HomeMy WebLinkAboutXR2023-1367 - PermitsCity of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
04'.
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
CombCombination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-1367
Plan Check No : PC2023-1233
Issued Date : 08/15/2023
Final Date:
Permit Status: Issued
Inspection Area : 4
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: 7 CHADBOURNE CT Legal Desc : N TR 11450 BLK LOT 14
Description: SFR REMODEL KITCHEN AND BATHROOMS, CONVERT SAUNA/GYM INTO BEDROOM AND BATH 663 SF
Owner: JUNJUN WANG
Contractor: BUILDERWELL
Architect
Address : 7 CHADBOURNE CT
Address : 9630 RESEARCH DR
Address
NEWPORT BEACH, CA 92660
IRVINE, CA 92618
Phone : (949) 320-1339
Phone : (949) 232-0555
Phone
Con State Lic : 1022234
State Lic
Lic Expire : 01/31/2025
Applicant : ARASH HOSS
Bus Lic: BT30071153
Engineer
Address : 30902 CLUBHOUSE DR 20G
Bus Lic Expire : 08/30/2024
Address
LAGUNA NIGUEL, CA 92677
Phone: (949) 313-9191
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No : 9290529
Designer: ARASH HOSS
Address :
W. C. Expire : 1/8/2024
Address : 30902 CLUBHOUSE DR 20G
LAGUNA NIGUEL, CA 92677
Phone:
Phone: (949)313-9191
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $53,040.00
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 : 663
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Aeronutronic Ford
PROCESSED BY: J S -S
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 checkrnari I have placed next w the applicable fteln(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, prior to its issuance, also requires the applicant for
he permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
crofessions Code) or that he or she is exempt from licensue, 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
not more than five hundred dollars (5500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not Intended or offered for sale. If, however. the building or Improvement is sold within one year of completion., the Owner -Bolder will have the burden of proving that It was not built or
Improved 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
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),
El I am exempt from licensure under the Contractors' Stale License Law for the following reason _.......__—_
By my signature below I acknowtedge 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 legaly
sell a structure that I have built as an owner-buildor if it has not been constructed In its antiroty, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and
Professions Code., is available upon request when this application is submitted or at the following Web site,http:tiwww.leginfo.ca,gov/calaw.html,
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date 5iz 23 Contractor Signature,
WORKERS' COMPENSATION DECLARATION
WARNING: 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 f51000001, IN ADDITION TO THE
COST OE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION A706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES.
I 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 in
performance of the work for whichthis permit is issued. Policy No.
®I have end 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
Date
me of Agent _ ____ rnone s
certify 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 Califomia, and agre
t, If I should become subject o the w r ors compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant . .___ ____._. _.._.. ___ _.... _. _ __ __ _ _ D'ate_.
CLARATION REGAR01 ONSTRUCTION LENDING AGENCY �� ��
!reby 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).
ldar's 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 thin rpplicalion end the information I have provided is correct.
I agree to carnpi- wth all applicable ditty and county ordinances and state laws relating to building construction.
I n II'lorize represantalives of this city or county to oni the above -identified property for inspection purposes. ^
Narne
MON DATE
i BY ✓DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL
FOR OFFICE USE ONLY
I i RFGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
VFRMrr EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERM ITC INCFLLF 1)
�, IICPA
PERMIT EXTENDED
❑AAMO
ICR,AITF.AIAd
"ASBESTOS NO T IFICA I ION IS NOTAPPLICABLE 10
CERTIFICATE Of /)
PROPOSED DEMOLITI N
(ICCUPAIICY ISSU40 �' (/
SIGNATURE