HomeMy WebLinkAboutXR2023-2399 - Permits�gvvaoRr City of Newport Beach II II II I I I II I III IIIII IIII III IIII II COMB Permit : XR2O23-2399
D� p Community Development Department -Building Division X R 2 0 2 3 2 3 9 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2098
u = Permit Counter Phone: (949) 718-1888 Issued Date : 0812912023
a.newportbeachca.gov/civic Final Date:
Combination Type - MFP ELEC MECH PLUM Permit Status: Issued
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 : 260 CAGNEY LN, 301 Legal Desc : N TR 8336 BILK LOT 4 UN 101 TR 8336 LOT 4 UNIT 101
Description: MFR -INTERIOR REMODEL 400 SF, ENCLOSE EXISTING FIREPLACE AND REPLACE WITH ELECTRICAL FIREPLACE **123-2793**
Owner: SHAWN HUNT
Address : 4590 MACARTHUR BLVD #500
NEWPORT BEACH, CA 92660
Phone : (949) 945-8505
Applicant: SHAWN HUNT
Address: 4590 MACARTHUR BLVD #500
NEWPORT BEACH, CA 92660
Phone : (949) 945-8505
Contractor
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Architect: MANUELJARAMILLO
Address : 1409 SUNKIST AVE LA PUENTE, CA 91746
Phone : (323) 447-0996
State Lic :
Engineer:
Address
Phone:
Owner/Builder : SHAWN HUNT
Policy No :
Designer
Address: 4590 MACARTHUR BLVD #500
W. C. Expire:
Address
NEWPORT BEACH, CA 92660
Phone : (949) 945-8505
Phone
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
$33,600.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-2
No of Units :
1
Alteration sq. ft. Bldg :
500
Bldg Height :
No of Stories :
3
Added/New sq, ft. Garage :
0
TOTAL sq. ft. :
0
Building Setbacks
Flood Zone : X - -
Use Zone : PC - V es on the Bluff
PROCESSED BY:
SPECIAL CONDITIONS:
E dtESP AS8jjjtrP
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Gllilr�CIVENT D
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, poor to its issuance, also requires the applicant for
'.he permit to file a signed statement that lie 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
Orofes5mrs, Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violatuon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
tot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState 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 ?f 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
a pty to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).
I am exempt from licensure 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 legallt
sell a structure that I have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Saction 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site;http:/Aw y.leginto.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 7000) f Division 3 of the Business and Profession ad s r�ce
and effect. License Class License No Date,*_ Contractor Signatur
(WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDEJ SAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070C OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES_
hereby affirm under penalty of perjury one of the following declarations:
I 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
'ormance 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 permit is issued. My workers' compensa
trance carrier and policy number are:
Policy Number Expiration Date
Phone tf
i�rhfy that. in the performance ofV for w this permit is is shall not employ any person in any manner so as to become subject to the workers' compensa{ion taws of California, and ogre
If I should become subject •-hTf e e (pens n or Isro s eclion 3700 of the Labor Code, I shall fort'.hwiih comply with those provisions. ^� Or
nature of AVWlicanl _ _ _ _ Dale � G
CLARATION REGAR ION LENDING --
areby affirm under Cana perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C vi Code).
loan's Name Lender's Address
nay signature below, I certify to each of the fallowing:
I one 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 count cos and slat g3ws relating to building construction.
I authorize representatives of this city or count o en �Aov9,)de ified property for inspecto,l purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
P€RMiF FXTEND€D
PCRMIT FYNAL
CERTIFICATE Of
OCCUPANCYISSUED
DATE illy `-- DECLARATI9K OF COMPLIANCE WITH COD, JF FE]CRAL
REGJLA'TIONS PART 61. OF TITLE 40 AND AQ[TAD RLItF
J 1403
6 ISUBMITTED ASBESTOS NOTIFICATION TO
NOT IFICAI'ION 15 NO1' APPLICABLE TO
FOR. UFF;CE U54 ONLY
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