HomeMy WebLinkAboutXR2023-2101 - PermitsE P(R> City of Newport II ��� I II� III IIII IIII II�II � �II� I II
; p Beach coM6 Permit : XR2023-2101
@ Community Development Department- Building Division X R 2 0 2 3 2 1 0 1
,} ^3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
2 Permit Counter Phone: (949) 718-1888 Issued Date : 07/31/2023
newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Issued
Work Class - Alteration 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
, N!'� E T 101 R
Job Address : 2907 HARBOR VIEW DR
Legal Desc : N TR 3660 BLK LOT 10
Description: SFR REPLACE (13) RETROFIT WINDOWS AND (3) SLIDING DOORS, NO STRUC CHANGES
Owner: EDWARD REMPALSKI
Contractor :
Architect
Address : 2907 HARBOR VIEW DR
Address :
Address
NEWPORT BEACH, CA 92625
Phone: (562)501-5673
Phone:
Phone:
Con State Lic :
State Lic
Lic Expire :
Applicant: EDWARD REMPALSKI
Bus Lic :
Engineer
Address : 2907 HARBOR VIEW DR
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92625
"
Phone : (562) 501-5673
Workers' Compensation Insurance
Phone
Carrier:
Owner/Builder : EDWARD REMPALSKI
Policy No :
Designer:
Address: 2907 HARBOR VIEW DR
W. C. Expire:
Address
NEWPORT BEACH, CA 92625
Phone: (562)501-5673
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $75,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: _z
95
SPECIAL CONDITIONS: O/B AUTH AND RETROFIT WINDOW CRITERIA SCANNED
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exelnpL from the Contractors' State License Law for the reasons) 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, alter, improve, dernolfsh, 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
Pro Osslons 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
ore than five hundred dollars ($500).
Kas owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness 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).
0 1, as owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
a ply 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 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 for at least one year prior to completion of the Improvements c vered by this permit, I Cannot lagall}
' Boll a structure that I have built as an owner-builderit has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, So Ilion 7044 of the Business and
Professions Code is available upon request this appli Is so wing Web site:http:llwww.legmfo.ca.goNdcalaw.html,
Signature of Property Owner or Authorized A ate _ /-2,3
LICENSED CONTRACTOR'S DECLA. ATI N _
I hereby affirm under penalty of perjury that I am license ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of 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 L LEdURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IEt00,0001, IN ADDITION TO THE
COST OF dCMPENSATICN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following dectarations:
5J ' he, e 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 On
perfairlance of the wc'k for which this permit is Issued. Policy No.
have, and wJl mu6rtain 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'
ranee carrier Ind policy number are:
ter / Policy Number Expiration Date
t If I should in the-
ewmecsubiecfnce of L nsahon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. alien laws of California, and
p he work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the work is compe is o ^�
r a.t„'a o App Ic n
C Tl N REGARI7ff STRUCTION LENDING AGENCY
!reby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code).
Ider's Name _ _ Lender's Address
my signature below. I certify to each of t17a 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 ordin to laws relating to building construction.
I authorize representatives of this city or cou y toe e above -I tilled property for inspection purposes. r^ _
nature of Prooelfi� Owner or Authorized A� —1 Print Property Owner's or Authorized Aoant's me t��'tl"t �3LS 4�1 a %'� I -
ACTION DATE ''. ,/BY `9-4K-bm 7FrT)N.OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGLH ATIONS PART 51. DF TITI F 40 AND AQNID RLiI F.
1403
P€RAlt7 EXP;RED I I LJ I suHmiTTF D ASBESTOS NOT[F ICATION TO
PERMIT EXTENDED
CERTIFICATE Of
OCCUPANCY 6511E0 € ...._..�y-�........... . .. .
PERNI7T FYNA! J'�
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