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HomeMy WebLinkAboutXR2023-0132 - PermitsCity of Newport Beach 1111111111111111111111111p111111111111111111p111111111 jj COMB Permit : XR2023-0132 g Community Development Department - Building Division H ;,y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0138 Permit Counter Phone: (949) 718-1888 Issued Date : 01/3012023 newportbeachca.gov/civic Final Date: Combination Type - MFP ELEC MECH PLUM Permit Status: Expired Work Class - Alteration Inspection Area : 2 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 : 270 CAGNEY LN, 312 Description: MFR BATHROOM REMODEL 115 SF Legal Desc : N TR 8336 BLK LOT 6 UN 101 TR 8336 LOT 6 UNIT 101 OF PROJECT LOCATED ON AP Owner: RICHARD NEVINS Contractor : Georgina Maghari Architect : JOHN A HIMES Address : 270 CAGNEY LN APT312 Address : 6827 Valjean Avenue Address : 17155 LISETTE STREET GRANADA HILLS, NEWPORT BEACH, CA 92663 Van Nuys, CA 91406 CA 91344 Phone: (949)887-8649 Phone: (818)674-1558 Phone: Con State Lic : 784036 State Lic : CO25478 Lic Expire: 09/30/2024 Applicant : Georgina Maghari Bus Lic : BT30080584 Engineer: Address : 6827 Valjean Avenue Bus Lic Expire : 01/31/2024 Address Van Nuys, CA 91406 Phone: (818) 674-1558 Workers' Compensation Insurance Phone: Carrier: EMPLOYEE SERVICE GROUP Owner/Builder : Policy No : WC1690879 Designer Address : W. C. Expire: 12/31/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $9,200.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 - No of Units : 45 Alteration sq. ft. Bldg : 115 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Versailles on the Bluff PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Lai the reason(s) indicated below by the checkrnark(s) I have placed Heinle the applicable itemms) Secton 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 appl}cant for io 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 'rofesslons Code) or that he or she is exempt from licensure and the bas#S for the alleged exemption_ Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, ,USIness 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 nprovemants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Sunder will have the burden of proving that it was not built or n roved for Ina purpose of sale). I, as owner of the property, are exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 5p€y to an owner of property who Wide or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensare under the Contractors' State License Law tot 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 this permit, I cannot legal] all a structure that I have b llf as an owner -budded if It has not boon constricted in its ontirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted orat the following vVeb siteihttpolwww.leginfo.ca.govlcaiaw.html. .ignature of Property Owner or Authorized Agent ,mm bate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force no effect. License Class License No Date Contractor Signature RS' COMPENSATION DECLARATION ARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. Mass UP TO ONE HUNDRED THOUSAND DOLLARS ti100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37116 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ �hlereby affirm under penalty of perjury one of the following declarations: 1 I have and will maintain a certificate of consent to Self -insure for workers' compensation, issued by the Director of Indusirial Relations as provided for by Section 3700 of the Labor Code, for thi 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' Panne carrier and policy number are: Policy Number Date no, of Agent Phone # certify that, in the performance of the work for which this permit is issued. I shall not employ any person to any mariner 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, 1 shall forthwith comply with those provisions. of Date hereby 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). tinder's Name Lender's Address y my signature balCw, I eBrl'rfy m 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 county to enter the above -identified property for fnspectlon purposes, lgnature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Aoent's Name ACTION I OATF I BY DECLARATION OF COMPLIANCE W ITi-I CODE OF Ff.DFRAL FOR OFFICE USE ONLY REGULATIONS PARI Ul OFI17;.} 40 AND AQNID RULE PERMtT EXPIRED IJ t 4UBMi7TEf3 ASRES'rffS NOTIFICATION 70 P€RMtq CANCftd£f1 ������1—tGpA_(- PfA,vfrl PlNALu N��W � UASBOTOS NOTOICA WN IS NbT ARpC16A8LE TO CERC(FrCA7EOP 1n ( PROPOSFO )LMQLITION OCCUPANCYISSUEA SIGNATURE: F�WnoRT City of Newport Beach O 4 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 o9ci Fr>a"�P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration iiiiiiiiiiii II PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAtI6 INS NO CONSTRUCTION RELATED NOISE ON SATURDAY,QR,19NDAY IN H Job Address : 270 CAGNEY LN, Description : MFR BATHROQ11C'i Owner: RICHARDNEVINS Address: 270 CAGNEY I- A , NEWPORT BEACH, Phone : (949) 887-8649 Applicant: Georgina Maghari Address : 6827 Valjean Avenue Van Nuys, CA 91406 Phone : (818) 674-1558 Owner/Builder: Address : Phone Code Edition : 2022 Type of Construction : V-A Occupancy Groups: R-2 Bldg Height : Building Setbacks : Flood Zone : X Use Zone: PC -- Versailles on the Bluff PROCESSED BY: 4, SPECIAL CONDITIONS ,1W. BT30080584 Expire : 01/31/2024 001" Fire Sprir yoke• -ieo—of No of COMB Perm' Plan C o : PC2023- 1 Date : 01/3012023 nspection Area : 2 ,.abbe _,or tek\.0 023-0132 UT NO LATM�[�e Y3 EARS FROM INAL Y AREACt NO WORK ON Y AND HOL t°��°�` )k, TR 8336 LOT 6 UNIT 101 OF PROJECT Architect Address Ph,Ki C JOHN A 1745e 3rs� YES Construction Valuation : Zone : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage TOTAL sq. ft. : i d V a LZ • U NCE DATE IN ALL AREAS ON AP $9,200.d0 " 0 115 0 0 0 HILLS, OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that i am exempt from the Contractors' State License Lawlor the Peasants) indicated below by the checkmark(s) I have placed next to the applicable Item(s) clion 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 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 loosens Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any a or a permit subjects the applicant to a Civil penalty of more than five hundred dollars ($500}. 1, as owner of the property, or my employees with wagas as their sole compensation, will do L) all of or L) portions of t g and the structure Is of Intended or offered for sale (Section 7044, 3iness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property Who, employees'or personal effort, uflda 4r improves the property, provided that the Movements are not intended or offered for sale. If, however, the building or Improvement is sold within T of completion, the Owner -Builder will ve the burden of proving that It was not built or Proved for the purpose of sate), r. ��jg. Uv\d i, as owner of the property, am exclusively contracting with licensed Contractors t ct the projec ( . �)w744, Buslno.sb¢�f�qQ frrig tons Cod They Contractors' State License Law does not ny to an owner of property who builds or improves thereon, and who contra e projects with a liel=ntractor wTta,U k..lb�ttie Contractors' Ste License Law). I am exempt from li4ensure under the Contractors' State Lf or the following reason: __ 0 O< V my signature below I acknowledge that, except for m}r GG osidence in which I t eve resided f r t f ono year *40r to com of the imp emefnts covered by this permit, I cannot legato a structure that I have buf#(as an owner -build S of retructo antMefly by I ensed ntractors. I understand copy of th%applica laµ`, Section 7044 of the Business and +fassions Code, is available upon repo + Is so d or at the b site;hBpJimvvtl .c awcalaw:I'AML nature of Property Owner or A _._._._...._._._._ _ ....._._ _ `` Date • CErcCn P^KIYi APT IN _. :Aa" .... .—•• •_• ... affirm under natty of p erju7y ns undo pros C tar 'n�J Tith Sectio 70 0) of Divjsion 3 of the Business and Profe� ' ,and - y license is in full force :t License ass sin �I��� �8 1�ese >da - Dale hi 2b172 f,nntrarfor Sionaharra YARNING: FAILURE TO SEC WORMER " SATI DYE GJIMPMLWOr.. AND SHIU.L SUBJECT OY T4 AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO OLLARS (5506,W0j. IN AUDITION TOTHE =95T OF COMPEN$AI Ibk, n AGES aria OR IN T19 F THE LABOR CODE, INT n €a$ _ a..ra�y „ffvm un(+gr og#� ty of rjuryon the f g declarations: �\ h pI have and will maint a c it' onsent to se r or r sued by the Director of Industri'@ tie dad for S 1l3700 of the Labor Coda, for tit >erf Alice of the work to oh mit Is issu I have and wil; maint&in rkers' e in y Section 3700 of the Lab ed ip i!i% ce of,ttutdv�rk or ad. My workers' compensatio nsuranre carder and policy n per v ` �.a(iGr ,y Number tY` 5 Expiration Do QrmP Y Agent _ Phone # '71 . 01Jy that. in the pnrrorman o the work f which this permit 'y5,'tast, l t employ any person in any manner so as to a suty a Lion laws of California, and agre het, if I sLould become subject t wor rs' Pe site (�e�i o o `1C�F_ 4n 3700 of the Labor Code, I shall forthwit p y with rho 3lrnature -Tf Appli.;anK,,,,,_ Q I1�sp� p l7 30 23 )rz4LAkATION A£Gk.r01140 CON TR N E G AG ®'— hereby affirm under penalty of perju that a cony riding agency for the pe once of the work Ich it is issued (Section 3097, Civil Code). .ender's Name \ er's Address 3y my signature below, I certify to Sea f the roliawing: I am the property owner or authortz to act on the property s behalf. I have read this application and the i or ri a - vided is correct I agree to comply with all applicable c wry ordinances ate I ating to building construction. Ina M I authorae representatives of this city c -t to Dv ad property for inspection purposes. f r'w'+ nature Df Pro art Owner or Authorize an Print Property g Owner's or Authorized Agent's Name p d' t S id ACTION DATE E R ION OF COMPLIANCE'.A'lTH CODE OF FEDERAL FOR OFFICE USE ONLY R6G1lLATI W PART 61 OF TITLE 40 AN©AQNIO RUtE PERMIT NOTIFICATION IS NOT APPLICABLE TO CEROFCiCCUPCATE'CS y I 1 UlI//// /�) I SIGNATUR' IANCy/55UEP ' f I J