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Home My WebLink AboutXR2024-0138 - Permits�EWPpaT City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U24-o138 Community Development Department - Building Division X R 2 8 2 a 0 1 3 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0101 Permit Counter Phone: (949) 718-1888 Issued Date : 01/17/2024 u moo. r newportbeachca.gov/civic Final Date: cqt/KO FN�P Combination Type - MFP PLUM Permit Status: Issued Work Class - Alteration 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: 296 VILLA POINT DR Description: MFR -REPLACE TUB W/SHOWER Owner: LARRY GOLIGHTLY Address : 8101 E DARTMOUTH AVE UNIT76 DENVER, CO 80231 Phone: Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder Address : Legal Desc : N TR 11937 BLK LOT 2 UN 1 TRACT 11937, LOT 2 OF PR Contractor: REBORN BATH SOLUTIONS Address : 5515 E LA PALMA AVE 9250 ANAHEIM, CA 92807 Phone : (714) 507-1694 Con State Lie : 443682 Lie Expire : 11/30/2024 Bus Lie : BT30066303 Bus Lie Expire : 12/31/2024 Workers' Compensation Insurance Carrier: STARR INDEMNITY & LIABILITY COMPANY Policy No : 1000005655 W. C. Expire: 11/1/2024 Architect Address Phone: State Lie Engineer: Address : Phone: Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Villa Point Apartments PROCESSED BY: SPECIAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt trom the Contractors' State License Law for the reasori indicated below by the checkmark(s) I have placed next to the applicable Lamle) ;Section 7031.5, Business and Professions Code: Any city or county that Tequires a permit to construct, alter, improve, demolish, or repair any structure, prior to Is issuance, also requires the applicant for the permit to file a signed statement that lie or she is liconsed 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 pormit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). 0 1, 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 Code: The Contractors' State License Law does not apply to an owner of property who, Ihrnugh employees' or personal eff art, 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 -Builder will have the burden of proving that it was not bull( or —mproved for the purpose of sale). LJ 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 �appply 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). l u I am exempt from licensure 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 this. permit, I cannot legalh sell a structure that I have built as an owner -builder it 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 Professions Codeis available upon request when this application is submitted or at the following Web site:http:llwww'.leginfo.ca.gov/celaw.html, Signature of Pro,.erty On,mer or Authorized Agent _ _ Date LiCENBED CONTRACTOR'S DECLARATION I aereby .ifiirm unar•r penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70 ) i IT Zolt Businessand Profes ' odeoda. and my is In full force and effect. License Class License.No a nVactor iggal0ORYERS'COMPENSATION DECLARATION NA' NlTi FAILURE TO 9erURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CtB UP TO ON ORED THOUSAND DOLLARS ($100.,000), IN ADDrrICN TO THE COS', OF ..OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3Te6 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: I h9ve and wdl 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 'ermance of the work for which this permit Is issued. Policy No. ti and will nraimain 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` compensa ,rime carrier aid policy number are: Policy Number Date ne of Agent Phone # certify that, In the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the , if I should becomesubjectto the workers* compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lalure of APRIir%Flt..._—_ hereby afficin under penalty of are is a construction fending agency for the performance of the work for which this permit is issued endar's Na Lenders Address ly any siggWITIS belo4e'aJilarf�y 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 ordinances and state laws relating to building construction. I authorize representatives of this cify.�oumy to enter ihtSAWe-identified pro2pAy4or inspection purposes. ACTION 1 DATE. BY DECLAA. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I a,,- 'TIONS PART 61. OF TITLE 40 AND AOvID RULE PERM 78XPIRED LJ ISUBM_ITTED ASBESTOS NOTIFICATION TO .__ .... .___....__ PERMl7 CANCftCEl9 L_......._.. ... ...r.__....__— E'E __ EPA PERw7 EMENDED ..i..._....._. 1OVID PERM]'f FiNA1 CERriFtCATE OF j q 70 OTIFICA LION IS NOT APPLICABLE TO 1) EM KSIGNATU OCCUPANCYISSUED !/� CivilCade). laws of California, and