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Home My WebLink AboutXR2023-1974 - Permits�gWPp�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1974 Ck e Community Development Department - Building Division X R 2 0 2 3 1 9 7 4 t"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1731 u r ? Permit Counter Phone: (949) 718-1888 Issued Date : 0811512023 »� newportbeachca.gov/civic Final Date: Cqr RN\P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 2 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 : 1424 SERENADE TER Legal Desc : N TR 1700 BLK LOT 32 Description: SFR INTERIOR ALTERATION OF KITCHEN, BEDROOM ENTRY, DRYBAR, DOORS, BEAMS 400 SF Owner: KIM 8 DAVID STOECKLY Address : 1424 SERENADE TER CDM, CA 92625 Phone: (626)298-3304 Applicant: JOJO CROWLEY Address : 2529 SANTA CATALINA, 103 COSTA MESA, CA 92626 Phone: (714)600-9660 Contractor: VISION RESTORATION CONTRACTORS Architect INC Address : 2969 E CORONADO ST Address ANAHEIM, CA 92806 Phone : (714) 926-4506 Phone Con State Lie : 1042591 State Lie: Lie Expire : 08/31/2024 Bus Lie : BT30076386 Engineer: Bus Lie Expire : 08/31/2023 Address : Workers' Compensation Insurance Phone Carrier: NATIONAL LIABILITY AND FIRE INSURANCE CO DEAN ABERNATHY 1107 VALLEY CIR COSTA, MESA, C8 92627 (949) 554-7537 _ - 0O23030 " JAMIL BASHAR S ' 751 SHASTA DR CORONA, CA 92881 (714) 883-4124 Owner/Builder : Policy No : V9WC327342 Designer Address : W. C. Expire : 9/15/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $102,844.00 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 : 400 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 31, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: RA- Single -Unit Residential PROCESSED BY: L SPECIAL CONDITIONS OWNER -BUILDER DECLARATION 1 hereby affim7 under penally 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 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7001 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).. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 lr, an owner of property who, through employees' or personal effort, hIIIIdS 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 praying 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 Cade: 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). ❑By signature below acknowledge that, except for State License Law for the following reason I am exempt from IYcensure under the Contractors __. _.. 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 soil a structure that I have built as an awmor-builder 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca,govlcolaw.html. Signature of Property Owner or Authorized Agent,.,.___� Date LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm undo, nPnalry of perjury that I am licensed under previsions of Chapter 9 (commencing With Section 0 of D'visi 3 of the Bus Ines and Profess and�D nse is in full force and effect. License Claus License No Da � � 1 Co racier ignature / A'Cr.K1EgS' COlMPFNSATION DECLARATION WARNING: FAILURE YO sSCUHE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T E HONORED THOUSAND DOLLARS 16100,000), IN ADDITION TO THE COLT OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION OTIR OF THE LABOR CODE, INTEREST, AND ATTORNEY's Fees I hereLl affirm under penalty of perjury one of the following declarations: n I have and w lit n.F stain a codificate 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 parfoc r,ancc of the Work for which this permit is issued. Policy No, have and w^I mamhich taih workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance Of the work for wthis permit is issued. My workers' compensatiol n. hence carrier and policy number are: Policy Number of Agent ___, Date _11 carU;y that, :n 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 t0 the workers' compensation laws of California, and ial, if I shculdl, comd subjecZT coo mpansakian provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._ Ignature of Applic t _ _.__. ._..__DaECLARATION R R'RUC7tGN LENDING AGENCY hereby affirm er,,natfy of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civl Code). Ender's Name _ _ Lenders Address ly my signature below, I certify to each of the followiny: I am the property owner or authorized to act on the property owner's behalf. / I have read this application and the into alion I have provided is correct. I agree to comply with all app I of Ity and county ordinances and slate laws relating to building. construction. I authorize representatives of thl city or county to eve -ice' d_ttraperty for inspection purposes. Owner's or Authorized Aa BY DF.CLAQn: 4ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND At RIILF. PEWIT EXPIRED I I i I SUBMiTTEDASBEST05 NOTIFICATION TO PERMfT EXTENDED OM D P@Pob117 FfNA1 ❑ BEST 5NO7IFILFlIIONIS LICABLE TO CER7! l AIEOF ,r �� j'Jy.; //� 941Z p OSLllii I7 e OCCUFANCy ISSUED v I / SIGN ORE: