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Home My WebLink AboutXR2023-1423 - Permits��EWPOQT City of Newport Beach D @ Community Development Department- Building Division �a �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic C,G�FORN`P Combination Type - Work Class - Alteration COMB Permit : XR2023-1423 Plan Check No : PC2023-1298 Issued Date : 07/1812023 Final Date: Permit Status: Issued 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 : 3010 BALBOA BLVD O J Legal Desc : A TR LAKE TR BILK 130 LOT 3 LAKE TR LOT 3 BLK 130 ALL -EX ST- -INC POR OF SEC Description: DUPLEX REMOVE NON -BEARING WALLS AND CONVERT TO ORIGINAL USE -STORAGE 296 SF (STOP WORK 123-1308) Owner: 3010 W BALBOA BLVD LLC Address: 112 26TH ST NEWPORT BEACH, CA 92663 Phone: (920)929-2300 Applicant: JUAN CARLOS PULIDO Address : 3655 TORRANCE BLVD, #300 TORRANCE, CA 90503 Phone: (949)331-8443 Owner/Builder : Address : Phone Contractor: KITCHEN ART FLOOR AND BATH Address : 24231 AVENIDA DE LA CARLOTA, 120 LAGUNA HILLS, CA 92657 Phone : (714) 870-1575 Con State Lie : 965892 Lie Expire : 09/30/2023 Bus Lie: BT30053966 Bus Lie Expire : 02128/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9255163 W. C. Expire: 6/4/2024 Architect Address Phone: State Lie Engineer: Address Phone Designer: ENGINIAR DESIGN & DEVELOPMENT Address : 3655 Torrance Blvd, 300 Torrance, CA 90503 Phone : (877) 821-1213 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 296 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 WORK O CONSTRUCTION WORK Flood Zone : X , Use Zone : R-2 - Two -Unit Residential Q1 PROCESSED BY: ON SATURDAYS SPECIAL CONDITIONS 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 Item(s) Section 7031.5, Business end 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 is 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 trofessions Code) or that he or she is exempt from hoensure 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 poly 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). I I am exempt from licensure under the Contractors' Stale License Law for the following reason: iy 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 oil a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site;http://www.ieginfo.ca,gov/calaw.html. 'signature of Property Owner or Authorized Agent —Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of pe that I am licensed under provision�F h rA/� (loRrimencing with Section 700) ivision 3 of the Business and f ssions de, antl tens force nd effect. License Class License No �i' �nl'{ L./ /, Date Contractor Signatu WORKERS' COM.PENSATIO ECLARATION 'ARNING: 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 f$100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR 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, for tht erformance of the work for which this permit is issued. Policy No. 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' carder and policy number a� me of Agent _ certify the(, in If I should be nature of ADoli Policy Number Date irformorkof the wo spermit is issued. I shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre subject to the workers' c pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (('',,�� Data LI U I� G CO CTIQN LENDING AGENCY �`t`�Ifl ((llJJ11 areby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section ider's Name, _ Lender's Address kBy my signature L€Icv% I certify to each of the to I ao. the prcpert, DVeer or authorized to act I have read tf is application and the inform I agree to comply with all applicable city aims I authorize representatives of this city or �Qt 8221aiu- a of Property E'weer or Authorized Age, ACTION DATE fly PE9MiT EXPIRED PERMrT CANCELL. P PERM?-FXTENGED PERMYT FINAL -- -_._ CERTIFICATE Of v�rE/i3 46 OCCUPANCY15SUED / the property owner' behalf. I have provided Esc rrect. unty ordinances a state laws relating to building construction, to enter the ab e-identified property for inspection purposes. Print Property Owner's or Authorized A DECLARATION OF COMPLIANCE WITH CODE OP FEOER.AL I FOR OFFICE USE ONLY RFGULA'TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 15 NOT