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Home My WebLink AboutXR2023-0951 - Permits��EW PORE City of Newport Beach 0 8 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 newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration X R111111111111111111111111111111111111111111111 II COMB Permit: XR2023-0951 Plan Check No: PC2023-0849 Issued Date : 04/13/2023 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 : 32 IMA LOA CT Legal Desc : N TR 7817 BILK LOT 1 UN 66 TR 7817 LOT 1 UNIT 66 OF PROJECT L OCATED ON AP Description: MFR BATHROOM REMODEL 300 SF *123-1091* Owner: MELINDANISH Address: 32 IMA LOA CT NEWPORT BEACH, CA 92663 Phone: (619)694-6682 Applicant: MELINDA NISH Address : 32 IMA LOA CT NEWPORT BEACH, CA 92663 Phone: (619)694-6682 Owner/Builder : Address : Phone Contractor Address: Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone State Lic Engineer: Address : Phone: Designer: MELINDANISH Address: 32 IMA LOA CT NEWPORT BEACH, CA 92663 Phone: (619)694-6682 Code Edition: 2022 Fire Sprinklers: NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 2 Alteration sq. ft. Bldg: 300 , Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X AS Use Zone : PC - Newport Crest - UP1585 BUILT PERMIT EXPOSE ALL STRUCTUL, PROCESSED BY: ELECTRICAL . _ IC � � . PLUMBING, G, AND SPECIAL CONDITIONS: O/B FORM ATTACHED MECHANICAL COMPONENTS OWNER -BUILDER DECLARATION 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, after, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the pmr ift to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (Commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from flcensure 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 not more then five hundred dollars ($500), ❑ 1, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is riot intended'. or offered for sale(Section 7044, Business 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 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 kniproved for the purpose of sale), as owner of the property, am exclusively contracting with licensed Contractors to construct the project. ISection 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 alicensed Contractor pursuant to the Contractors' State License Law), I am exempt from flcensure 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 legally sell a structure that I have built as an owner -build r if it. has not boon constructor] nr i entirety by licensed contractors. ) undorstand that a copy of the applicable law, Section 7 44 of the Business and Professions Code, is available upon request whs hi appl ahem is su ed or e following Weir site:http!/iWww.loginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent __ Bate LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed udder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, anl my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNt.AWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSANO DOLLARS f5100,0001, IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706OF THE LABOR CODE, INTEREST, Are ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: "I I have and will maintain a cortificate 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, forth mrformanoe of the work for which this permit is issued. Policy No, :1I 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' componsatio nsurance Carder and policy number aria: ,arrier Policy Number Expiration Date ,lame of Agent Phone# :11 certify that, in the performance of the work for which is permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should beco su fact a the worker ;ern ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II1��// /� 2 Signature of Appfcant / DateJ� `f �' ? Z 3 )ECLARATION F la o9 ONSTRUCTIGN LEN G AGENCY / (1� 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, Clv Cade). .endues Name __aw, __ Lender's Address 3y my signature halI Certify to each of ilia fOliowitig: I am :he property owner or authorized to act on the properly owner's behalf, I hav`t read this application and the information I have provided is correct. I acme to comply w€tn at] applicable city and counp ordinances and state Fab relating to building construction. I-,l-thorize representatives of this city or noun Owner or t enter the ahov ' ' reperty for inspection purposes. N� �15 �' �(3 ^e�is 31enatu,e of Pronrn Authonzed A ent Print PropertypOwner's or Authorized Agent's Nam are ,.CTIC,l OATF BY l D.CLARATION OF COMrCFANCE WITH CODE or FEDERAL FOR OFFICE USE ONLY i E REGULAFION9 PART 61 OFTFIELEGO AND AGFAD RULE 1403 PFAMtt FXRtREir i i SUBMITTED ASBESTOS N4TiFICATION TO ^ERMiTt ANCEL6F11 �E � � ❑EPA y�r�. '° •.k ^CRVi",""XTENRE[)�� aAQMD._ , t $HEST OTIFICATION I$ NOT AP /ALE TO CEPTIRCAFE OCCUPANCYISSUED �(!'�I SGNATURO 6 ON //