HomeMy WebLinkAboutXR2023-0846 - Permits�EWPpRT City of Newport Beach
i) A Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
O Permit Counter Phone: (949) 644-3286
may„ Inspection Requests Phone: (949) 644-3255
c^<rcoaN�P newportbeachca.gov/inspections
Combination Type - SFP
COMB Permit : XR2023-0846
2 0 2 3 0 8 4 6
Plan Check No . 1106-2022
Issued Date : 03/30/2023
Inspection Area : 4
Work Class - Other
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 : 2715 VISTA UMBROSA Legal Desc : N TR 6905 BLK LOT 49
Description: MFR ADD 367 SF, REMODEL 1,674 SF *** CHANGE OF CONTRACTOR`
Owner: BEVERLY CORCORAN
Address NEWPORT BEACH,, CA 92660
Phone : (949) 310-3758
Applicant: BEVERLYCORCORAN
Address: NEWPORT EACH,, CA 92660
Phone : (949) 310-3758
Owner/Builder :
Address :
Phone
Code Edition: 2019
Type of Construction : V-B
Occupancy Groups : U,R-3
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: ($7
Contractor:
ELITE CABINETS INC
Address :
HUN INGTON BEACH, CA 92649
Phone :
(949) 331-5441
Con State Lie
: 1078435
Lie Expire :
07/31/2023
Bus Lie:
BT30081135
Bus Lie Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: BENCHMARK INSURANCE COMPANY
Policy No: CST5023914
W. C. Expire : 7/14/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
1
SPECIAL CONDITIONS: ***CHANGE OF CONTRACTOR ***
Architect: LA ROCHE DENIS A
Address: PO BOX 3708 TUSTIN, CA 92781
Phone: (949) 939-3047
State Lie :
Engineer: HOAD AUREA
Address : PO BOX 1692
SUNSET BEACH CA 92742, CA 92742
Phone:
Designer
Address
Phone
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0 . .
I 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 703t.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
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 of the Business and
Professions 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 subjecis the applicant to a civil penalty of
not more than five hundred. dollars ($500),
❑ 1, as owner of the property, employees with wages as iSole compensation, will do
Business and Professions Code: Thehe Contractors' State License Law does ) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70",
Improvements are not intended or offered for sale. If, however, the building lanot apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
;
improved for the purposeof sale). or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built. or
(.
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
0 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason: __
By my signature below I e built
an 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 legail
soil a structure that I have built as an nwmor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable Saw, section 7044 this
the emit, I a and )
Professions Code„ is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLA..RATION Date _
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 3 0l the Business and Profs Ions Cod and rf license.is In full force
and effect. License Class License No Date
NORKERS' COMPENSATION DECLARATION 70 ) t Di ision Contractor Si
NARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Et00p00), IN ADDITION TO THE
:DST OF COMPENSATION, PAMAGES AS PROVIDED FOR IN SECTION E7aS OF THE LABOR DOLE, INTEREST, MD ATTORNEYS FEES_
hereby affirm under penalty of perjury one of the following declarations:
:1 1 have and will maintain a certificate Of consent to self -insure for workers' Compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th
*TfoPance of the work for which this permit is issued. Policy No.
e;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
suraace carrier and policy number are:
Policy Number
of Agent Expiration Date
Certify that, in the performance of the ..
if I should become subject to the wo.
of
which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation taws of California, and agre
ppensation provisions of Section 3700 of the Labor Code, I shall forthwithcomply with those provisions. .3 /
ENDING AGENCY Date
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).
enders Name
ly my signature below, I certify to each of the foliowitlgLender's Address:
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 providedis correct.
I agree to comply wit all applicable city and county ordinances and state laws relating to building construction.
I authPrize representatives of this city or county {q�❑ter the a ve lifted property for inspection purposes.
Ic0eure of Prunert,i rl �,nr nr o� ,r.,.»_..., n__._. i T. , . � — _ — z/1 s
FXPIRED
PER"r"TC'ANCELLEP
PE.7: /;T EXTENDED
Pf,7,J;i f1I7ALV—
CE3TffrCA-E OF
Orf'I'^Pry ISSUED
DATE BY DECLAR ON OFCOMPLIANCE WITH CODE OF FEDEf
RE.G JLATION5 PART a1 DF TITLf 40 AND AOMD RU LE
J
PROPOSED
NOTIFICATION IS NOT
TO
FOR OFFICE USE ONLY
Name