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Home My WebLink AboutXR2023-1503 - Permits,EwPoRT City of Newport Beach II�IIIIIII�IIIIIII�I IIII IIIIIIIIIIIIIII IIIIIIII II COMB Permit: XR2023-1503 D� d Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1343 3 )+'► = Permit Counter Phone: (949) 718-1888 Issued Date : 06112/2023 newportbeachca.gov/civic Inspection Area : 6 9crconN` Combination Type - MFP ELEC MECH PLUM Work Class - Alteration 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: 3641 GERANIUM Legal Desc : N TR 11949 BLK LOT 3 UN 53 TR 11949 LOT 3 UNIT 53 OF PROJECT LOCATED ON AP Description: SFR REMODEL KITCHEN AND BATHROOM 330 SF; NEW ENTRY DOOR Owner: MATHIS SUE ANN TR CHUNG Address : 27 COVENTRY NEWPORT BEACH, CA 92660 Phone: (949)922-8848 Applicant: ELIZABETHHOWELL Address : 20561 SUBURBIA LN HUNTINGTON BEACH, CA 92646 Phone: (714)963-4600 Owner/Builder : Address : Phone Code Edition: 2022 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height: Building Setbacks : Flood Zone : X Use Zone : PC - Corona del Mar Senior's Project PROCESSED BY: e�a� Contractor: V O LAREY Address : 1742 PINE ST HUNTINGTON BEACH, CA 92648 Phone : (714) 305-4955 Con State Lie : 514239 Lie Expire : 07/31/2023 Bus Lie: BT30058476 Bus Lie Expire: 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1868014 W. C. Expire : 11/23/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lie Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: ELIZABETHHOWELL Address : 20561 SUBURBIA LN HUNTINGTON BEACK, CA 92646 Phone: (714)963-4600 NO Construction Valuation : $80,000.33 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 330 2 Added/New, sq. ft. Garage: 0 TOTAL sq. ft. : 0 R01 fl 0. • SPECIAL CONDITIONS: i i Zr OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the reasan(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 Ie 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 licensors and the basis for the alleged exemption. Any violation of Section 7031 A by any applicant for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). *1 I, 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, Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds of improves the properly, provided that the npfovements are not Intended or offered for sale. If, however, the building or improvement is sold within aria year of completion, the Owner-BuUder will have the burden of proving that it was not built or nproved 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' Stele 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 licensure under the Contractors' State License Law for the following reason: ly 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 permil, I. cannot legallj ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) 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:httpd/www.leginfo.ce.govleaiaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (Commencing with Section 7q fg DAvisbh73Ybf the Business and Prbfa#slo� andin 4 is In full force and effect. License Class License Dete YY��Co /2-Z Confrador Signature ��T , PORKERS' COMPENSATION DECLARATION or EARNING: 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,WaJ, iN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 Of THE LABOR CODE, INTEREST, "a ATTORNBr3 Fees. hereby affirm under nsnalty of perjury one of the following declarations: ] 1 have and will a 3: t'am 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, aasrrnnrre of the v Ir for which this permit Is issued. Policy No. and will maln;a.in 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 volley number are: is of Agent rs9'6• that, in the p if I shwid becd,ne wtai a 0Applicant 1 Policy Number Expiration Dale Phone d of the work for which this permit is issued. I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and agrer be worker ' Dense Ion provisions of Section 3700 of the Labor Cade, I shalt forthwith comply With those provisions. Dale 0—/2— Z:3_ her--hy Pfnrm under penAdy of perjury that there is a cd(struction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). er,der's Name _ Lender's Address ly my signature bclow, I Certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have reed this application and the information I have provided is correct. [✓l G. To/L (��/�i.✓'7i�1 E- I agree to comply With all applicable city and county ordinances and sla a laws (slating to building construction. I authorize representatives of this city or count)( tp'enr� a bove-ide7ified property for inspection purposes. r�,j ,/—_ " DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE EXPIRED I I / /lVUISUBMITTED.ASBESTOSNOTiRCATIONTO ty 1AP TO CERPIFICAYEOP PROPOSE O�OCCUPANCISSUED lvr II�SNATIIY m N� 0 .c m a) N o a) a) m O y0 �° ° cuEii wR a 7 Ic a) d N a) 3 C cu W O (a O CO o Q m O O m i E m -� wiU °>accu Y U) CD 0 C U U w cUa o) -0 ca Co o Ea) a) � a) co 'x y U) N n- co zz m W m in P v ca c ° L a3 0- o o c E x a Imo) H� o a) N a) t a) o t= - ; coo X a°) O N E .6 U a) s a) Co ` O V W o c ,'�..) o U) co E! or-rn ` )sx;o c O¢ Z Cl) o a7 C a m j W o C,4 U C Ci ° C 3° 0 o) E m co « n 0 � w .� a m a) w E cn o W Co Zz V J �° Um° `o EO m 5 �0�� m0� `oo Aporn mOm o moo rn° 0 3 ��U) ��3 xQ Wv �� QVw� U) zU� Ci� a)o a) y°la) oS o �E o EELL-aD o3 co a0) �cu ig Z o o a �� E 0 -e c c a) a) a) a) o U) W 'z" o m Q W 'O .r' .� .0 N O .0 � c o o co L Y aS ° N W A m w L) N L� (n cn - U t fl O a m W�Oo li q N y oo y o a) a) m a� Z'E m °o O A c W I en W o 4 o J O `O a) Q a)a>i m U)o a Q V N w Z [� > V) y d ( 6 c U m t a) E -- 0 3 I— c () ' = M u ° E r v c a) cm -0T .. o Z 3 W o 1 { a) w x o o U) N s c T w o W chi `� ,r c 'O ° N O L.. 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