HomeMy WebLinkAboutXR2023-0896 - Permits�EWPp��
City of Newport Beach
5
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Alteration
111���III��111111111111111111111111111111111111111111111111COMB Permit : XR2023-0896
Plan Check No :
Issued Date : 04/06/2023
Inspection Area:
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 : 4110 SEASHORE DR Legal Desc : N TR 3813 BILK LOT 42
Description: DUPLEX REMOVE AND REPLACE STUCCO ON EXTERIOR OF HOUSE
Owner:
NYMCO DEV LLC
Contractor :
Architect
Address :
1935 MARINO TER
Address :
Address:
SAN MARINO, CA 91108
Phone :
(626) 271-4323
Phone :
Phone
Con State Lic :
State Lic
Lic Expire
Applicant:
HEIDI GABOR
Bus Lic:
Engineer
Address:
4110 Seashore Drive
Bus Lic Expire :
Address:
Newport Beach, CA 92663
Phone :
(626) 271-4323
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder
: NYMCO DEV LLC
Policy No:
Designer
Address :
1935 MARINO TER
W. C. Expire:
Address
Phone :
SAN MARINO, CA 91108
(626) 271-4323
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Phone
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Code Edition : 2022 Fire Sprinklers : NO Construction Valuation
Type of Construction : V-B Fire Hazard Zone : NO :,�i' Added/New/Ti sq. ft. Bldg
Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg
Bldg Height: No of Stories : 2 r^� Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0�'
Flood Zone : X�
Use Zone : R-2 - Two -Unit Residential ryry9!'°
PROCESSED BY: ���/� w .���� • ,
SPECIAL CONDITIONS
$25,000.00
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 reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
Section 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 appPcant-for
he permit to fife 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
'Tofessions Code) or that he or she is exempt from 19censure 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
iot more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
3usiness 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
Kroved for the purpose of sale).
s 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
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 licensors under the Contractors' State License Law for the following reason: "___,_
3y 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 coverey by this permit, I.cannot legall:
wil a structure that I have built as an owner-bulldI if it hast not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section Obt of the Business and
?rofesslons Code., Is available upon request when L\srapp' III is ubmi(led or t e following Web site:http:GW+v,'tv.leginfo.ca,gov/calaw:html. //
Signature of Property Owner or Authorized Agent Date —
'_ICENSED CONTRACTOR'S DECLA..RATIOJ4 \.
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code, and my license is In full force
ind effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS N1000,0001, IN ADDm0N TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 908 OF THE LABOR CODE, INTEREST, AND A"ORNEY'S FEES
hereby affirm under penalty of perjury one of the following declarations:
1 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, for lh
lerformance of the work for which this permit is issued. Policy No.
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'
rands carrier and policy number are:
Policy Number Expiration Date
of Agent Phone If _
cortify that, in the performance of the work for which this permit is issued: I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should become s to t to h worke�rgs' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D.A.e of Applican4 0. ! _._. / \ q—/0 —Z✓
ILARATION REGARD IG C T UCTION L NDING AGENCY ///---111---
Rreby 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).
iders Name Lenders Address
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 this application and the information I have provided is correct.
I agree to comply with all applicable city and County r manes and state laws relating to building construction.
I authorize representatives of this city or county nt a abo {e-i nn-I,Iflded roperty for inspection purposes.
nature of Property Owner or Authorized Adent. ,P 0l �J7. JI� Print Prooertv Owner's or Authorized Aaent's Nanief YI�C�^ l `➢L![�t�
ACTION I DATE I BY
PERMIT EXPIRED
PERiNiT EXTENDED
PCRirAlT FINAL
CERTIFICATE OF 1D-S,22 G
OCCt1PANCYf550ED 1 /
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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SI ,N..TCRE.
ISNOTAPPLICABLE 10