Loading...
HomeMy WebLinkAboutXR2023-2090 - PermitsaEWPORT City of Newport Beach II III I I I II I III II I I IIII IIIIII II COMB Permit: XR2023-2090 D� ) @ Community Development Department- Building Division X R 2 0 2 3 2 0 9 0 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1823 Permit Counter Phone: (949) 718-1888 Issued Date : 08/10/2D23 a.. newportbeachca.gov/civic Final Date: Cq(/FpAN'\P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition/Alteration 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 Job Address : 5412 SEASHORE DR Legal Desc : N TR 17194 BLK LOT 1 UN 4 LOT 1 OF TRACT 17194 OF Description: SFR REMODEL TO CREATE NEW BATHROOM 175 SF Owner: MARK ZORN Address: 5521 RIVER NEWPORT BEACH, CA 92663 Phone: (909)841-3657 Applicant : LYNCH DIMITRIUS Address: 39NAVARRE IRVINE, CA 92612 Phone: (310)930-1497 Owner/Builder : Address : Phone Contractor: OC HOME RESTORATION INC Address : 1133 BAKER STREET COSTA MESA, CA 92626 Phone: (657)363-9900 Con State Lie : 1038966 Lie Expire : 05/31/2024 Bus Lie: BT30063216 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire : Architect: LYNCH DIMITRIUS Address: 39 NAVARRE IRVINE, CA 92612 Phone: (310)930-1497 State Lie Engineer: Address Phone: Designer: Address 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 : U,R-3 No of Units : 1 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 : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS 00 $1 00,000.0T- 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 reascri indicated below by the checkrnark(s) I have placed next to the applicable item(s) 'Sedion 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 �he 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 ?rofesstons 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 Tot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 mprovements 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 mproved 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 a3-p lply 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). J 1 am exempt from licensure under tfie 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in Its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http://www.leginfo.Qa.gov/calaw.htmi. Signature of Property Owner or Authorized Agent ,,,,,.___.. _ ._ _Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Di 'sion f the Business and Pro o Co . and m li arise is In full and effect. License Class License No Dat — 0Gontractor Signature WORKERS' COMPENSATION DECLARATION / NARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GIVIL PINES UP TO ONE HUNDRED HOUSAND DOLLARS fSf 00j., IN AUCTION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 771,6OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, forth 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' compensatiol Insurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of hVwerk for which this permit is issued., I shall not employ any person in any manner so as to become subject to the workers o mpensation laws of California, and agre al, should become feet to U IS' compensation r vest ns of Section 3700 of the Labor Code, shall forthwith comply with those provisions. f F, -ignature of Applicant_ Da m �ECt..ARA7lON REGA IWG U UE NCl AOENCYhereby affirm under penalty of pethere a a structlon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). endar s Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read 9h ;application and the Intormairon I have evicted is correct, 1 agree to comply with all applicable city and count, ount dl antes and state laws relating to building. construction. I authorize reoresentalives of this city or count. t t the above -identified property, for inspection purposes. �q�f ,{ /1 1 ate _ .iuneture of ?roe9rry Owner or Authorized Aqent _ _ 9 1N�L Print Property Owner's or Authorized Agent's Nan 6' I ffjcf h /H I.yL J ` I--,t � -J© --z DATE BY I/ �B22`LARATIOkOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 'i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBM17TEDASRF.STOS NOTI PFPA'IT CANCP,1 F1 PFRVIT6r4 EEO PE2'G:7 FINAL I SBEST i Ot!FKATIO NOT AP C'RHLE TO CEftI"1FI�Aif Of !I�-'Z PRO EOOE ITION OCCI1pevCYI5SUfD j SIGNATU