ ONLY ' I SUBMITTED ASBESTOS NOTIFICATION PER,"MT EXTENDED 1_ LIAQMD PEA111T FINAL !O ?J /Wnr jTNO ICATIONI NTAPPLICABLt TO CERTIFICATE OF /[V\ Pft0OCCUPANCY ISSUED 5RE.