The URL can be used to link to this page

Home My WebLink AboutXR2023-1405 - PermitsRw City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XRZO23-1405 Community Development Department -Building Division X R 2 0 2 3 1 4 0 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Coun[er Phone: (949) 718-1888 Issued Date : 05/25/2023 n r portbeachca.gov/civic Inspection Area : 2 w"wyFORv, Combination Type - MFP Work Class - Alteration 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 : 505 COLUMBIA ST Legal Desc : N TR 7817 BLK LOT 1 UN 66 TR 7817 LOT 1 UNIT 66 OF PROJECT L OCATED ON AP Description: MFR -INSTALL (5) RETROFIT WINDOWS *NO HEADER REPLACEMENT Owner: CARMEN DOOBENEN Contractor: Architect: Address : 505 COLUMBIA ST Address : Address NEWPORT BEACH, CA 92663 Phone: (949)610-3248 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: CARMEN DOOBENEN Bus Lic: Engineer Address : 505 COLUMBIA ST Bus Lic Expire : Address NEWPORT BEACH, CA 92663 Phone : (949) 610-3248 Workers' Compensation Insurance Phone Carrier: Owner/Builder : CARMEN DOOBENEN Policy No: Designer: Address : 505 COLUMBIA ST W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone: (949)610-3248 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-2 No of Units : 6 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 Crest - UP1585 PROCESSED BY: SPECIAL CONDITIONS: O/B FORM ATTACHED s'"?� $4,575,011 0 0 0 OWNER -BUILDER DECLARATION 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 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 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 Professions Code) or that he or she is exempt from licensura 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 than five hundred dollars ($500). 111, 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 70", 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 improved 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' Slate License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 11 1 am exempt from Ilcensure 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 let sell 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 ushess and Professions Code., Is available upon request when this appligoon is submitted) t the fo owing Web site:http J/www.leginfo.ca.gavlc law.htmi. Signature of Property Owner or Authorized Agent _- sv/�ire��/ `J Date. Q�I I z LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature 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 (6100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVtDEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, I 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 th performance of the work for which this permit is issued. Policy No. 01 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' compensatio insurance carrier and policy number are: Cartier Policy Number Expiration Date Name of Agent Phone # I certify that, In the performance of the work for which this permitis issued. I shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agre that, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Signature of Applicant Date_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By my r. igralure b3h'v, ! certify to each of the following: I am the propcny cv.,ner or authorized to act on the property owner's behalf. I have read this applicationand the information I have provided Is correct. I agree to comply will, all applicable city and county ordinances and state laws relating to building construction. I aubinrize representatives of this city or county to D the above -Identified ope for ction purposes. inspe Si nature of Properly Orvner.ar Authorized A ent Print Pro eny Owner's orAuthorized A ent's Name 'GLrI�Pry ��. _ Date ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT Eh PiREO UI SUBMITTED ASBESTOS NOTIFICATION TO PfRPAO UNCELLEP EPA PERMIT EXTENCECUACILMD PERiIAIT FINAL MASERS FOS NOTIFICATION 15 NO APPU BLE TO CERTIFICATE OF q A. ' PROPOSED D ION OCCUPANCY ISSUED y� I SIGNATURE:% �-