HomeMy WebLinkAboutXR2023-1741 - Permitsa�wPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1741
p� d Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1538
Fib = Permit Counter Phone: (949) 718-1888 _ Issued Date : 07/06/2023
a.a newportbeachca.gov/civic - Final Date:
c9G/ppryd�P Combination Type - SFP ELEC MECH PLUM -� -4,a +,Fr " r Permit Status: Issued
Work Class - Alteration Inspection Area : 8
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: 319 EL MODENA AVE
Legal Desc : N TR 919 BILK 2 LOT 11
Description: SFR (AS -BUILT) RPLC SWITCHES & PLUGS,
STAIR RAILINGS, INTERIOR DOORS, KITCHEN RMDL (240 SF), SHOWER PLUMB TRIM *123-1448*
Owner: CHRISTOPHER BRITT
Contractor: J E STONGER CONSTRUCTION
Architect
Address : 319 EL MODENA AVE
Address: 15626 OLIVE BRANCH DR
Address:
NEWPORT BEACH, CA 92663
LA MIRADA, CA 90638
Phone : (949) 887-8065
Phone : (562) 709-6976
Phone:
Con State Lie : 308250
State Lie
Lie Expire : 06/30/2025
Applicant: CHARLES Kay BURCH
Bus Lie: BT30082072
Engineer : ASKARIAN KYLE
Address : 1835 NEWPORT BLVD A109-611, A109-611
Bus Lie Expire : 07/31/2024
Address : 17595 HARVARD AVE #C-734
COSTA MESA, CA 92627
IRVINE, CA 92614
Phone: (949) 939-4375
Workers' Compensation Insurance
Phone: (310) 404-1834
Carrier: ISU INSURANCE THOMAS BERGIN AGENCY
Owner/Builder:
Policy No: 9339191-2023
Designer: BOB KAMINSKI
Address :
W. C. Expire : 5/20/2024
Address : 1213 ELM ST
TEAGUE, TX
Phone:
Phone: (928) 715-0722
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $50,000.00
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 :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 10
.. ,
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
'
BY:
PROCESSED
SPECIAL CONDITIONS: 157^ y 97 Y 01 /2 3 6 _ 7 $ YS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(:) Indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure, poor toits 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
Irofessions Code) or that he or she is exempt from Ilcensure 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 penefy of
lot more than five hundred dollars ($500).
3 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,
lusiness 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 theproperty, 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, as 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
ply 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 am exempt from licensors under the Contractors' State License Law for the following reason:
ly my signature below € 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 legall
all a structure that I have built as an owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code., is available upon request when this application is submitted or at the following Web site:http:(lwww.ieginfo.ce.gov/calaw.html,
lignature of Property Owner or Authorized Agent _ Date T
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Of ision 3of the Business and Professifa�A¢,;�j'' r�Rzitse,-irltrtaH-farce_
nd effect. License Class License No Date Contractor Signature /�{
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (St00A001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self- insure (or workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tY
erformance 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'
rance, carrier and policy number are:
ne of Agent
certify that, in the p,
, if I should become
ialure of ADolicant
Policy Number Expiration Date
this permit is issue `many manner so as to become subject to the workers' compensation laws of California, and agre
atlon ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'�— Data,
NG AGENCY
Breby 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
trierName LendePs Address
signature
my signature below, I certify to each of the fallowing:
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 or cL
I agree to comply with all applicable city and county raances d . uI mg construction.
I authorize rep�eso-Itatives of this city or county to to he) entitled property for inspection purposes. !'��✓ -�
Inaiure of Prope-t, C Nner or Authorized Agent ! ' — Print Property Owner's or Authorized Aaents Name ! I
A. _`171
DATE
BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
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