HomeMy WebLinkAboutXR2022-2166 - PermitsagWPORT City of Newport Beach I 1111
0� e Community Development Department- Building Division II I I I II I II I III II III II
> q 100 Civic Center Drive, Newport Beach, CA 92660
u = Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
gClp�pN� newportbeachca.gov/inspections _
Combination Type - MFP ELEC MECH PLUM [
Work Class - Alteration {
COMB Permit: XR2U22-2166
Plan Check No : PC2022-2005
Issued Date : 08/11/2022
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: 493 MORNING CANYON RD
Legal Desc : N TR 12079 BLK LOT 1 UN 1
T,R 12079 LOT 1 UNIT 1 OF PROJECT L OCATED ON AP
Description: MFR INTERIOR REMODEL 210 SF KITCH AND BATHROOMS.
Owner: MAXYM PANCHUK
Contractor :
Architect : ILYA V BOURIM
Address : 493 MORNING CANYON RD #4 CORONA DEL
Address :
Address : 51945 AVENIDA MADERO LA QUINT,
MAR, CA 92625
92253
Phone :
Phone :
Phone : (760) 609-6731
Con State Lic :
State Lic : C 38497
Applicant: MAXYM PANCHUK
Lic Expire
Address : 493 MORNING CANYON RD #4 CORONA DEL
Bus Lic :
Engineer
MAR, CA 92625
Phone :
Bus Lic Expire :
Address
Workers' Compensation Insurance
Phone
Owner/Builder: MAXYM PANCHUK
Carrier:
Address: 493 MORNING CANYON RD #4 CORONA DEL
Policy No :
Designer
MAR, CA 92625
Phone :
W. C. Expire:
Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
$20,000.00
Type of Construction :
V-B
Fire Hazard Zone : Yes, as determined by the city.
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
R-2
No of Units : 14
Alteration sq. ft. Bldg :
210
Bldg Height:
No of Stories :
Added/New sq. ft. Garage :
0
Building Setbacks :
Front: 20,
Side: 6, Side: 6, Rear: 6
Flood Zone :
X
- ...
Use Zone :
RM-6000
- Multiple Residential (6000 indicates minimum lot area)
'
PROCESSED BY:
SPECIAL CONDITIONS:
Fm.,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, altar, Improve, demolish, or repair any structure, poor to its Issuance also requires the applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
Business and Professions Cade: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
impr a ienls 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
impOved 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
iy 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 exeropl from licensors under the Contractors' State License Law for the following reason:
By 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 t rmit, I cannot
sell a structure that I have built as an owner-buildelthobeen constructed in its entirety by licensed contractors- I understand that a copy of the applicable law, Section 7044 f BUBOES
Professions Code, is available upon request when is submitted or at wing VVeb site:http:fiwww.leginfo.ca.govlcalaw.html.Signature of Property Owner or Authorized Agent Do
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am der 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 affect. License Class License No Date 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 ($100 000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
0 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 th
performance of the work for which this permit is issued. Policy No.
have andwill 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'
ranee carrier and policy number are:
Policy Number
3erof Agent
Date
JI certify that, in the performarke 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' compens tion taws of California, and agre,
oat, If I should become subjec t�the wor rs' c rensahon rsiorlsoYSection 3700 of the Labor Code, I shall forthwith comply with those provisions. (/
Ignature of Appkoant /��/._ Date
iECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ander's Name Lenders Address,
y my sgnatula oelGw, i certify to each of the following:
; dui the nroneny owner or authorized to act on the property owner's behalf.
i have reau th s application and the information I have provided is correct.
gree to co nplr wllh ad applicable city and county ordirandes and stale laws relating to building construction.
I authorize .e resenlalives of this cityor county�t a ter a abov 7delme cpertfor inspection purposes. p y r U
,.f o..,..pn , n..,na.., e u „ri. H Anon) X , - y Print Pm nrly Owner's or Authorized ADents Name XM"` '�' ` ff I/ ut\ a V— _ Date
ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
9 ; REGULATIONS PART51 OF TITLE 40 AND AQMD RULF
P9RA41r FXPIR@'i7 ( '❑ISUBMln5.DASBFSTOSNOTIFiCATIONTO
PERMITCAACELtcilDEPA.
PERMITFINAt. l �'L—Z(" I`L ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF I` PROPOSED DEMOLITION
OCCUPANCYISSUED I SIGNATURE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
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