The URL can be used to link to this page

Home My WebLink AboutXR2023-1563 - PermitsCity of Newport Beach 111111p111111111111111111p111111111111111111111111p11111COMB Permit : XR2O23-1563 Community Development Department- Building Division X R 2 0 2 3 1 5 6 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1405 Permit Counter Phone: (949) 718-1888newportbeachca.gov/civic Issued Date : 07/26/2023 Final Date: og".Combination Type - SFP Permit Status: Issued Work Class - Alteration 9 r, q 1..,, m.m,... •,,,�—,,,,� r�x Inspection Area: 5 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: 336 HAZEL -�?.., c : TR 673 BLK A LOT 54 TRA NO 67,3 BLK A LOT 54 AND POR ABAN ST•R (GLEN Description: SFR REPAIR O K -R€X.9ECKING�iC0� :8 SET - Owner: JACQUELINE SET `. ,. � n Contractor .^2 - : i 80 r 0 �", 'k, G r�:� /o t�r�+�i�Ct /o rGfurtd Address : 336 HAZEL DR Address y Address: ` CORONA DEL IR, :A Phone: (949) 338-9971 :- '. Phone: ; r ,,,,.�• r „;,,,; to whom Phone Con State Lie State Lie Lie Expire d. _ Applicant : SHAH DARSHA Address : 10 LYNNFIELD Bus Lie : r'i;"1 `�"tt I »" c! Engineer: SHAH DARSH IN `• Bus Lie Expire 21 y Address: 10 LYNNFIEL COSTA MESA, A 9LES COSTA MESA CA $2626 Phone : (949) 573-0570 Workers' Compensation Insurance Phone: (949) 573-057 -F• Carrier : Owner/Builder: JACQUELINEWISEMAN Policy No: Designer: Address : 336 HAZEL DR CORONA DEL MAR !r 22 25t W. C Expire : t ■ Address I,"t l,p Phone: (949) 338-9971 Phone .' (( p,n SI Code Edition : 2022 tti' " r } Frre Sprinklers : NO (110 WC, `` Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 '�l0$�• No of Units : 1 Alteration sq. ft. Bldg : 627 Bldg Height : a �°• -ddediNew a :• 0 j" •TOTAL sq. ` 0 N Building Setbacks : Fro 1-Siie'4, 3ide-'4'mearrlfr— Flood Zone: X = Use Zone: R-1 - Single -Unit Residential .' PROCESSED BY: _ g 1d tam noN �gOFIS`'' ,. •- ! ftiJ�J NO CoNsm SPECIAL CONDITIONS: HIGH DENSITY ZONE *FUEL MODIFICATION ZONE* OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasonts) indicated below by the checkmark(s) I have placed next to the applicable hem(S) Ilion 7031.5, Business and Professions Code: Any oily or county that requires a permit to construct, alter, improve, demolish, or repair any structure, Priorto 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 DhAsion 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 fire hundred doliars ($500). 1, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, nness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Proviffirients are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or tpdVed for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not IN to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J i am exempt from [icensure under t e on roc. " "a-Law-loxaasen ____ 3y my signature below I acknowledge that, axcapt f r y p so al o ac. ust have resided for at least ono ye7:7P,77 s covered by this permit, I cannot legall} tell a structure that I hays buil0aa R ter builder F t h b truc d I t nbroty by licensed contractors. I undapplicable la Section 7044 the usiness and srofessions Code, is av table up eifdes{whe iHe or at h allowing Web site:http:/f 'signature of Property J., ner of Authorized Agent ., Q� �r"Date Zk 1I� _ICENSED CONTRTO RATIO If hereby affirmunder plly perjury i{�r I am 11renssd a cfif" visions of C11aoi@� wflh Sectio i Q�,[�PvnC3Jo'f t� f(gs9 ,�$ssi(ns Cotle, and my license is in full force Lnd effect. License Cl fm W $p No ' Y f� . _... Date @ fl abhSr 5�r" NORKERS' COMPS- SA ON OECF�ARATION ' v I 3 VARNINB: FAILURE TO SEC E WORKERS COMMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUaJEC "EMPLOYER Tp_CJ full" tTt Tk0,Cagf)QrD BML PINES UP TO ONE HUNDRED AUSAND DOLLARS tf100,0001, 01 AODPTION TO THE AST OF COMPENSATION, AGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE., INTEREST, AND ATTORNEY S FEES. hereby affirm under p aft y e of the following daclarafions 9 a I have an will ma taro ee a of 1:onsanl to self Insure foi workers' compeitsaYlprr�tsr3ua Director of Industrial Relations . as provided for b} Section 3700 of the Labor Code, for in Ierformanee of the war for ich t i 'annit is Issued. Policy No. _ § �I have and will mat in a' t tpensation OsAniiI asrequired by Section 3700 ctftl_jttp a. for the performance of the Work for which this pBrmil Is issued. My workers' compensatoot nsurance carrier and Is ilcy number are: 9 lahier Policy Number Expiration Date da of Agent Phone p Certify that, in the or 3 n If work for which t permit is Issued-, half not. amp y any0ersbh"in any manner so as to btcome subject to the workerslcompose ton laws of California, and agre hat, fF I should becom subj o t(x rke//r//s' corrfpghs (en provlsiogs'df Se ion 3700 of Ile Lab�4 Code. shall fndhwif(t oUrfply`ugilh ih6se pro�nslor+. [ ilgnalure of Applicant P,(�.�C,7yt,.�, _ __._..._ _._ ._._.... .�__�__.._ Dated XCLARATION REG DIN C TRUGTID'N'L N. ING4AWN Y hereby affirm under naalltry of er' ry that there is a construction lending agency for the performance of the work for which mrs permit 5 Issued (Section 3097 Civil Co a).. --- _enders Name Y Lender's Address 3y my signature halo I net, r to authorized on the — ve s a I laulhor iedrehrresenla es, ncable city a��n i haw r a If. -- property I a9 to topropertympy�ml er orrppthorized eat on the o provided gowner's behaed Pro err f Yo-buildipg_rnnsrr l tc_on t n 3 S; p y; ; t(r lS ; dad is cored elating I agree to cop I th off a �cabls and county -atsoue4denti p y r inspection purposes,. �— Z rsa.t iignalure of Pi opt,r.y OwnLr or Authorized A en G� Print Property Owner's or Authartzed ArenPs Name '" ` "` '�e � Date ACTION DATE BY C RATION OF COA-0PLIANC£ WITH GODS OF FEDERriL FOR OFFICE USE ONLY J ULAilONS PART aI OF TITLE 40 AND AQMD RU LE PERMIT NOTIFiCAT10N TO CERTIFICATE I 1CI AS(3ESTOS NO CAT N P LICA,H TO CER�-1FfCA7E Of i P�05ED DEM LITIO OCCUPANCY ISSUED SIGNATURE.