HomeMy WebLinkAboutXR2023-1772 - PermitsWPC Cit of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II
IT9 Community Development Department- Building Division X R 2 0 2 3 1 7 7 2 COMB Permit:
XR2023- 1 ��2
> �n `�' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PQ2023-1563
` S Permit Counter Phone: (949) 718-1888
>_{ Issued Date : 07/20/2023
newportbeachca.gov/civic
Final Date:
Combination Type - ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 1
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 : 4110 SEASHORE DR Legal Desc : N TR 3813 BILK LOT 42
Description : DUPLEX REMODEL (E) KITCHEN 269 SF. R/R LIGHTING.
Owner: NYMCO DEV LLC
Address : 1935 MARINO TER
SAN MARINO, CA 91108
Phone:
Applicant: HEIDIGABOR
Address: 4110 SEASHORE DR
NEWPORT BEACH, CA 92663
Phone: (626)271-4323
Owner/Builder : HEIDI GABOR
Address: 4110 SEASHORE DR
NEWPORT BEACH, CA 92663
Phone: (626)271-4323
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect : VOLBEDA PETE
Address : 164 N 2ND AVE UPLAND, CA 91786
Phone: (909)519-8670
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$21,560.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units :
2
Alteration sq. ft. Bldg :
269
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 0
Flood Zone:
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE, O/B AUTH ATT/ TO XR2023-0896
ON SATURDAYS
VYYI\CR�YYILV LR vtvt+, v...v+•
1 hereby affirm under penally 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 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, prior to its issuance, also requires the applicant for
he 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
'rofessions 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 penalty of
Tot more than five hundred dollars ($500).
111, 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 70",
3usiness 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
vements 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
0ved for the purpose of sale).
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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from lirensure under the Contractors' State License Law for the following reason: -
By my signature below I acknowledge that, except for To rsonal residence in which I must have resided for at least one year prior to completion of the improvements covefed by this permit, I cannot legally
sell a structure that 1 have built as an owner -builder If h p s not been const ed in its entirely by licensed contractors. I understand that a copy of the applicable law, Secti 70" of the Business and
Professions Code, is available upon request w tis cation istub tted Orthe following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner Or Authorized A 44 Y t U/ G✓
LICENSED CONTZACTOR'S DECLARATI N
I hereby affirm u7:: I,r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiop 7000) of Division 3 of the Busin s nd Professions Code, and my license is in full force
and effect. License r'ass License No D' Contra td l nature
.NORKERS' (*OMPENSATION DECLARATION �
W_RNINa: FAILURE TV SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP T ONE H NDRED THOUSAND DOLLARS 1f100,0001, IN ADDITION TO THE
LOSE Ut COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herebv affirm Dndet penalty of perjury one of the following declarations,
❑ I :rse 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 the
yforranco of tad wo'k for which this permit is issued. Policy No.
lave and will rraintain 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' commensatiol
Jra.T_,G carrier and po"ey number are:
Policy Number
Date
li)LT0 J. Agent rnone u
311certity that, in h e lie r Hance 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, an
let, if I should o act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
lignature of Appli nt _ _ - X97CKi1j
__
IECLARATION GA NG CONSTRUCTION LENDI AGENCY
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 3 Code).
Roder Name Lender's Address
ly my signature below. I certify to 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 dmanees and stale laws relating to building construction.
I authorize representatives of this r count er the abov ntI ed property for inspection purposes.
Sianature of PrODertV Owner or Authov erllAgent o f ,-= Print Property Owner's or Authorized Agent'g-L __, TI (�-Q(1/ (r�) e
ACTION
PERMIT EXPIRED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
R C,UTATIONS PART 61 OF TITLE AO AND ADM[) RUIF
ASBESTOS NOTIFICATION
15NOTAPPLICABLE TO
FOR OFFICE USE ONLY