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HomeMy WebLinkAboutXR2023-0019 - PermitsEwPoR� City of Newport Beach O @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9<�r-oaN`� newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 1111111111111111111111111111111111111111111111111111111 11111 COMB Permit : XR2023-0019 Plan Check No : 0838-2022 Issued Date : 0110512023 Inspection Area : 6 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: 11 ULTIMA DR Legal Desc : Description: NEW CEILING BEAM @LIVING ROOM (REV2023-0010 ADD SCOPE) Owner: JAMES SOCOLOSKE Address : 1424 BAYPOINTE DR NEWPORT BEACH, CA 92660 Phone: (949)500-7828 Applicant: HUNTINGTON BEACH CABINETS REMODELING Address : 512 OCEANHILL DR HUNTINGTON BEACH, CA 92648 Phone : (714) 580-6221 Owner/Builder : Address : Contractor: HUNTINGTON BEACH CABINETS & Architect: GOETZ ANDREW REMODELING Address : 512 OCEANHILL DR HUNTINGTON BEACH, CA92648 Phone: (714)580-6221 Con State Lic : 652520 Lic Expire : 08/31/2024 & Bus Lic: BT30079551 Bus Lic Expire : 08/3112023 Workers' Compensation Insurance Carrier: Policy No: EXEMPT W. C. Expire: Address : 2855 E COAST HWY #234 CORONA DEL MAR, CA 92625 Phone: (949)673-3152 State Lic Engineer : .. . Address Phone: Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : YES Added/NewlTl sq. ft. Bldg Occupancy Groups : R-2 No of Units : 4 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: I�°�'SPCCTCR 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 item(s) (Section 7031.5, Business end 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 be 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 licensure 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 pannity of not more than five hundred dollars (S500).. © I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contmclers' 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). 11 1, as owner of the property, am exclusivaly contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' State License Law does riot apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 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 total least one year prior to Completion of the improvements coveted by this permit, (cannot legally soli 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, Isavailable upon request when this application Is submitted or at the following Web site:htip:/Avww.leginfo.ca.govycalaw.html, Signature of Property Owner or Authorized Agent W Date LICENSED CONTRACTOR'$ DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions Of Cho ter 9 (commencing with Section 7000 of 'vision 3 of the Business and Professl s Codey�no my flcens�e/fs�ln full force and effect License Class g, License No tASa� Data -L� Contractor Signature s✓�i'—_` WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES, I hereby affirm under penalty of perjury one of the following declarations: 111 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 thi performance of the work for which this permit is issued, Policy No. _ 0I have and will rxafr,tnin workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which Ibis permit is Issued. My workers' compensatior Ins' rimer Harrier and policy number ere: Carrier Policy Number Expiration Date Name of A3ont Phone # ®I nertifv that, in the pe,formance of the work for which this permit is issued, l shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree thbL, if I should beccc,L subject to the work rs' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions.. Siq.ra`v L of Appii_ari1 Date�,_��� DELI. &RATION REGABDIN C NSTRt 4—ION LENDING AGENCY 1 harebv 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). Lend€.'s Name Lenders Address By my signature belq� v, I 6ertify to each of the following: - I am ire proprrty oy-ner 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 ant the abov Identified property for inspection purposes. Signature of Property Owner cr Aulnonzad Agent J,1F Pont Property Owner's or Authorized Agent's Name 6..L pate — Z„ ACTION i DAT[. BY DE. ARATION OF COMPLIANCE WITH CODE OF FrDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 0E TITLE 40 AND AQMDR ULF, PERMIT EXP1feD 1-J I SUBMITTED ASBESTOS NOTIFICATION TO PFAMIT CANCELLED 0EFA PfRM7T EXTENDED OMD _ _ -PERM FINAL�kS'BES705 NO71FICATtON fS NOT APPt.ICABLF Tt) CERRTIFR7AIi t'21-2= D�� I PROPOSEOOEM LITION ,r OCCUPANCY155UfD t srcnlaruRe: //..... T1 Ji