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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