HomeMy WebLinkAboutXR2023-0940 - Permitsuo", City of Newport Beach
of i G Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
t'ww Inspection Requests Phone: (949) 644-3255
newportbeachce.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-0940
Plan Check No : PC2023-0834
Issued Date : 04/12/2023
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
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Job Address r 2105 SEVILLE AVE Legal Desc : N TR 948 BLK LOT 97
Description: SFR KITCHEN REMODEL 150 SF PER CITY STANDARD
Owner: JEFFREYKLMIN
Contractor: PMARTIN BUILDERS INC
Architect
Address : 2 PARK PL
Address : 37 ANJOU
Address
NEWPORT BEACH, CA 92663
NEWPORT COAST, CA 92657
Phone: (949) 248-1632
Phone : (949) 683-2602
Phone
Con State Lic : 877877
State Lic
Lic Expire : 05/31/2024
Applicant : P MARTIN BUILDERS INC
Bus Lic : BT30078650
Engineer:
Address : 37 ANJOU
Bus Lic Expire : 05/31/2023
Address
_
NEWPORT COAST, CA 92657
Phone: (949) 683-2602
Workers' Compensation Insurance
Phone:
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Owner/Builder :
Policy No : CWC00092000
Designer: P MARTIN BUILDERS INC
Address :
W. C. Expire : 8/15/2023
Address : 37 ANJOU
NEWPORT COAST, CA 92657
Phone:
Phone: (949)683-2602
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$40,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft, Bldg :
150
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage:
0 "' 6
TOTAL sq. ft.
0
Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 0
- -
Flood Zone: X
,
Use Zone : R-1 - Single -Unit Residential
,
PROCESSED BY:
C
1t,O CONSTRUCTION NOS`
I Ms l!
SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACTION
ON THE WEEKEND
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 ftem(s)
clion 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
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
fessions 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
more than five hundred dollars ($500).
I, 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 notintended or offered for sale (Section 7044,
;loess and Professions Code: The Contractors' State License Law does not apply loan owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements 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
roved 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
ly 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).
L_I I am exempt from licensors under the Contractors' Stale 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 legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application issubmitted or at the following Web site:http:/Iw .leg'rnfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION'.
I hereby affirm under penalty of pe' Ihat I am licensed under provisions of hapter 9 (dommencing with Section 7000) of DDiv�fsign 3 of the Business and Professio de, my lie a full force
and effect, License Class License No i1 S»�i Date (.y.��]ti/ Contractor Signature
WORKERS' COMPENSATION DECLARATION �T
WARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONOR£ OUSANO DOLLARS jEi 0,000}, IN ADDmION TO THE
COST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 1708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and Will maintain a certificate of consent to selpinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
per"fopArce of the work for which this permit is issued. Policy No.
Mrhave 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:
Carrier Policy Number Expiration Dale
Name of Agent Phone #
131 certify that. In the perfo a e of Coop for w ch 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, and agre
that, if I should. becomes je b th orker c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicank
DECLARATION REG 1NG CTI LENDING AGENCY
I hereby affirm under ally 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 signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ner's behalf.
I have reed this application and the information I have pro ' d Iostate, meet,
I gree to col uply with all applicable city and County ordi as I laling to building construction.
�uthorizc ep esentatives ofthls city or County tofent t abenti' DID
for inspection purposes.
I& nature of Pro a.i Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name
ACTbN DATE BY ]'] DECLARATIO OF CONOLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4J )Z�Q
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE i
1403
PERM? EXP/REf0 1 SUWAITTED ASBESTOS NOTIFICATION TO
PERib'IT CANCELLrP_ --_ --MCPA
PERMIT FXTENOE? _ LIAQMD
;'CRfr.IT FIMA! �12 l� TOS NOOFATWINDT P<CABLE TO
CERTIFICATE& I ✓ PROPOSED DE
OCcl,PANCY ISSUED SIGNATURE: